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JSA Template Free Job Safety Analysis Form

by Marleene Cerda, from the Community

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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.

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

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.