Free JSA Template and Worksheet
A Job Safety Analysis breaks a task into steps, names the hazards, and sets controls before work starts. This worksheet is also usable as a JHA starting point. Fill it in, print it, or download a CSV to open in Excel.
JSA worksheet
| # | Job step | Potential hazards | Controls | Responsible |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 |
How to complete a JSA in five steps
- 1. Select the job
Pick tasks with a history of injuries, new or non-routine work, or work where conditions change.
- 2. Break it into steps
List the steps in the order they happen. Keep each step short and specific.
- 3. Identify the hazards
For each step, ask what could go wrong: falls, struck-by, caught-in, strains, electrical, chemical, heat, noise.
- 4. Choose controls
Start with elimination or substitution, then engineering and administrative controls. Use PPE as the last layer.
- 5. Review with the crew
Walk through it in a toolbox talk, have everyone sign, and update it if conditions change or someone is hurt.
Sample entries
These illustrative entries show the level of detail that works in the field. Replace them with the hazards and controls for your own job.
| Job step | Potential hazards | Controls | Responsible |
|---|---|---|---|
| Set up extension ladder | Fall from height; ladder slips on uneven ground | Inspect ladder; level footing; tie off at top; 3 points of contact | Crew lead |
| Cut conduit with power saw | Laceration; flying debris; noise | Blade guard in place; eye and hearing protection; secure workpiece | Electrician |
| Move materials to the work area | Strain; struck-by; slips and trips | Team lift or cart; clear walkway; spotter near vehicles | All crew |
Learn the terms: What is a JSA? and What is a JHA? Then take the hazards you found into your next toolbox talk and track attendance with the free sign-in sheet. If an injury still happens, the OSHA 300 how-to guide explains what to record. Choosing a platform to run all of this? Start with our guide to choosing EHS software for a small business.