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JSA form – OSHA template

JSA form – OSHA template

This JSA form will guide you through essential job safety assessments, covering key steps and improving consistency across your workflow.

Use this template
or download pdf
JSA form – OSHA template

This JSA form will guide you through essential job safety assessments, covering key steps and improving consistency across your workflow.

Use this template
or download pdf

About the JSA form – OSHA template

A thorough Job Safety Analysis (JSA) helps you keep your team safe by identifying potential hazards before they become problems. Using this JSA form (OSHA) template simplifies the process, allowing you to capture critical information while maintaining compliance with OSHA standards.

This user-friendly template allows you to document the sequence of job steps, recognize hazards, and apply recommended safety procedures, all while verifying proper use of personal protective equipment (PPE).

Benefits of using the JSA form (OSHA)

The JSA form aids you in adhering to the Occupational Safety and Health Administration’s (OSHA) guidelines, which are designed to protect workers from on-the-job hazards. OSHA mandates that companies assess risks and implement safety measures, and a JSA (Job Safety Analysis) is a key part of this process. By using a template tailored for OSHA compliance, you can make sure nothing is overlooked when implementing preventive measures.

This template not only helps you meet regulatory requirements but also streamlines your entire safety assessment process. It allows you to maintain consistency across different job tasks, so every detail is thoroughly documented. With this tool, you can save time and reduce the risk of costly safety violations.

A step-by-step guide to using the JSA form for OSHA

Here’s how you can make the most of this tool:

  1. Set up the template in Lumiform. Start by customizing the template in the app according to the specific job tasks or hazards your team faces. You can add, modify, or remove sections to fit your industry needs so everything is tailored to your workflow.
  2. Identify and document job steps. Break the job down into basic steps and enter them into the form. This clarifies the sequence of tasks, making it easier to spot potential hazards at each stage.
  3. Record potential hazards. For each step, list any risks that workers might face. This is a key part of compliance with OSHA regulations and helps in planning safety measures.
  4. Outline safe job procedures. Next, provide clear instructions on how to mitigate each identified hazard. Be specific about how to handle risks, and ensure your team understands the necessary safety precautions.
  5. Assign tasks and track progress: You can use the app’s action management feature to assign responsibilities based on the JSA. This way, every team member is aware of their role in maintaining safety. You can track completion and receive real-time updates within the app.

Download Lumiform’s JSA form for OSHA standards today

Get started with this specialized JSA form for simplifying your safety assessments and enhancing compliance. With customizable fields and a clear structure for identifying hazards and documenting procedures, you can improve workplace safety, with key details in one place. This template allows you to track tasks efficiently, keeping your team organized and aligned.

Preview of the template
Page 1
Job Information
Job/Task Description
geolocation!!!
Date
Time
Job Step Analysis
Sequence of Basic Job Steps
Potential Hazards
Recommended Safe Job Procedures
Personal Protective Equipment (PPE)
Eye Protection
Face Protection
Head Protection
Foot Protection
Hand Protection
Body Protection
Respiratory Protection
Other PPE
Specialized Equipment/Training
Specialized Equipment Required
Training Required
Permit Requirements
Permit Required
Permit Type
Hazard Identification and Controls
Identified Hazards
Recommended Controls
Approvals
Prepared By
Reviewed By
Approved By

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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.

Construction site safety: Essential guidelines and best practicesSafety inspections: A comprehensive guide for your teamJob safety analysis (JSA): A comprehensive guide
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Template collections

See comprehensive collections of best practice templates related to this topic.

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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Use cases

Check out how the Lumiform software can be utilized for related use cases.

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Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

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

What is a JSA form?

A Job Safety Analysis (JSA) form is a tool used to identify and mitigate potential hazards in the workplace. It breaks down tasks into steps, analyzes each step for risks, and outlines preventive measures. This proactive approach enhances safety by focusing on specific job tasks, making it an essential part of workplace safety programs.

What’s the difference between a job safety analysis and a safe work method statement?

A JSA focuses on identifying hazards for each task and proposing measures to mitigate them. In contrast, a Safe Work Method Statement (SWMS) is more detailed, outlining how specific high-risk work will be carried out safely. While JSAs are broader, SWMS are often required for compliance in high-risk industries.

What are some practical tips for engaging employees in the JSA process?

To engage employees in the JSA process, involve them in brainstorming sessions and encourage open communication about potential hazards. Use real-life examples to illustrate risks and solutions. Providing training and recognizing contributions can also motivate employees to actively participate and take ownership of safety practices.

How can I tailor a JSA to fit different types of jobs or industries?

To tailor the JSA, start by identifying the job tasks and recognizing potential hazards. Analyze each step to pinpoint any physical, chemical, ergonomic, or environmental risks workers may encounter. You can then customize the steps and safety measures based on the environment, tools, and regulations relevant to the sector.


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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