Job Safety Analysis Worksheet Template

This Job Safety Analysis worksheet helps teams break down tasks, identify hazards, and plan effective controls to reduce risk. Sections include task and site details, step-by-step job sequencing, hazard identification (struck-by, caught-between, electrical, chemical, ergonomic, noise, vibration, slips, trips, falls), and control measures across engineering and administrative controls, PPE, and substitution. It prompts for lockout tagout, machine guarding, lifting aids, signage, barriers, ventilation, and other mitigations. The form also captures required PPE, additional recommendations, and approvals with signatures for supervisors, EHS managers, and workers. Use it to standardize JSA practices and improve safety compliance across jobs and sites.