Template

Job Safety Analysis JSA

by Matt Thompson, from the Community

10+

Use this Job Safety Analysis template to plan electrical tasks safely. Document hazards such as electrical, height, mechanical, and chemical risks; assign control measures; and complete initial and final risk assessments using the risk matrix. Capture required PPE, roles and responsibilities, and obtain worker declarations and signatures, including contractors working under the JSA. Ideal for electricians and construction teams aiming to standardize safety processes and improve compliance.

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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

Community

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.

Template
Job Safety Analysis (JSA) Checklist
This Job Safety Analysis (JSA) checklist helps teams break down tasks, identify hazards, assess risk, and apply controls using the hierarchy of controls and a risk matrix. It covers common risks such as falls, manual handling, plant and equipment, noise, electrical, hazardous chemicals, and environmental and people factors including heat, UV, wildlife, traffic, and weather. Record job steps, rate initial and residual risk, assign responsible persons, and capture sign‑off to confirm understanding. Ideal for horticulture and field operations but adaptable to other high‑risk work.
by Darrell Webber, from the Community
Downloads: 10+
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Template
JSA Template Free Job Safety Analysis Form
This JSA template helps teams break jobs into steps, spot hazards, and record effective control measures. Capture details for each job step, assess risks such as chemical, electrical, ergonomic, excavation, fall, fire, mechanical, noise, radiation, struck by objects, temperature, visibility, and weather. Document engineering and administrative controls, required personal protective equipment, and other preventive measures with clear explanations. Include photos, recommendations from the health and safety committee, and digital signatures to complete and verify the analysis. Use this form to standardize Job Safety Analysis, improve hazard awareness, and reduce incidents across worksites.
by Marleene Cerda, from the Community
Downloads: 0
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Template
Job Safety Analysis JSA All Areas Checklist
This Job Safety Analysis JSA template supports safety checks across all work areas. It guides teams to identify hazards, assess risks, and define control measures for manual handling, working environments, plant and machinery, hazardous substances, tools and equipment, and working arrangements. The checklist includes prompts for responsibilities, consultation, and completion dates to help standardize risk controls and improve compliance. Suitable for transport and logistics operations and other workplaces that rely on safe procedures and mobile plant.
by Steve Hemsley, from the Community
Downloads: 30+
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Template
Job Safety Analysis (JSA)
Explore the Job Safety Analysis (JSA) template designed to ensure compliance, enhance efficiency and promote safety in your operations.
by SafetyCulture
Downloads: 6,000+
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Job Safety Analysis (JSA) Checklist

This Job Safety Analysis (JSA) checklist helps teams break down tasks, identify hazards, assess risk, and apply controls using the hierarchy of controls and a risk matrix. It covers common risks such as falls, manual handling, plant and equipment, noise, electrical, hazardous chemicals, and environmental and people factors including heat, UV, wildlife, traffic, and weather. Record job steps, rate initial and residual risk, assign responsible persons, and capture sign‑off to confirm understanding. Ideal for horticulture and field operations but adaptable to other high‑risk work.

by Darrell Webber, from the Community

10+

Get

Template

JSA Template Free Job Safety Analysis Form

This JSA template helps teams break jobs into steps, spot hazards, and record effective control measures. Capture details for each job step, assess risks such as chemical, electrical, ergonomic, excavation, fall, fire, mechanical, noise, radiation, struck by objects, temperature, visibility, and weather. Document engineering and administrative controls, required personal protective equipment, and other preventive measures with clear explanations. Include photos, recommendations from the health and safety committee, and digital signatures to complete and verify the analysis. Use this form to standardize Job Safety Analysis, improve hazard awareness, and reduce incidents across worksites.

by Marleene Cerda, from the Community

Get

Template

Job Safety Analysis JSA All Areas Checklist

This Job Safety Analysis JSA template supports safety checks across all work areas. It guides teams to identify hazards, assess risks, and define control measures for manual handling, working environments, plant and machinery, hazardous substances, tools and equipment, and working arrangements. The checklist includes prompts for responsibilities, consultation, and completion dates to help standardize risk controls and improve compliance. Suitable for transport and logistics operations and other workplaces that rely on safe procedures and mobile plant.

by Steve Hemsley, from the Community

30+

Get