ORS PPD 4GAF Occupational Requirements Survey Govt Collection Form

Occupational Requirements
Survey

U.S. Department of Labor
Bureau of Labor Statistics

Government Industry
The BLS publishes statistical tabulations from this survey that may reveal
the information reported by individual State and local governments. Upon
your request, however, the BLS will hold the information provided on this
survey form in confidence.

This report is authorized by law, 31 United States Code
§§ 1535/FAR 17.5 of the Economy Act. Your
voluntary cooperation is needed to make the results of
this survey comprehensive, accurate and timely.

O.M.B. #1220-0189

We estimate that it will take an average of 66 minutes to complete this form, including time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding this estimate or any other aspect of this
survey including suggestions for reducing this burden, please send them to the Bureau of Labor Statistics, Office of Compensation and Working Conditions (12200189), 2 Massachusetts Avenue N.E., Washington, D.C. 20212. You are not required to respond to the collection of information unless it displays a currently valid
OMB control number.

Schedule number:
Total Employment:

Start:

End:

Occ. Emp. FT/PT

Selected Occupations

SOC

1
2
3
4
5
6
7
8

PRINT ADDITIONAL COPIES OF PAGES 2-3 AS NEEDED.

ORS FORM PPD-4GAF

1

August 2023

Notes

ORS FORM PPD-4GAF

2

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote Details
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Job Description:

□Yes □No

Specific Vocational Preparation (SVP)
Critical Tas ks /Note s
Driving:
□Yes □No
Vehicle Type (if yes): ____________

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

Critical Tasks
1
2

Expe rie nce
Pri or work experi ence required? How much?

3
4
5
6
7

Cre de ntials
Professional certifi cation, state or industry
license, other pre-employment training required?
Type and time to obtain?

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

3

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

4

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

5

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

6

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

7

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

8

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

9

August 2023

Schedule/Quote:

Work Schedule Varies: ☐ Yes ☐ No

Work Schedule:

Quote De tails
Job Title:
Job Observation:
□Yes □No
Critical Job Function:

Specific Vocational Preparation (SVP)

Job Description:

□Yes □No

Critical Tas ks /Note s
Driving:
□Yes □No

Minimum Education
Minimum formal education required? If no

Vehicle Type (if yes): ____________

minimum, must workers be able to read and write?

Critical Tasks
1
2

Expe rie nce
Prior work experience required? How much?

3
4
5
6
7

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

8
9
10
Other Task List Remarks

ORS FORM PPD-4GAF

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

10

August 2023

Additional notes:

ORS FORM PPD-4GAF

11

August 2023

COGNITIVE ELEMENTS - Supervision
1. Supervisory Duties:

☐ None

☐ Lead Worker

☐ Supervisor

☐ Manager

2. What is the most often this job’s work is routinely checked by a supervisor or lead worker?
(A) Every few minutes
(B) At least once per hour
(C) At least once per day
(D) At least once per week
(E) Less than once per week, including never
Enter the appropriate letter answer for each quote.

Quote Number
Work Rev Freq

1

Select

2

3

4

Select

Select

Select

5

Select

6

7

8

Select

Select

Select

3. 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

7

8

Yes
No
COGNITIVE ELEMENTS - Pace
1. What most controls the work load for this job during the normal workday or work week?
(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

1

2

Work Load

Select

Select

3
Select

4
Select

5
Select

6
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

ORS FORM PPD-4GAF

1
Select

2
Select

3
Select

12

4
Select

5
Select

6
Select

7
Select

August 2023

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

Yes
No
COGNITIVE ELEMENTS - Interaction
1. What is the most often that workers in this job typically initiate, or respond to new, verbal workrelated interactions with people who work for (FILL: employer name/company/organization/
establishment)?
(A) Every few minutes
(B) At least once per hour
(C) At least once per day
(D) At least once per week
(E) Less than once per week, including never
Enter the appropriate letter answer for each quote.

