***** In order to be officially considered for this position, candidates must complete an official applications at: https://jobs.sok.ks.gov/psc/sokhrprdcg/APPLICANT/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_SCHJOB_FL&Action=U *****************
State of Kansas – Department of Corrections
(Rev. 09-17)
Position Description
Read each heading carefully before proceeding. Make statements simple, brief and complete. Be certain the form is signed. Send the original to the
Human Resources Office.
CHECK AS APPROPRIATE: Unclassified Classified Regular Temporary
PART I – To be completed by department head or human resources office.
1. Agency Name 8. Position Number
2. Division 9. Current Title (if existing position)
3. Unit/Office 10. Proposed Title
4. Name of Incumbent 11. Working Title
5. Work Station Location (Subject to Change) 12. Allocation
City: __________________ County: __________________
6. Check appropriate time: 13. Effective Date 14. FLSA Status
Full Time Part Time ___________%
7. Regular Hours of Work 15. By: Approved:
FROM: ________ AM PM TO: ________ AM PM
16. KPERS DesignationSu M Tu W Th F Sa Corrections A Corrections B Regular
OTHER: ___________________________________
PART II – To be completed by department head or human resources office or supervisor of the position.
17. Describe the mission, goal, and/or purpose of this position. Why does it exist?
18. Who is the supervisor of this positon (person who assigns work, gives directions, answers questions and is directly in charge)?
Name Title Position Number
19a. Check the statement that best describes the leadership, supervisory or management responsibilities of this position.
b. List the names, class titles and position numbers of all persons who are supervised directly by employee in this position:
Name Title Position Number
Page 1 of 4
For use by
Human Resources
Department
KDOC (Rev 04-17) – Position Description
_______________________________________________________________________________________________________________________________________________________________________________________________________
20. Describe the work of this position using this page or one additional page only. Also note, Essential Function Form is attached.
Use the following format for describing job duties. What is the action being done (use an action verb); to whom or what is the action directed (object of action); why is the action being done (be brief); how is the action being done (be brief). Number each task and indicate percent of time an incumbent spends or would spend performing each task:
No. % Job Duties
Page 2 of 4
KDOC (Rev 09-17) – Position Description
_______________________________________________________________________________________________________________________________________________________________________________________________________
21a. How much latitude is allowed the employee in completing the work? b.) What kinds of instructions, methods and guidelines are given to the employee in this position to help do the work? c.) State how and in what detail assignments are made:
22. What hazards, risks or discomforts exist on the job or in the work environment? Frequency of exposure?
Page 3 of 4
KDOC (Rev 09-17) – Position Description
_______________________________________________________________________________________________________________________________________________________________________________________________________
PART III – To be completed by department head or human resources office.
23. List the minimum amounts of education and experience which you believe to be necessary for an employee to begin employment in this position:
Required Minimum Qualifications:
Preferred Skills and/or Qualifications:
Necessary Special Qualifications, Licenses, Certifications, and/or Registrations:
__________________________________________ _____________________ _____________________________________________ ____________________
Signature of Employee Date Signature of Human Resources Official Date
__________________________________________ _____________________ _____________________________________________ ___________________
Signature of Supervisor Date Signature of Agency Head or Appointing Authority Date
Page 4 of 4
ESSENTIAL/EVENT DRIVEN FUNCTIONS
Administrative Support and Paraprofessionals
This form can be a dual use form. It is not intended to screen out applicants. May be used after conditional offer has been made or during employment.
X Essential – Duties are fundamental to the position based on the function and the results to be achieved, rather than the manner in which they are being performed. Duties are directly related to the reason the position exists and that cannot be reassigned without changing the nature of the position. Considered by Occupational Exposure Control (OEC) as a Category I duty due to the frequency of performance.
X Event Driven – Duties may be performed in an emergency, or on an infrequent or occasional basis; but when performed these duties are necessary to the position and critical to the safety and security of staff, offenders and/or the public. Considered by OEC as a
Category II duty due to the infrequency of performance.
FUNCTION Medical
Event Practitioner Use
Essential
Driven Only: Note
OEC I
OEC II functions unable to perform
Sedentary Work: Lifting up to 10 pounds occasionally. X
Light Work: Lifting 11 to 20 pounds occasionally and/or up to 10 pounds frequently. X
Medium Work: Lifting 21-50 pounds occasionally and/or 11-20 pounds frequently.
