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Job safety analysis template

Job safety analysis template

Use this job safety analysis template to address hazards across various industries and assign responsibilities for tasks in your workflow.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
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Job safety analysis template

Use this job safety analysis template to address hazards across various industries and assign responsibilities for tasks in your workflow.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A Job Safety Analysis (JSA) template helps you methodically identify and mitigate workplace hazards by breaking down tasks into manageable steps. You can use it to document potential dangers, assess risks, and implement appropriate controls so accidents don’t happen.

For example, if you’re preparing for a complex task, this template guides you through hazard identification and control measures for each step. This helps prevent injuries and ensures regulatory compliance. According to research, traditional JSA approaches often suffer from being time-consuming and lacking standardized risk assessment methods, which our streamlined digital template addresses through its structured format and intuitive workflow.

Related categories

  • Health and safety management templates
  • Construction templates
  • General templates
  • Risk assessment templates
  • Workplace safety templates
Preview of the template
Audit
Job Title
Task, Hazards and Controls
Click "+" to add a task
Task description
Type of Hazard
Description of Hazard
Consequence
Hazard control
Further Comments?
Completion
Name and Signature of Inspector
This template was downloaded 6 times

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Job safety analysis (JSA): A comprehensive guideConstruction site safety: Essential guidelines and best practicesOccupational health and safety: A comprehensive guide
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Template collections

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3 free OSHA 300 form templates for informed workplace safety6 free health and safety risk assessment templates12 free JSA templates for safer workplaces
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Safety Incident Reporting SoftwareRisk management software for anticipating and adressing safety risksJob safety analysis softwareEmployee safety app
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Other resources

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4 ways that workplace safety increases worker productivity10 reasons why workplace safety is importantHow to perform safety inspections4 benefits of safety management and how to communicate them

Frequently asked questions

How do I prioritize which jobs to analyze first with this JSA template?

Start with jobs that have a history of accidents, involve high-risk activities, or are newly established. Tasks with severe injury potential, frequent performance, or those affected by recent changes should take priority. This ensures you address the most critical safety concerns first while gradually building a comprehensive safety program.

How detailed should my task descriptions be in the JSA template?

Your task descriptions should be clearly identify distinct actions without being cumbersome. Aim for 8-12 basic steps that follow a logical sequence. Each step should represent a distinct action or change in the work process where specific hazards might be encountered.

What should I do if I identify a hazard that can’t be immediately controlled?

Document the hazard clearly in the JSA, implement temporary controls to reduce risk, and develop an action plan with timeline for permanent solutions. Communicate the situation to affected workers, providing clear instructions on interim safety measures. Never leave a known hazard unaddressed, even if the permanent solution requires time to implement.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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