Appendix B Example Job Analysis Survey Form

DOE-HDBK-1001-96

APPENDIX B

EXAMPLE JOB ANALYSIS SURVEY FORM

The attached survey contains eleven duty areas with supporting task statements. The initial

duty areas and task statements were obtained from a generic task listing for nuclear

instructors developed by the Mid-Atlantic Nuclear Training Group (MANTG) after they

surveyed 179 instructors at 14 commercial reactor utility sites concerning instructor job

requirements. The list was then reviewed by five instructors and revised to reflect the

perceived job requirements for instructors. The results of this survey may be used to verify

and/or modify existing initial and continuing instructor training program.

Before filling out the attached survey forms, please answer the following questions. These

answers will be used to establish a local data base for the survey.

Number of years of practical experience related to your field of training __________.

Number of years as an instructor in the this organization ___________.

List the positions you have held (e.g., SRO, SS, maintenance foreman, etc.) and your

educational background.

________________________________________________________________________

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