ORS Form 4 PPD-4G

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U.S. Department of Labor

Bureau of Labor Statistics 

Occupational Requirements 

Survey

State and local government

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

Expires 08/31/18

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 (1220-

0189), 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: Start: End:

Total Employment: PSO Employment:

Selected Occupations Occ. Emp. FT/PT U/N T/I SOC

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PRINT ADDITIONAL COPIES OF PAGES 2-5, AS NEEDED.
Quote: ____________ Schedule: ____________ 

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Quote Details

Job Title: Job Description: (Y/N)

Job Observation (circle): Yes - requested Yes - offered No

Job Tasks/Notes Minimum Education

Minimum formal education required? If no 

minimum, must workers be able to read and write?

Pre-Employment Training

Professional certification, state or industry license, 

other pre-employment training required? Type and 

time to obtain?

Experience

Prior work experience required? How much?

Post-Employment Training

Post-employment training (OJT, mentoring, etc.) 

required? Type and how much?

Driving: □Yes □No 

Vehicle Type (if yes): ___________________

SVP
Quote: ____________ Schedule: ____________ 

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Cognitive Elements

What type of decision-making is required to perform the tasks of this occupation?

 (A) Little or no decision-making.

 (B) Makes straightforward decisions from set choices in familiar situations.

 (C) Makes straightforward decisions by assessing situations and possible outcomes.

 (D) Makes decisions by assessing uncertain or conflicting situations.

What type of supervision does this occupation have?

 (A) Detailed instruction and help are always provided. Frequent and thorough

review of work.

 (B) Detailed instruction and help are provided when needed. Review of work may be 

frequent and emphasize the quality of completed assignments.

 (C) General instructions provided and help given when requested. Review of work is 

occasional and emphasizes accomplishments of broad work objectives.

 (D) Only broad objectives are provided. Review of work is infrequent and focuses 

on effectiveness.

What is the pace of the work?

 Slow: Unhurried and workload is constant.

 Moderate: Steady and workload is constant. 

 Fast: Rapid and workload is constant.

 Variable: Markedly faster and slower periods that are driven by changing workload demands.

What controls the pace of the work?

 Work-driven: Work process drives the pace; the worker must keep up and continuously

meet production standards.

 Worker-driven: Worker controls the pace.
Quote: ____________ Schedule: ____________ 

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Adaptability

How often do (work tasks/schedule/location) change in this occupation? Work 

tasks

Work 

schedule

Work 

location

A - Rarely or never changes

Does not change unless it is permanent.

B – Sometimes changes

May temporarily change several times a year to meet business needs including 

seasonal variations.

C – Often changes

Changes on an unpredictable basis to meet business needs.

D – Always changes

Change is frequent and driven by forces external to the company, such as 

emergency response.

An occupation’s work routine consists of its work tasks, work schedule, and location of work as it is generally 

performed. We are interested in how frequently work tasks, schedule, and location change. Select the statement 

that best describes how frequently the work routine changes for this occupation. 

Work Related Personal Interactions

Regular Contacts: People with whom there is an established working relationship.

 Other Contacts: People with whom there is no established working relationship.

How often does the occupation verbally interact (work related) with: Regular 

Contacts

Other 

Contacts

Ongoing (Constantly, every few minutes)

Several times an hour (More than once per hour, but not constantly)

Hourly or Semi-Hourly (More than once per day, but not more than once per hour)

Daily or Less (No more than once per day; includes never)

What type of work-related interactions does this occupation have with: Regular 

Contacts

Other 

Contacts

Very structured (Exchanging straightforward, factual information)

Structured (Coordinating work with others; solving recurring problems 

with cooperative parties)

Semi-structured (Some gentle persuading or soft-selling; discussing)

Unstructured (Influencing; hard-selling; asserting control in situations)

Very unstructured (Resolving controversial or long-range issues; defending; 

negotiating)
Quote: ______________ Work Schedule: _____________ Schedule: _____________

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Exertion

Sit/Stand/Walk

Standing and Walking

Sitting

Sitting vs. Standing at Will

Most weight ever

2/3 of the time or more

1/3 up to 2/3 of the time

2% up to to 1/3 of the time

Seldom (up to 2%)

Pushing/Pulling

Hands/Arms One/Both

Feet/Legs One/Both

Feet Only One/Both

Reaching/Manipulation

Overhead Reaching One/Both

At/Below Shoulder Reaching One/Both

Gross Manipulation One/Both

Fine Manipulation One/Both

Foot/Leg Controls One/Both

Keyboarding

Traditional

10-Key

Touch

Other (document)

Postural

Stooping

Kneeling

Crouching

Crawling

Climbing Ramps or Stairs

Structure only (non-work related)

Work-related time

Climbing Ladders, Ropes, or Scaffolds

Auditory/Vision

Communicating Verbally

Hearing Requirements

One-on-one

Group

Telephone

Other Sounds

Passage of a Hearing Test

Near Visual Acuity

Far Visual Acuity

Peripheral Vision

Y/N

Y/N

Y/N

Y/N

Y/N

Y/N

Y/N

Y/N

Y/N

Y/N

Lifting/Carrying (lbs.)
Schedule: ____________ 

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Environmental Conditions

1 2 3 4 5 6 7 8

Outdoors

Extreme Heat (non-weather related)

Extreme Cold (non-weather related)

Wetness (non-weather related)

Humidity (non-weather related)

Heavy Vibration

Hazardous Contaminants*

 (Toxic, Caustic Chemicals; Fumes; Noxious Odors; Dusts)

PPE PPE PPE PPE PPE PPE PPE PPE

Proximity to Moving Mechanical Parts*

PPE PPE PPE PPE PPE PPE PPE PPE

High, Exposed Places*

PPE PPE PPE PPE PPE PPE PPE PPE

Noise Intensity Level*

 (Quiet, Moderately Loud, Loud, Very Loud)

PPE PPE PPE PPE PPE PPE PPE PPE

*Circle PPE if personal protective equipment is present.

Selected Occupation
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