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SafetyCulture
Template

Site JSA and Permit Record

by Albert Mudaliar, from the Community

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Use this Site JSA and Permit Record template to document job safety analyses and permit-to-work details for any site. Capture the site name, date conducted, work description, preparer, and location. Attach clear photos of the JSA and permit documentation to create a complete record and support compliance and audits. This template helps teams standardize safety documentation, keep permits traceable, and maintain a reliable reference for inspections and incident reviews. Ideal for construction and field operations seeking consistent, organized safety records.

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

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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.