Template

PSU OPP Safety Utilities Job Safety Analysis

by Elizabeth Fisher, from the Community

20+

This Utilities Job Safety Analysis template helps crews plan safer work before starting. Capture project details and photos, list tasks, identify hazards such as electrical shock, cave-ins, falls, chemicals, and moving machinery, and select controls like PPE, fall protection, shoring, spotters, proper rigging, and SDS review. Record weather, required tools, and training. Verify permits and inspections including PA One Call, hot work, scaffold, aerial lift, forklift, confined space, energized electrical work, trench and vehicle pre-trip. Collect crew signatures to confirm the JSA was reviewed.

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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

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
PSU OPP Safety MPS Pre-Task Planning
Prepare for safe work with this PSU OPP Safety pre-task planning template. Document the project scope and site details, list tasks, identify potential hazards such as falls, chemicals, live utilities, and moving machinery, and select appropriate controls. Verify required permits and inspections including ground disturbance, hot work, scaffolds, aerial lifts, forklifts, confined space, and energized electrical work. Record tools and training, add photos, and collect crew signatures before starting.
by Elizabeth Fisher, from the Community
Downloads: 0
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Template
PSU OPP Safety Pre-Task Planning Guide
This pre-task planning guide helps teams document safety requirements before beginning any work order. It prompts crews to identify job hazards, define controls, and review plans with affected employees. Sections cover tunnel entry notifications, access and egress, housekeeping, illumination, barricades, weather, fire protection, tool and equipment inspections, material storage, fall protection, and required PPE. It also captures equipment and lift details, required employee training and certifications such as NFPA 70E, aerial lift, crane, excavation, and scaffold, plus necessary permits and forms including confined space and hot work. Designed for construction and facilities maintenance tasks.
by Elizabeth Fisher, from the Community
Downloads: 20+
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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
Pre-Job Safety and Hazard Analysis and Hot Work
This pre-job safety and hazard analysis checklist helps teams plan and execute hot work and other high-risk tasks in a manufacturing environment. It covers job information, PPE requirements, work area preparation, and a Take 5 risk review to identify hazards such as electrical, mechanical, fire, chemical exposure, confined space, and working at heights. The template includes permit controls for confined space, lockout tag out, hot work, high voltage, and hazard communication. It guides fire watch assignments, start and end time logging, and post-work monitoring, with prompts for emergency contacts and documentation.
by Edwin Horna, from the Community
Downloads: 20+
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PSU OPP Safety Utilities Job Safety Analysis

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