Jsa template 2025

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The document is a Job Safety Analysis (JSA) Worksheet designed to identify hazards associated with specific activities at a work site. It outlines the process for listing tasks, identifying potential risks, implementing control measures, and assigning responsibility for safety oversight. The JSA must be tailored to each site and involve input from all workers.

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Click ‘Get Form’ to open the JSA template in the editor.
Begin by entering your company name, date, and site name at the top of the form. This information is crucial for identifying the specific job safety analysis.
Fill in the permit to work requirement and contractor details. Ensure that these fields are accurate to maintain compliance with safety regulations.
Assign a unique JSA number and indicate who approved the document by selecting 'Yes' or 'No' as applicable.
In the activity section, describe the task being analyzed. Then, list potential hazards associated with each task in the designated field.
For each identified hazard, outline risk control measures that will be implemented to minimize injury risks.
Finally, write down the name of the responsible person (supervisor or above) for implementing these control measures.

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What is a JSA document?

JSA stands for Job Safety Analysis is a written procedure to review the steps and any hazards and to put in place the correct solutions to eliminate or minimise the risk of those hazards occurring in the workplace.

What is the meaning of JSA document?

Job Safety Analysis (JSA) is a systematic procedure that breaks each job/task into key training sequences, identifies safety elements of each job/task step and coaches the employee on how to avoid potential safety hazards.

What does a good JSA look like?

An effective JSA process will include these four basic stages (and will invite workers to participate in this process): Stage 1 Job breakdown. Stage 2 Hazard identification and risk assessment. Stage 3 Determination and implementation of control measures.

How do I write a good JSA?

12 simple steps to conducting a job safety analysis (JSA) Select the job or task. Assemble the JSA team. Break down the job into a sequence of steps. Identify potential hazards. Evaluate the severity and likelihood of hazards. Determine preventive measures to overcome these hazards. Assign responsibility.

What does JSA mean?

Job Safety Analysis (JSA) Job safety analysis (JSA) defines and controls the hazards of processes, jobs, and procedures. JSAs are systematic examinations and documentation of every task within jobs to identify hazards and how to control tasks.

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Who writes a JSA?

Developing JSAs (6) Development of any JSA should be completed by at least one Competent Person in consultation with Worker and/or Student representation, whose health and safety is likely to be impacted by the task.

What are the 5 steps of a JSA?

Steps for Completing an Effective JSA Step 1: Select the Job to Be Analysed. Step 2: Break Down the Job Into a Sequence. Step 3: Identify Prospective Hazards. Step 4: Determine Preventive Measures. Step 5: Document and Report Hazards. Step 6: Receive Assistance When Necessary.

How do you document a JSA?

To document a Job Safety Analysis effectively, organizations should follow a systematic approach. Start by clearly defining the job or task being analyzed, then list out every step involved in the process. For each step, identify potential hazards and the risks associated with each hazard.