Template

Job Safety Analysis (JSA)

by Regan McCarthy, from the Community

This Job Safety Analysis (JSA) template helps teams plan safer work by breaking down tasks, identifying hazards, and defining effective controls. Capture job details, site location, and personnel, add photos of the job area, and list stakeholders. Document hazards and specify control methods using the hierarchy of controls. Built-in permit prompts cover hot work, confined space entry, excavation/demolition/installation, and working at heights, ensuring required permits are issued before work begins. Include approvals, issue and review dates, and signatures to confirm all personnel understand and agree to the JSA requirements.

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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 Form
This Job Safety Analysis JSA form helps teams identify job steps, assess potential hazards, and define controls before work begins. Sections cover site information, personnel, job name and task, as well as checks for OSHA and emergency postings, mobile equipment activity, traffic exposure, and integrity of critical controls. The template guides reviews of PPE requirements, working at heights, barricades and controlled access zones, scaffolding inspection and tagging, stairs, ladders, and housekeeping. Use it after training to reinforce safe practices and standardize risk assessments across construction activities.
by Brad Moyer, from the Community
Downloads: 0
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Template
Job Safety Analysis JSA Checklist
This Job Safety Analysis JSA template helps teams identify hazards, define controls, and sequence job steps for safer work. Capture site details, critical procedures like working at height, confined spaces, lockout tagout, heavy lifts, drilling and excavations, hot work, and more. List tools and equipment, specify required PPE such as eye, hearing, and fall protection, and note outside authority and disposal requirements. Review each task step, record potential hazards, apply control measures, and complete supervisor approval for clear accountability.
by Ralpat98 User, from the Community
Downloads: 10+
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Template
OSHA Job Hazard Analysis Form
This generic template was This OSHA JHA Form was converted using SafetyCulture and can be used as safety planning guide or log. List the work processes being performed. Identify hazards associated with the task and elaborate the consequences or negative results if these risks are not dealt with. Next state preventive measures and controls to reduce, control or eliminate the hazards. Write a rationale to substantiate better action plans to be taken. Use SafetyCulture to compile JSA logs for better safety planning purposes.
by SafetyCulture
Downloads: 2,000+
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Template
Job Safety Analysis
This generic job safety analysis can be used by a supervisor or safety official to analyze hazards and bring solutions for safer workplaces. Begin by filling out information about the job and employee participating in the inspection. The template then prompts the inspector to add steps, identify and capture hazards, and provide preventive measures. Lastly, it sums up the inspection by determining the kind of risk analyzed and asks for recommendations.
by SafetyCulture
Downloads: 2,000+
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Job Safety Analysis (JSA)

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