Template

Task Assessment JSA Checklist

by Regan McCarthy, from the Community

10+

Use this Task Assessment JSA checklist to assess any task before starting work. It prompts you to review common hazards (struck-by, caught-in/between, strain, slips, trips, falls), impacts to people and environment, equipment damage risks, and site conditions. Verify energy isolation and lockout, machine guarding and interlocks, worker competency and training, and tool condition. Record risks and controls; if risk is moderate or higher, complete a full JSA.

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

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
Task Assessment JSA Template
This Task Assessment JSA template helps teams perform a job safety analysis before starting work. It guides users to identify hazards and risks such as struck-by, caught-in or between, slips, trips, falls, noise, hazardous substances, temperature extremes, vibration, gas and dust, mobile plant, suspended loads and manual handling. Prompts cover isolation and lockout, guarding and interlocks, worker competency, tool condition, environmental impacts and controls. Suitable for manufacturing operations including carding, spinning, dye house, winding and more. Use it to document risks and controls, improve compliance and reduce incidents. Templates are examples only and should be tailored to your workplace and jurisdiction.
by Glen Simpson, from the Community
Downloads: 0
Get
Template
Pre-Task Plan (PTP) Template
A bilingual pre task plan template to plan work safely before starting the job. It guides crews to document preparer, date, company, location, weather, and task details, check permits such as hot work and confined space, and review hazards including falls, struck by, caught in or between, electrical, manual handling, sharp edges, chemicals, and environmental risks. It covers excavation, equipment and tool checks, work area controls, and required PPE. It includes hot work and welding precautions, step by step task breakdown, hazard controls, and an employee sign in.
by J.T. Craig, from the Community
Downloads: 10+
Get
Template
Pre Task Risk Assessment Checklist
Use this pre task risk assessment to identify hazards, evaluate likelihood and severity, and apply controls before work starts. The checklist covers sharp edges, falls, electrical and stored energy, overhead loads, slips and trips, hot work and fire watch, pinch points, confined space entry, eye protection, manual handling and ergonomics, environmental conditions, noise and tool safety. Record selected controls, note permits, and capture worker signatures to verify the assessment.
by Nicole Platt, from the Community
Downloads: 10+
Get
Template
Take 5 Risk Assessment Checklist - Maintenance Team
This Take 5 pre-task risk assessment checklist helps maintenance teams stop and think before work begins. It guides workers to describe the task, identify hazards including stored energy sources (electrical, hydraulic, pneumatic, chemical, thermal), verify isolation and lockout, note common injury risks (struck-by, slips, trips, strains, heat/cold, crushing, cuts, chemical exposure), assess risk level, add and implement controls, and decide if work can proceed safely. Includes photo capture, manager notification for high risks, and team sign-off to confirm shared understanding of hazards and controls.
by Health Safety, from the Community
Downloads: 0
Get

Task Assessment JSA Template

This Task Assessment JSA template helps teams perform a job safety analysis before starting work. It guides users to identify hazards and risks such as struck-by, caught-in or between, slips, trips, falls, noise, hazardous substances, temperature extremes, vibration, gas and dust, mobile plant, suspended loads and manual handling. Prompts cover isolation and lockout, guarding and interlocks, worker competency, tool condition, environmental impacts and controls. Suitable for manufacturing operations including carding, spinning, dye house, winding and more. Use it to document risks and controls, improve compliance and reduce incidents. Templates are examples only and should be tailored to your workplace and jurisdiction.

by Glen Simpson, from the Community

Get

Template

Pre-Task Plan (PTP) Template

A bilingual pre task plan template to plan work safely before starting the job. It guides crews to document preparer, date, company, location, weather, and task details, check permits such as hot work and confined space, and review hazards including falls, struck by, caught in or between, electrical, manual handling, sharp edges, chemicals, and environmental risks. It covers excavation, equipment and tool checks, work area controls, and required PPE. It includes hot work and welding precautions, step by step task breakdown, hazard controls, and an employee sign in.

by J.T. Craig, from the Community

10+

Get

Template

Pre Task Risk Assessment Checklist

Use this pre task risk assessment to identify hazards, evaluate likelihood and severity, and apply controls before work starts. The checklist covers sharp edges, falls, electrical and stored energy, overhead loads, slips and trips, hot work and fire watch, pinch points, confined space entry, eye protection, manual handling and ergonomics, environmental conditions, noise and tool safety. Record selected controls, note permits, and capture worker signatures to verify the assessment.

by Nicole Platt, from the Community

10+

Get

Template

Take 5 Risk Assessment Checklist - Maintenance Team

This Take 5 pre-task risk assessment checklist helps maintenance teams stop and think before work begins. It guides workers to describe the task, identify hazards including stored energy sources (electrical, hydraulic, pneumatic, chemical, thermal), verify isolation and lockout, note common injury risks (struck-by, slips, trips, strains, heat/cold, crushing, cuts, chemical exposure), assess risk level, add and implement controls, and decide if work can proceed safely. Includes photo capture, manager notification for high risks, and team sign-off to confirm shared understanding of hazards and controls.

by Health Safety, from the Community

Get

Task Assessment JSA Checklist

About author

You might also like

Task Assessment JSA Template

Pre-Task Plan (PTP) Template

Pre Task Risk Assessment Checklist

Take 5 Risk Assessment Checklist - Maintenance Team

You might also like

Task Assessment JSA Template

Pre-Task Plan (PTP) Template

Pre Task Risk Assessment Checklist

Take 5 Risk Assessment Checklist - Maintenance Team