Heavy Work: Lifting 51-100 pounds occasionally and/or 21-50 pounds frequently.
Very Heavy Work: Lifting 100 pounds occasionally and/or in excess of 50 pounds frequently.
Regular, punctual and predictable attendance. X
Mandatory over-time as required. X
Work is performed indoors in a controlled environment with few temperature extremes. X
Work is performed indoors in a controlled environment with occasional temperature extremes. X
Work is performed out of doors requiring exposure to extreme heat and/or cold. X
Work is performed in a high noise environment requiring the worker to shout to be heard.
Work involves performing repetitive motions with one or more extremity.
Work involves exposure to conditions that may affect the respiratory system or the skin, such as chemicals, paint, cleaning agents, other fumes or odors.
Work involves exposure to vibrating movements of the extremities or whole body.
Exposure to bodily fluids. Exposure may include obtaining urine specimens; touching blood, body fluids with visible blood, tissue, semen, vaginal secretions, breast milk, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid and/or amniotic fluid; cleaning and disinfecting environmental surfaces with blood, body fluids and/or tissue/ and touching non-intact skin and mucous membranes.
Running: Moving quickly on the feet in continued and sustained motion over short
distances.
Walking: Moving about on foot at a normal pace.
Bending at the Waist: Bending body downward and forward by bending the spine at the
X waist.
Kneeling: Bending the legs at the knee to come to rest on the knee or knees.
Crouching: Bending the body downward and forward by bending the legs and spine.
Crawling: Moving about on the hands and knees or hands and feet.
Climbing: Ascending or descending ladders, stairs, ramps, and the like, using the feet and legs and/or hands and arms.
Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching on narrow, slippery, or erratically moving surfaces. Exceeds that needed for ordinary maintenance of body equilibrium.
Lifting: Raising or lowering an object from one level to another. X
Carrying: Transporting an object, using the hands, arms, and/or shoulders. X
Pushing: Using upper extremities to press against with steady force in order to thrust forward, downward, or outward. X
Pulling: Using upper extremities to exert force in order to draw, haul, drag, or tug objects in a sustained motion.
Reaching: Extending the hands and arms in any direction. X
Handling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands. X
Finger Dexterity: Picking, pinching, or otherwise working primarily with finger(s). X
Sitting for unknown periods of time. X
Standing for unknown periods of time.
Talking: Expressing or exchanging ideas by means of the spoken word. X
11/08/2010
Page 1 of 2
PHYSICAL PHYSICAL ACTIVITY PHYSICAL ENVIRONMENT PHYSICAL
ACTIVITY STRENGTH
FUNCTION Medical
Event Practitioner Use
Essential
Driven Only: Note
OEC I
OEC II functions unable to perform
Conveying Information: Testifying in court or other official proceedings.
X
Communicating work related information to others.
Hearing: Perceiving the nature of sounds by the ear with or without correction. X
Seeing: Obtaining impressions through the eyes of the shape, size, distance, motion,
color, or other characteristics of objects.
Clarity of vision at 20 feet or more; X
Clarity of vision at 20 inches or less X
Ability to identify and distinguish colors X
Comprehend verbal instructions. X
Read, write and comprehend written instructions. X
Observe and recall details of incidents, series of number and/or names. X
Use emergency and safety equipment
Perform CPR and other emergency first aid procedures.
Remain calm in emergency situations. X
Legally operate a motor vehicle. X
This form accurately describes the essential functions that apply to my position.
____________________________________________________ ____________________________________________________
Signature of Employee Date Signature of Supervisor Date
To be Completed by Health Care Provider
It is my opinion that ___________________________________________
Name of Employee/Patient/Client
( ) is currently able to perform all of the essential/critical functions of his/her position; or
( ) is not currently able to perform all of the essential/critical functions of his/her position as noted (Degree of restriction if applicable):
( ) will be able to perform all of the essential/critical functions of his/her position with the following accommodations: (Add additional pages if more space is needed.)
___________________________________________
Signature of Health Care Provider Date
______________________________________________________
Printed Health Care Provider Information
_______________________________________________________
Health Specialty
11/08/2010
Page 2 of 2
OTHER
ACTIVITIES
Job Type: Full-time
Pay: From $14.00 per hour
Benefits:
Schedule:
Experience:
Work Location: One location
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