Free download · Word and PDF
Free JSA template
A job safety analysis (JSA) form for one task: its steps, the hazards of each step and the controls, plus protective equipment, checks before work, stop-work conditions and a crew sign-in sheet. In English, Spanish, or both on one form.
Edit it in Word: English + Español · English · Español
Letter size, landscape. No sign-up needed.
A JSA is a JHA by another name
OSHA calls this a job hazard analysis: its booklet Job Hazard Analysis (OSHA 3071) describes the method, and the same booklet says “when conducting your own job safety analysis, be sure to consult the Occupational Safety and Health Administration standards for your industry.” Many general contractors, owners and insurers ask for a “JSA”. The form is the same; this one carries the JSA name. If you need the JHA name, use the JHA template.
What's on the form
- Task, company, project, date and preparer.
- Protective equipment and before you start: inspections, permits, training.
- Job step, hazards and controls, one row per step.
- Stop-work conditions: when the crew stops and calls the supervisor.
- Sign-in sheet for the crew, with a line for the competent person who reviewed it.
How to fill in a JSA
- Pick one task, starting with the riskiest, new or changed work.
- Write its steps in order, from setup to cleanup, each starting with a verb.
- For each step, list the hazards: what can go wrong, what would happen, and how it could come about.
- Write a control for each hazard, best first: change the work or equipment so the hazard is gone or guarded, then procedures and training, then protective equipment.
- Review it with the crew before work starts, fix what they point out, and have them sign.
The step-by-step guide on the JHA template page covers each step in more detail, with OSHA's questions for finding hazards and a filled-in example.
JSA examples
Every JHA in our library is a JSA too: real tasks with their steps, hazards and controls in English and Spanish, each written from the OSHA sections it cites and printable with a sign-in sheet.
- Crane lifting operation: 6 steps
- Electrical panel and circuit work: 7 steps
- Excavation and trenching: 6 steps
- Forklift operation: 5 steps
- Roofing work: 6 steps
- Scaffold erection and use: 6 steps
- Welding and cutting: 6 steps
JSA or pre-task plan?
A JSA is written once for a task and reused whenever the crew does it. A pre-task plan is filled in each day for that day's work. Many sites use both: the JSA for the task, the pre-task plan to check today's conditions against it. More in JSA vs JHA.
Questions
Is a JSA the same as a JHA?
Yes. A job safety analysis and a job hazard analysis are two names for the same method: one task, broken into steps, with the hazards of each step and how to control them. OSHA's booklet is called Job Hazard Analysis and uses "job safety analysis" for the same thing. Use whichever name your contract or general contractor asks for.
Does OSHA require a JSA?
Federal OSHA's construction rules don't require a document by that name. They require employers to instruct each employee in recognizing and avoiding unsafe conditions (29 CFR 1926.21(b)(2)), and a JSA reviewed with the crew is a common way to do that for a specific task. Many general contractors and owners require one before a subcontractor starts work.
How many steps should a JSA have?
As many as the task really has, from setup to cleanup, without splitting it so finely that it gets long or so broadly that basic steps are missing. The PDF has six rows; the Word version can take more.
Is it available in Spanish?
Yes. Download it in Spanish only, or with English and Spanish on the same form for a mixed crew.
Can it be filled in for me?
Yes. The JHA generator writes the steps, hazards and controls for your task and site in English and Spanish, from the OSHA rules it cites, and prints it as a JHA / JSA with a sign-in sheet.
Sources: OSHA 3071, Job Hazard Analysis; 29 CFR 1926.21.