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JSA risk assessment template

JSA risk assessment template

Use this JSA risk assessment template to analyze potential dangers and develop preventive actions so your team stays safe throughout each task.

Use this template
or download pdf
JSA risk assessment template

Use this JSA risk assessment template to analyze potential dangers and develop preventive actions so your team stays safe throughout each task.

Use this template
or download pdf

About the JSA risk assessment template

Managing workplace safety involves a careful balance of identifying risks and mitigating them before incidents occur. This JSA risk assessment template helps you streamline this process by breaking tasks into steps, assessing hazards, and implementing the right controls.

Whether you’re overseeing operations in construction, manufacturing, or logistics, this template allows you and your team to easily document risks, create action plans, and stay compliant with industry standards.

How to use the JSA risk assessment template effectively

To make the most of the job safety analysis risk assessment template, follow these steps for a seamless process:

  1. Customize the template in the app. Begin by opening the JSA risk assessment template within the Lumiform app. Tailor the sections to suit your industry’s specific tasks, hazards, and requirements.
  2. Assign roles and tasks. You can then assign the right team members to complete or review sections of the JSA. Each task in the process can be allocated to frontline workers, supervisors, or safety officers to streamline accountability.
  3. Document hazards and controls. As you fill out the template, break down tasks into individual steps. For each step, identify potential hazards and outline corresponding control measures. Make this information clear so your team knows how to mitigate risks effectively.
  4. Track and monitor completion. The template allows you to track progress through Lumiform’s app. Once completed, review the template to ensure all necessary actions have been taken, and nothing is missed.
  5. Analyze and improve: Use the data collected to identify trends, recurring hazards, and areas for improvement. This helps ensure future tasks are even safer and more efficient.

Tips for using the JSA risk assessment template

To maximize the effectiveness of your JSA risk assessment template, consider incorporating a few essential practices into your workflow.

The Lumiform app allows you to enable photo uploads in the template to support documentation. This gives you a visual record of potential hazards and implemented controls. It’s easier then to communicate risks clearly with your team and provide evidence for compliance purposes.

Additionally, it’s important to regularly update your risk controls to reflect changes in your work environment. As tasks evolve, new hazards may emerge, and control measures may become outdated. Keeping your risk assessment current ensures you maintain safety standards across all operations.

Lastly, cross-check hazards with industry standards to ensure your risk management aligns with best practices. Comparing your findings to industry benchmarks allows you to spot overlooked risks and implement more effective solutions, boosting overall safety and compliance.

Download Lumiform’s JSA risk assessment template today

Access a reliable tool that will support you in managing safety risks efficiently. Our JSA risk assessment template is designed to streamline hazard identification, task breakdowns, and risk control measures. This allows you to confidently assess and address workplace risks in an organized manner.

Related categories

  • Health and safety management templates
  • General templates
  • Workplace safety templates
Preview of the template
Page 1
Task Information
Task Name
Task Description
Department/Area
Planned Start Date
Planned Completion Date
Hazard Identification
What are the potential hazards associated with this task?
What are the potential consequences of these hazards?
Risk Assessment
Likelihood of Incident Occurring
Severity of Incident
Risk Level
Controls and Mitigation
What controls/measures are in place to mitigate the risks?
Are the controls/measures adequate?
If no, what additional controls/measures are required?
Responsibilities and Review
Name of Assessor
Assessor Signature
Date of Assessment
Name of Approver
Approver Signature
Date of Approval
Date of Next Review

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 practicesEffective risk assessment: Key steps and best practices
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4 ways that workplace safety increases worker productivity10 reasons why workplace safety is importantHow to write a workplace safety policy4 benefits of safety management and how to communicate themThe importance of personal protective equipment (PPE) in workplace safety

Frequently asked questions

How does a JSA differ from a risk assessment?

A JSA, or Job Safety Analysis, focuses on identifying hazards specific to a particular task or job, breaking it down into steps to find potential risks. In contrast, a risk assessment evaluates broader safety risks across an entire workplace or project. Understanding these differences can clarify when to use each approach for optimal safety management.

How can I effectively conduct a JSA with my team?

To conduct a JSA effectively, involve your team in every step. Start by selecting a job to analyze, break it into tasks, and identify potential hazards for each step. Encourage open discussion and gather input from team members who perform the tasks daily. Use visual aids and documentation to clarify findings and actions.

What should I do if a JSA reveals multiple hazards?

If a JSA reveals multiple hazards, prioritize them based on severity and likelihood of occurrence. Develop a mitigation plan for each hazard, involving the team in brainstorming solutions. Implement controls, such as engineering changes or protective equipment, and monitor their effectiveness regularly. Document all findings and actions for future reference.

What are common mistakes to avoid when performing a JSA?

Common mistakes in JSAs include overlooking small tasks that seem insignificant, failing to involve experienced team members, and not updating the JSA regularly. The main theme here is to avoid rushing through the JSA process. Take the time to be thorough, involve the right people, and continuously refine your assessment.

What training is necessary for conducting a thorough JSA?

Conducting a thorough JSA requires training in hazard identification, risk analysis, and effective communication. Team members should understand safety regulations and industry standards. Practical workshops and real-world scenario training can enhance skills so everyone is competent in recognizing and addressing potential job-related hazards.


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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