WAC 296-19A-170
What information must a provider include
in a job analysis? When completing a job analysis, the
vocational rehabilitation provider must:
(1) Include identifying information on each page. This
information includes the worker's name and claim number, and
the specific job title surveyed and its DOT code. If the DOT
code is not an accurate reflection/description of the job,
then list the specific job surveyed, the occupational code and
the source from which the occupational code was obtained;
(2) Note the name of the vocational rehabilitation
provider who completed the job analysis, where the provider
completed the job analysis and the date of the job analysis. If the analysis is based on site specific information, include
the employer name and employer contact person(s) name(s) with
phone number(s);
(3) Describe the essential functions and all other tasks
required to perform the job. Essential job functions are the
basic, necessary, and integral parts of a job performed by a
worker;
(4) List the tools and equipment required to do the job;
(5) Evaluate and describe the skills required to perform
the job;
(6) Evaluate and describe the physical demands and their
frequency required to perform the job, utilizing the physical
demands listing consistent with the DOT. If the DOT does not
represent an accurate reflection/description of the job, then
list the specific job surveyed, the physical demands and the
source from which the physical demands listing was obtained. The vocational rehabilitation provider should pay special
attention to any job duties and physical demands that may be
affected by the industrially injured or ill worker's
condition;
(7) Describe, if pertinent, any environmental hazards
encountered on the job;
(8) Describe possible modifications to the job for
employer job offers or job modifications;
(9) A section for medical approval, signature, and
comments; and
(10) The signature of the vocational rehabilitation
provider presenting the job analysis for review and date
signed.
[Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095,
51.36.100, 51.36.110. 03-11-009, § 296-19A-170, filed
5/12/03, effective 2/1/04; 00-18-078, § 296-19A-170, filed
9/1/00, effective 6/1/01.]