Quote Number

1

Verbal Interact

Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

2. What is the most often that workers in this job would typically initiate, or respond to new, verbal workrelated interactions with people who do not work for (FILL: employer name/company/organization/
establishment)?
(A) Every few minutes
(B) At least once per hour
(C) At least once per day
(D) At least once per week
(E) Less than once per week, including never
Enter the appropriate letter answer for each quote.

Quote Number
Verbal Interact

1
Select

2
Select

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

3. 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

Basic
More than Basic

ORS FORM PPD-4GAF

13

August 2023

7

8

COGNITIVE ELEMENTS – Work Settings
1. Does this job require working in an area where people who do not work for [EMPLOYER NAME OR
COMPANY OR ORGANIZATION OR ESTABLISHMENT] can physically approach or communicate
with the worker?

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

1

2

3

4

Yes
No
Exertion – Sit/Stand/Walk
1. How many hours a day does an employee in this job usually …?
(Enter the appropriate number of hours for each quote.)

Quote Number

1

2

3

4

5

6

7

8

Sit
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

Yes
No
Unknown

ORS FORM PPD-4GAF

14

August 2023

7

8

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

6

7

8

7

8

7

8

7

8

7

8

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

1

2

3

4

5

6

Pounds
Unknown
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

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

ORS FORM PPD-4GAF

15

August 2023

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

3

Select

Select

4
Select

5
Select

6

7

8

Select

Select

Select

6

7

8

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

Quote Number

1

2

3

4

5

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

5

6

7

8

Select

Select

Select

Select

Select

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

Quote Number

1

2

3

4

5

6

One
Both
Unknown

ORS FORM PPD-4GAF

16

August 2023

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

2

3

Select

Select

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

2

3

4

5

6

7

8

Select

Select

Select

Select

Select

Select

Select

Select

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 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

4

Select

Select

5
Select

6

7

8

Select

Select

Select

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

Quote Number

1

2

3

4

5

6

One
Both
Unknown

ORS FORM PPD-4GAF

17

August 2023

7

8

4. How much of their day do workers use only their fingers to do things such as touching, pinching,

picking, or keyboarding?
(Note: Include only active keyboarding, or when workers’ hands are positioned over the keyboard)

Quote Number
Duration

1

2

Select

Select

3

4

Select

Select

5
Select

6

7

8

Select

Select

Select

Unknown
☐ Yes ☐ No ☐ Unknown

4A. Fine Manipulation includes keyboarding:
4B. 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

3
Select

4
Select

5
Select

6
Select

7
Select

8
Select

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

1

2

3

4

5

6

One
Both
Unknown

ORS FORM PPD-4GAF

18

August 2023

7

8

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
Yes (enter duration)

1

2

3

Select

Select

Select

4

Select

5

Select

6

7

Select

Select

8

Select

No
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 specifics)
(B) Yes, workers 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

5

6

7

8

Stooping

Select

Select

Select

Select

Select

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

2

Select

3

Select

4

Select

5

Select

6

Select

7

Select

8

Select

Select

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

Quote Number
Duration

1
Select

2

3

Select

Select

4
Select

5
Select

6
Select

7
Select

Unknown
ORS FORM PPD-4GAF

19

August 2023

8
Select

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

Quote Number
Duration

1

2

3

Select

Select

Select

4
Select

5
Select

6
Select

7
Select

8
Select

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

Quote Number

1

2

3

4

5

6

7

8

6

7

8

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 speaking?

Quote Number

1

2

3

4

5

Yes
No
Unknown

ORS FORM PPD-4GAF

20

August 2023

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

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

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

2

3

Select

Select

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

1
Select

2
Select

3

4

5

Select

Select

Select

6
Select

7

8

Select

Select

Unknown

ORS FORM PPD-4GAF

21

August 2023

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

3

Select

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

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.

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

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.

ORS FORM PPD-4GAF

22

August 2023

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.

ORS FORM PPD-4GAF

23

August 2023