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A job safety analysis template for the crew to fill out before the work.

Break the job into steps. For each step, name what could hurt someone and how you'll prevent it. Everyone on the crew reads it and signs. Print the sheet or save it as a PDF.

Also calledJSA template, Job hazard analysis (JHA) form, JSA form, Task hazard analysis

How to use it

Three habits that make it worth filling out.

  1. Step 1

    Write the steps in order

    Keep each step short, like 'set up the ladder' or 'cut the opening'. Five to ten steps is typical.

  2. Step 2

    Name the hazard at each step

    Ask what could go wrong: falling, being struck, a pinch point, electricity, heat, a bad lift.

  3. Step 3

    Say how you'll control it

    Write who does what, such as a barricade, a spotter, a lockout or a different tool. Then everyone signs.

Do this on a phone instead of paper.

Fill out the JSA on a phone before the work, with every crew member signing on the screen. It works with no signal and the record is kept for you.

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Common questions

What is a job safety analysis?
A JSA breaks a job into steps, finds the hazards in each step and says how each one will be controlled, before the work starts. It's also called a job hazard analysis, or JHA. The names are used interchangeably.
When should a JSA be done?
Before the work starts, and again when the job, the crew or the conditions change. A JSA written for yesterday's job doesn't cover today's.
Does a JSA replace a permit?
No. A JSA doesn't replace a permit, a lockout or any other required procedure. It sits alongside them and covers the specifics of the task in front of the crew.