Nomor :  

Tanggal Analisis :  
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Halaman :   dari

I. IDENTITAS JABATAN
a. Nama Jabatan : .............................................................
b. Kode Jabatan : .............................................................
c. Unt Kerja : .............................................................
Level I : .............................................................
Level II : .............................................................
Level III : .............................................................
Level IV : .............................................................
Level V : .............................................................
d. Bertanggung Jawab : .............................................................
Kepada

II. KEDUDUKAN DALAM STRUKTUR ORGANISASI

 
 

III. IKHTISAR JABATAN

........................................................................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................

IV. URAIAN TUGAS

1. ....................................................................................................................................................................

2. ....................................................................................................................................................................

3. ....................................................................................................................................................................

4. ....................................................................................................................................................................

5. ....................................................................................................................................................................

6. ....................................................................................................................................................................

7. ....................................................................................................................................................................
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V. BAHAN KERJA

No. Bahan Kerja Penggunaan Dalam Tugas

1.

2.

3.
4.
5.
6.

VI. ALAT KERJA

No. Alat Kerja Penggunaan Dalam Tugas

1.

2.

3.

4.

5.

VII. HASIL KERJA

Satuan Waktu yang

No. Hasil Kerja Jumlah Satuan
Hasil diperlukan

2.

3.

4.

5.

VIII. TANGGUNG JAWAB

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1. ..................................................................................................................................................................
2. ..................................................................................................................................................................
3. ..................................................................................................................................................................
4. ..................................................................................................................................................................
5. ..................................................................................................................................................................
6. ..................................................................................................................................................................

Catatan:
Kata kunci (keakuratan, kelancaran, kerahasiaan, kebeneran, kesesuaian, ketepatan, keselamatan,
kerapihan, keamanan, kualitas, kuantitas, keutuhan, kelengkapan, keefektifan, kelayakan, keindahan,
keharmonisan).

IX. WEWENANG

1. .................................................................................................................................................................
2. .................................................................................................................................................................
3. .................................................................................................................................................................
4. .................................................................................................................................................................
5. .................................................................................................................................................................

Catatan:
Kata kunci (meminta, menolak, memberikan, memutuskan, mengeluarkan, menggunakan, menentukan,
menetapkan, menegur, memotivasi, menilai).

X. KORELASI JABATAN

No. Jabatan Unit Kerja/Instansi Hubungan Tugas

1.
2.
3.
4.
5.

XI. KONDISI LINGKUNGAN KERJA

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No Aspek Faktor
1. Tempat kerja Ruangan Tertutup / Terbuka
2. Suhu Dingin / Sedang / Panas
3. Udara Kering / Sedang / Lembab
4. Keadaan Ruangan Sempit / Sedang / Luas
5. Letak Di Ketinggian / Tempat Rendah / Daratan / Lautan
6. Penerangan Gelap / Redup / Terang
7. Suara Sunyi / Sedang / Bising
8. Keadaan tempat kerja Kotor / Sedang / Bersih
9. Getaran Tinggi / Sedang / Rendah / Tidak Ada

XII. RESIKO BAHAYA

N FISIK / MENTAL PENYEBAB

O
1.
2.
3.

XIII. SYARAT JABATAN

a. Pangkat/Gol. Ruang : ......................................................................................

b. Pendidikan : ......................................................................................
c. Kursus/diklat : .......................................................................................................
.......................................................................................................
.......................................................................................................
1.Penjenjangan : a. ..................................................................................................
..
2.Teknis : b. ..................................................................................................
..
.........................................................................................................
..
d. Pengalaman kerja : ........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
e. Pengetahuan kerja : ........................................................................................................
..
........................................................................................................
..
f. Keterampilan kerja : ........................................................................................................
..
........................................................................................................
..
g. Bakat kerja : ........................................................................................................
..
........................................................................................................
..
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........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..

Catatan:
Tuliskan faktor-faktor bakat kerja seperti yang terdapat dalam
Tabel Bakat Kerja, yang dianggap dominan pada fungsi jabatan
tersebut.
h. Temperamen kerja : ........................................................................................................
..
........................................................................................................
..
........................................................................................................
..

Catatan:
Tuliskan faktor-faktor temperamen kerja seperti yang terdapat
dalam Tabel Temperamen Kerja, yang dianggap dominan pada
fungsi jabatan tersebut.
i. Minat kerja : ........................................................................................................
..
........................................................................................................
..
........................................................................................................
.
........................................................................................................
..
........................................................................................................
..

Catatan:
Tuliskan faktor-faktor minat kerja seperti yang terdapat dalam
Tabel Minat Kerja, yang dianggap dominan pada fungsi jabatan
tersebut.
j. Upaya fisik : ........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..

Catatan:
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Tuliskan faktor-faktor upaya fisik seperti yang terdapat dalam

Tabel Upaya Fisik, yang dianggap dominan pada fungsi jabatan
tersebut.
k. Kondisi fisik : 1. Jenis kelamin : ...........................
2. Umur : ...........................
3. Tinggi badan : ...................... cm
4. Berat badan : ...................... kg
5. Postur badan : ...........................
6. Penampilan : ...........................
l. Fungsi pekerja : ........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..
........................................................................................................
..

Catatan:
Tuliskan faktor-faktor fungsi pekerja seperti yang terdapat dalam
Tabel Fungsi Pekerja, yang dianggap dominan pada fungsi
jabatan tersebut.

XIV. PENGESAHAN

Jakarta, .......... 2021

Mengetahui, Menyetujui,
Atasan Langsung, Pemangku Jabatan,

Ttd Ttd

............................................ ......................................................