Job Psychosocial and Cognitive Demands

You can use this form to assess the psychosocial and cognitive demands of individual jobs at your workplace. All ratings should be filled out before saving this form (comments are optional).

"*" indicates required fields

General Information

(A record of the form will be sent to this address once submitted)
(At which site is the job you are inputting data for?)
Where possible, this should align with the name of the job specified in Employ Health’s digital Job Bank
Where possible, this should align with the name of the work area specified in Employ Health’s digital Job Bank

Psychosocial Factors

  • Never: 0% of work day
  • Rare: up to 5% of work day
  • Occasional: Between 5% and 33% of work day
  • Frequent: Between 33% and 66% of work day
  • Constant: Greater than 66% of work day
Requirement to work alone*
Degree of self-supervision required*
Degree of supervision exercised*
Deadline pressures*
Need to work co-operatively with others*
Requirement for customer/stakeholder engagement*
Exposure to emotional situations*
Exposure to confrontational situations*
Responsibility and accountability required*
(decision making)
Requirement to deliver and/or complete training activities and ongoing development*

Cognitive Demands

  • Never: 0% of work day
  • Rare: up to 5% of work day
  • Occasional: Between 5% and 33% of work day
  • Frequent: Between 33% and 66% of work day
  • Constant: Greater than 66% of work day
Attention*
Memory*
Planning/organising*
Safety/judgment*
Multi-tasking*
Cognitive flexibility*
(flexible thinking, adaptability, reactivity)
Information processing*
(processing, comprehension, application)
Problem solving*
Reading literacy*
Writing literacy*
Numerical skills*
(simple, complex)
Technology usage*
(computer, phone, machinery, tools)
Verbal communication*