ORS 4PPD 4PAF Occupational Requirements

U.S. Department of Labor
Bureau of Labor Statistics

Occupational Requirements
Survey

Private Industry
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Schedule number:
Total Employment:

Start:

Selected Occupations

Occ. Emp. FT/PT

End:

SOC

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PRINT ADDITIONAL COPIES OF PAGES 3-16, AS NEEDED.

ORS Form 4 PPD-4PA

Notes

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Schedule/Quote:

Quote Details
Job Title:
Job Observation (select):
Critical Job Function:

Work Schedule:

Yes - requested

Critical Tasks/Notes
Driving:

□Yes □No

Job Description: (Y/N)
Yes - offered

No

SVP
Minimum Education
Minimum formal education required? If no
minimum, must workers be able to read and write?

Vehicle Type (if yes): ___________________

Critical Tasks
1
2

Experience
Prior work experience required? How much?

3
4
5
6
7

Credentials
Professional certification, state or industry license,
other pre-employment training required? Type and
time to obtain?

8
9
10

On the job Training
Post-employment training (OJT, mentoring, etc.)
required? Type and how much?

Other Task List Remarks

Additional notes:

COGNITIVE ELEMENTS - Work Review
1. How frequently is work checked in this job by a supervisor or lead worker?
(A) More than once per day
(B) Once per day
(C) Less often than once per day, but at least once per week
(D) Less often than weekly
Enter the appropriate letter answer for each quote.

Quote Number

1

2

Work Rev Freq

Select

Select

3

Select

4

Select

5

6

7

8

Select

Select

Select

Select

2. Are supervisors or lead workers generally present in the same physical work area as workers?

Quote Number

1

2

3

4

5

6

7

8

5

6

7

8

Yes
No
COGNITIVE ELEMENTS - Pace
1. What most controls the work load of this job (Select one)?
(A) Machinery, Equipment, or Software
(B) (Company determined) numerical performance targets
(C) People (such as customers, supervisor, etc.)
(D) Self-paced by Worker
(E) Other (specify)
Enter the appropriate letter answer for each quote.

Quote Number
Work Load

1
Select

2
Select

3
Select

4
Select

Select

Select

Select

Select

2. How would you describe the pace of work for this job? Would you say that in a typical day or week…
(A) The pace is consistent, and generally fast
(B) The pace is consistent, and generally slow
(C) The pace varies
Enter the appropriate letter answer for each quote.

Quote Number
Work Pace

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

3. Can workers step away from their work area easily outside of scheduled breaks?

Quote Number

1

2

3

4

5

6

7

8

6

7

8

Yes
No
COGNITIVE ELEMENTS - Personal Contacts
1. How often does this occupation require verbal, work-related interactions?
(A) Constantly, every few minutes
(B) Not constantly, but more than once per hour
(C) Not every hour, but more than once per day
(D) Once per day or less often
Enter the appropriate letter answer for each quote.

Quote Number
Verbal Interact

1
Select

2
Select

3
Select

4
Select

5
Select

Select

Select

Select

2. The next question is about “people skills.” We define people skills as the ability to listen, communicate, and
relate to others. In a job where basic people skills are required, workers often work alone, or usually are
only expected to engage in simple, brief work-related communication and to treat other with respect. Does
this job require basic or more than basic people skills?

Quote Number

1

2

3

4

5

6

7

8

Basic
More than Basic
COGNITIVE ELEMENTS – Problem Solving
1. The next question is about “problem solving” tasks that the worker does in his/her job. Think of “problem
solving” as what happens when workers are faced with a new or difficult situation which requires them to
think for a while about what to do next. How often is the worker responsible for solving problems that take
more than 5 minutes to think of a good solution?
(A) More than once per day
(B) Once per day
(C) Not every day, but at least once per week
(D) Not every week, but at least once per month
(E) Less often than monthly, including never
Enter the appropriate letter answer for each quote.

Quote Number

1

Problem Solving Select

2
Select

3
Select

4

5

Select

Select

6
Select

7

8

Select

Select

COGNITIVE ELEMENTS – Public/Crowds/Telework
1. Are workers in this job required to work with the general public?

Quote Number

1

2

3

4

5

6

7

8

Yes
No
2. Are workers in this job required to work around crowds in a way that restricts their movement?
(We define a crowd as a situation in which a lot of unfamiliar people are present considering the space
available, movement is restricted, and a certain level of disorganization is present.)

Quote Number

1

2

3

4

5

6

7

8

5

6

7

8

Yes
No
3. Are workers in this job permitted to work from home or telework?

Quote Number

Yes
No

1

2

3

4

Exertion – Sit/Stand/Walk
1. How many hours a day does a worker in this job usually …?
(Enter the appropriate number of hours for each quote.)

