Jsa examples 2025

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  1. Click ‘Get Form’ to open the JSA example in the editor.
  2. Begin by entering the Job/Activity Name and JSA # at the top of the form. This identifies the specific job being analyzed.
  3. Fill in the Department/Group Name and Building/Area Location(s) to provide context for where the job will take place.
  4. In the Required Personal Protective Equipment section, check all applicable items that workers must wear during the job. This ensures safety compliance.
  5. Proceed to outline Basic Steps, Potential Hazards, and Controls for each task involved in the job. Clearly detail each step to enhance understanding and safety.
  6. Finally, have all workers print their names, sign, and date at the bottom of the form to acknowledge their understanding of safety protocols.

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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. Another commonly used term for this process is called a Job Hazard Analysis or JHA.
A job safety analysis (JSA) is a process which helps assess a job to identify hazards and necessary control measures. In a job safety analysis, each basic step of the job is broken down into steps to identify potential hazards and to recommend the safest way to do the job.
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.
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.
Common mistakes to avoid during a JSA include not involving workers in the process, which can lead to overlooking critical hazards that they are familiar with; neglecting to update the JSA regularly, especially when there are changes in the workplace or processes; and failing to communicate the findings effectively