JOB DEMANDS AND USABLE RESOURCES — ORIGINAL WORK RECORD
Optional work-design discussion aid; not a validated questionnaire, burnout score or diagnosis.
Do not wait to finish this record before seeking needed health or safety support.

RECORD BOUNDARY
Role / team, using non-identifying labels if appropriate:
Period / shift / project stage:
Prepared on:
Specific decision this record will help with:

ONE DEMAND ROW
Task / expected result and who confirms it:
When it is needed / relevant working window:
Effort estimate or range, if known, with unit and assumptions:
Interruptions / emotional effort / conflicting instructions / missing input:
What I can change within my actual authority:
What needs someone else's decision, and whose:

ONE RESOURCE ENTRY — REPEAT FOR EACH RESOURCE NEEDED BY THIS TASK
Resource: time / information / access / training / colleague / decision authority / other:
How and when it is supposed to help this specific task:
Evidence of access and availability, with date:
Status: available now / conditional / not available in the needed window / unknown
Condition or missing information, including any limit:
Who can confirm or change it:
Question or adjustment requested:
Response date / what was actually agreed:
New work or coordination created by the adjustment:
Review date or event:

REVIEW
Resource-by-resource status changes; preserve the earlier dated entry:
Unresolved decision and owner:
What changed in the actual task, not just what was promised:
Work effect observed, without inferring a diagnosis:
One next question:
Support needed now, if any:

Do not add statuses into a score or subtract resources from demands.
A resource for one task does not automatically solve a different task's problem.
Keep proposals separate from confirmed arrangements.
Do not include passwords, customer records, private health details or confidential documents.