Quote Number

1

2

3

Sit

4

5

6

7

8

;lkj;lkj

Stand/Walk
Unknown
2. Does this job offer the typical employee the choice to alternate between sitting and standing at will
throughout the day?

Quote Number

1

2

3

4

5

6

7

8

6

7

8

7

8

7

8

Yes
No
Unknown

Exertion – Lifting/Carrying
Enter the appropriate number of pounds for each quote. (Breaks at 1/10/25/50/75/100)
1. What is the most weight an employee would ever lift or carry?

Quote Number

1

2

3

4

5

Pounds
Unknown
2. What is the most weight an employee would generally lift or carry for more than 2/3 of the time?
(More than 5 ½ hours of an 8-hour workday)

Quote Number

1

2

3

4

5

6

Pounds
Unknown
3. What is the most weight an employee would generally lift or carry from 1/3 up to 2/3 of the time?
(From 2 ½ hours to 5 ½ hours of an 8-hour workday)

Quote Number
Pounds
Unknown

1

2

3

4

5

6

4. What is the most weight an employee would generally lift or carry up to 1/3 of the time?
(From 10 minutes up to 2 ½ hours of an 8-hour workday)

Quote Number

1

2

3

4

5

6

7

8

7

8

Pounds
Unknown
5. What is the most weight an employee would generally lift or carry up to 2% of the time?
(Up to 10 minutes of an 8-hour workday)

Quote Number

1

2

3

4

5

6

Pounds
Unknown
Exertion – Pushing/Pulling
Pushing/Pulling is present when a worker uses at least ten pounds of force, or uses any amount of force for 2/3
or more of the workday.
1. How much of their day do employees in this job generally push or pull an object with their hands/arms?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
1A. Does the pushing/pulling require one hand/arm or both?

Quote Number

1

2

3

4

5

6

7

8

One
Both
Unknown

2. How much of their day do employees in this job generally push or pull an object with their feet/legs?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
2A. Does the pushing/pulling require one foot/leg or both?

Quote Number
One
Both
Unknown

1

2

3

4

5

6

7

8

Reaching/Manipulation
1. How much of their day do employees in this job generally reach overhead?
(Reaching overhead is present when the hand goes higher than the head AND a) elbow is bent and the angle at the
shoulder is 90 degrees or more, or b) elbow is extended and the angle at the shoulder is 120 degrees or more.)

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
1A. Does the overhead reaching require one hand/arm or both?

Quote Number

1

2

3

4

5

6

7

8

One
Both
Unknown
2. How much of their day do employees in this job generally reach at or below shoulder level?
(At/Below the Shoulder Reaching is present when there is Reaching, but it does not meet the threshold for
Overhead Reaching.)

Quote Number
Duration

1
Select

2

3

4

5

6

7

8

Select
Select
Select
Select
Select
Select
Select
Not Present
Not Present
Not Present
Not Present
Not Present
Not
Present
Not
Present

Unknown
2A. Does the reaching at or below shoulder level require one hand/arm or both?

Quote Number

1

2

3

4

5

6

7

8

One
Both
Unknown
3. How much of their day do employees in this job generally seize, hold, grasp, turn, or otherwise work with their
hand(s) (gross manipulation)?
(Note: Do not include time spent keyboarding.)

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
3A. Does this require one hand or both?

Quote Number
One
Both
Unknown

1

2

3

4

5

6

7

8

4. How much of their day do employees in this job generally touch, pick, pinch, or work primarily with the
fingers (fine manipulation)?
(Note: Do not include time spent with traditional keyboarding.)

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
4A. Does this require one hand or both?

Quote Number

1

2

3

4

5

6

7

8

One
Both
Unknown
5. How much of their day do employees in this job generally operate foot/leg controls (use of one or both feet or
legs to move controls on machinery or equipment)?

Quote Number
Duration

1
Select

2
Select
Select

3
Select

4
Select
Select

5
Select
Select

6
Select
Select

7
Select

8
Select

Unknown
5A. Does this require one foot/leg or both?

Quote Number

1

2

3

4

5

6

7

8

One
Both
Unknown
6. How much of their day do employees in this job generally keyboard (enter text or data into a computer or
other machine) using a traditional keyboard?

Quote Number
Traditional

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Postural
1. Do any critical tasks require lowering to, or positioning over, something at or below knee level, including on or
near the ground (stooping, kneeling, crouching, crawling)?

Quote Number

1

2

Yes (enter duration) Select
No

3

Select

4

Select

5

Select

6

Select

7

Select

8

Select

Select

Unknown
1A. If yes, select how the following types of low postures are used:
(A) Yes, required (employees must use this posture because of nature of task(s), physical setting of work
environment, or company training specifics)
(B) Yes, worker’s choice (employees not required to use posture, but typically do)
(C) No (posture not used)
(D) Unknown
Enter the appropriate letter answer for each quote.

