Date ______________________________
Prepared By________________________
Title ______________________________
Department ________________________
Education/Experience Required
Goals/Objectives of Position
Knowledge/Skills Required
Physical Requirements
Special Problems/Hazards
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- I know what my benefits are.
- I feel that I am a part of a productive work team.
- I always know what my daily and weekly goals are.
- I know what the long-term goals of the company are.
- I know what the organizational structure of the company is.
- I feel I have had enough training to perform my job.
Total the number of responses in each column
Multiply the responses by each column’s severity factor
Add the results for your total audit score
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