Job safety analysis template
Stop-work reminder
Anyone on the crew can stop the job if conditions change or a hazard isn’t covered here. Update this sheet before work restarts.
Free template
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
Free to print, copy and change. It’s a starting point. Add the lines your equipment and your rules need.
Stop-work reminder
Anyone on the crew can stop the job if conditions change or a hazard isn’t covered here. Update this sheet before work restarts.
How to use it
Step 1
Keep each step short, like 'set up the ladder' or 'cut the opening'. Five to ten steps is typical.
Step 2
Ask what could go wrong: falling, being struck, a pinch point, electricity, heat, a bad lift.
Step 3
Write who does what, such as a barricade, a spotter, a lockout or a different tool. Then everyone signs.
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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