FREE WHS TEMPLATE
Free JSA Template (Word)
A Job Safety Analysis template you can edit in Microsoft Word. Break the job into steps, list what could go wrong at each step and record how each hazard will be controlled, then have the crew sign on.
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WHAT'S IN THE TEMPLATE
A practical JSA your crew will actually use
Job details, PPE and permits
Your business details, the job and site, who prepared and reviewed it, the PPE, plant and materials, and any permits or documents needed.
Step-by-step table
Each job step with its hazards, risk before and after controls, the controls and the person responsible.
Worker sign-on
Everyone on the job confirms they understand the JSA before work starts.
Instructions, risk matrix and controls
A one-page instruction sheet, the 5 x 5 risk matrix with what each rating means, and the hierarchy of controls.
HOW TO USE IT
How to write a JSA, step by step
Write it with the people doing the job. They know how the work is really done, and consulting them is part of your duty.
1
Fill in the job details
The job, site, date, PPE and any permits needed.
2
List the steps in order
Keep each step short: what's done, not how. Most jobs have 4 to 8 steps.
3
Find the hazards in each step
Ask what could go wrong at that step, and who could be hurt.
4
Rate, control, re-rate
Rate the risk, choose controls using the hierarchy of controls, then rate it again.
5
Name who's responsible
Every control needs a person who makes sure it happens.
6
Talk it through and sign on
Run through it with the crew before starting, and update it if the job or site changes.
JSA example: unloading a pallet delivery
NO.
1
JOB STEP
Set up the unloading area
HAZARDS
People walking through the area, being struck by the pallet jack or a moving pallet
RISK BEFORE
High (9)
CONTROLS
Cone off the area. Keep pedestrians out until unloading is finished. Spotter for reversing.
RISK AFTER
Moderate (3)
RESPONSIBLE
Storeperson
NO.
2
JOB STEP
Lower the pallet on the tail-lift
HAZARDS
Pallet shifting or rolling, crushing feet or hands
RISK BEFORE
Very High (12)
CONTROLS
Check the load is wrapped and stable before moving. Stand clear of the tail-lift while it moves. Safety boots.
RISK AFTER
Moderate (3)
RESPONSIBLE
Driver
NO.
3
JOB STEP
Move the pallet to the storeroom
HAZARDS
Strain from pushing a heavy load, collisions on a blind corner
RISK BEFORE
Moderate (8)
CONTROLS
Check the pallet jack before use. Clear the path. Second person on ramps and at blind corners.
RISK AFTER
Low (4)
RESPONSIBLE
Storeperson
Rated with the 5 x 5 risk matrix in the template. Probability x consequence gives a rating of Low, Moderate, High, Very High or Extreme. Scores of 1 to 6 are acceptable, 7 to 10 are acceptable with strict controls or for a short duration, and 11 to 25 are unacceptable. Step 1: Possible x Moderate before, Rare x Moderate after. Step 2: Likely x Moderate before, Rare x Moderate after. Step 3: Likely x Minor before, Unlikely x Minor after.
WHEN TO USE A JSA
When you'll need one
Before a non-routine or higher risk job
When a client or principal contractor asks for one
When the job, the site or the crew changes
For prequalification on Avetta, Cm3 or a similar platform
JSA OR SWMS?
JSA vs SWMS vs risk assessment
The thinking is the same: break down the work, find the hazards, set controls. The difference is legal status. A SWMS is the document the WHS laws require before high risk construction work starts. A JSA is a common format for other jobs, and a risk assessment looks at a hazard, area or activity rather than a sequence of steps.
Get the free JSA Template
Editable Word document with step-by-step instructions and the risk matrix. Your download link is emailed straight away.
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How the free checkout works
Add the template to your cart and check out for $0. No payment details are required. Your download link arrives by email straight away.
SKIP THE BLANK PAGE
Want the job steps and controls already written?
Our pre-filled risk assessments and JSAs come with the steps, hazards, controls and risk ratings written for the task. Check them against your site, add your details and get started.
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