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Template

CSA Job Safety Analysis Survey

by Mark Bilney, from the Community

Downloads: 10+
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This CSA Job Safety Analysis survey template helps teams plan work safely by breaking tasks into steps, identifying hazards, assessing risk, and defining controls before work begins. It covers common site hazards such as vehicle accidents, falls from height, open trenches, rail traffic, wildlife, exposure to elements, manual handling, live power, confined spaces, and high fire risk. The template prompts required PPE selections including hardhat, boots, safety glasses, hi‑vis vest, long sleeves, gloves, and more, plus safety equipment like first‑aid kits, traffic signs, beacons, traffic management, spotters, and confined space gear. It also includes fields for site details, party leader, team members, timing, and site photos to support documentation and approvals.

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Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.