Quote Number

1

2

3

4

Stooping

Select

Select

Select

Select

5
Select

6

7

8

Select

Select

Select

Crouching

Select

Select

Select

Select

Select

Select

Select

Select

Crawling

Select

Select

Select

Select

Select

Select

Select

Select

Kneeling

Select

Select

Select

Select

Select

Select

Select

Select

4

5

6

7

8

Postural – Climbing
1. Do employees in this job generally climb ramps or stairs?

Quote Number

1

2

3

Yes - Structure
Yes - Work-related
No
Unknown
1A. How much of their day to employees in this job climb ramps or stairs?
(Note: Only collect duration if climbing is work related.)

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
2. How much of their day do employees in this job generally climb ladders, ropes, or scaffolding?

Quote Number
Duration
Unknown

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Auditory
1. How much of their day do employees in this job spend on work related speaking (expressing or exchanging
ideas by spoken word)?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
2. Does this job require employees to hear and understand in person speech?

Quote Number

1

2

3

4

5

6

7

8

6

7

8

5

6

7

8

5

6

7

8

Yes
No
Unknown
3. Does this job require employees to hear and understand communication over the telephone?

Quote Number

1

2

3

4

5

Yes
No
Unknown
4. Does this job require employees to hear and understand other remote speech?

Quote Number

1

2

3

4

Yes
No
Unknown
5. Does this job require employees to hear and understand other sounds?

Quote Number
Yes
No
Unknown

1

2

3

4

Vision
1. Does this job require employees to see details of objects 20 inches or less away clearly (including the use of
computers) (near visual acuity)?

Quote Number

1

2

3

4

5

6

7

8

Yes
No
Unknown
2. Does this job require employees to see details of objects greater than 20 feet away clearly (far visual acuity)?

Quote Number

1

2

3

4

5

6

7

8

Yes
No
Unknown
3. Does this job require employees to have a broad field of vision (exclude general awareness) (peripheral vision)?

Quote Number

1

2

3

4

5

6

7

8

5

6

7

8

Select

Select

Yes
No
Unknown
Environmental Conditions
1. How much of their day do employees in this job generally work outdoors?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

Select

Select

Unknown
2. How much of their day do employees in this job generally work in non-weather related extreme heat (90° or
above in a dry environment, 85° or above in a humid environment)?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
3. How much of their day do employees in this job generally work in non-weather related extreme cold (40° for
more than 2/3 of the day, 32° if less than 2/3 of the day)?

Quote Number
Duration
Unknown

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

4. Excluding weather, how much of their day do employees in this job generally come in contact with water or
other liquids?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
5. How much of their day do employees in this job generally work in non-weather related humidity?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
6. How much of their day do employees in this job generally encounter heavy vibration (exposure to a shaking
object or surface that causes a strain on the body or extremities)?

Quote Number
Duration

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

Unknown
7. How much of their day do employees in this job generally come in contact with hazardous contaminants
(substances that may have a negative impact upon respiration, eyes, skin, or other living tissue via inhalation,
ingestion, or contact)?

Quote Number
Duration

1

2

3

4

5

6

7

8

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Unknown
PPE* (Y/N)

*Document the use of Personal Protective Equipment (PPE) if the element is present.

8. How much of their day do employees in this job generally work in conditions where bodily injury from moving,
mechanical parts of equipment, tools, or machinery is possible?

Quote Number
Duration

1
Select

2

3

4

Select

Select

Select

Select

Select

Select

Select

5
Select

6
Select

7
Select

8
Select

Select

Select

Select

Select

Unknown
PPE* (Y/N)

* Document the use of Personal Protective Equipment (PPE) if the element is present.

9. How much of their day do employees in this job generally work in high, exposed places?

Quote Number
Duration

1

2

3

Select

Select

Select

4
Select

Select

Select

Select

Select

5

6

7

8

Select

Select

Select

Select

Select

Select

Select

Select

Unknown
PPE* (Y/N)

* Document the use of Personal Protective Equipment (PPE) if the element is present.

10. How would you describe the noise level where employees in this job typically work?
Quote Number

1

2

3

4

5

6

7

8

Quiet - Library, Golf Course
Moderate - Office, Retail Store, Light Traffic
Loud - Heavy Traffic, Manufacturing
Very Loud - Jack Hammer, Front Row at a Rock Concert
Unknown
*

PPE (Y/N)

Select Select Select Select Select Select Select Select

* Document the use of Personal Protective Equipment (PPE) if the element is present.