City of Madison

Supervisory Analysis Form

This form is to be completed for all supervisory positions and is to become a permanent attachment to the current Position Description for the position. This information will be used to document the nature and extent of the “supervisory” duties assigned and to determine how that will affect the classification of the position.

A “supervisor” is generally defined as an employee who has authority and uses independent judgment to hire, transfer, suspend, layoff, recall, promote, discharge, assign, reward, or discipline other employees, or to effectively recommend such actions to a higher level authority. A “supervisor” is also usually the first level of resolution of employee grievances. An employee does not need to have authority in each area and does not need to exercise that authority on a regular basis to be considered a supervisor.

General Information:

1.	Employee Name (or “Vacant”):
2.	Position Class Title and CG/Range:
3.	Name, Class, and CG/Range of Supervisor:
4.	Department/Division/Unit/Section:

5.	Please list those positions directly supervised:

Class Title	# of Employee	Status

(e.g., Permanent/Hourly)	Compensation

Group/Range

Please attach organizational chart.

6.	Nature of supervision. Please indicate the level of responsibility and authority assigned. If authority does not extend to all those listed in #5, specify exceptions. “Full Responsibility” suggests that the employee performs supervisory activities with a high degree of independence (subject only to administrative review). “Effectively Recommend” means that while a higher level supervisor/manager retains final authority on the matter, the recommendation of the incumbent in this position is generally followed.

Hire/Promote:	Full Responsibility	Effectively Recommend	None

Transfer:	Full Responsibility	Effectively Recommend	None

Assign:	Full Responsibility	Effectively Recommend	None

Layoff/Recall:	Full Responsibility	Effectively Recommend	None

Discipline/Discharge:	Full Responsibility	Effectively Recommend	None

Grievance Handling:	Full Responsibility	Effectively Recommend	None

This information accurately reflects the supervisory responsibilities assigned to this position.

Employee’s Signature	Date

Supervisor’s Signature	Date

11/20/09-F:\WPDOCS\POSDES\j.doc

CITY OF MADISON

CIty of Madison

2000-05-26

cmdocs

City Of Madison