JSA template – South Australia

You can customize this template by adding industry-specific hazards in the identification section and tailoring control measures to your workplace. Focus on the most common risks in your field and consider adding specialized PPE requirements relevant to your operations. The template’s structure remains effective across industries while allowing for personalization.

The JSA requires signatures from both the workers performing the task and the supervisor overseeing the work. This dual approval ensures that frontline workers acknowledge understanding of the hazards, while supervisors confirm appropriate control measures are in place. Additional signatures may be required for high-risk work.

Consider attaching relevant permits, equipment certifications, safety data sheets for chemicals, and training records for specialized tasks. For high-risk construction work in South Australia, include references to applicable codes of practice and any site-specific safety plans. These supporting documents strengthen your JSA’s effectiveness during regulatory inspections.

While both document safety procedures, a JSA is typically task-specific and can be used for any job, whereas Safe Work Method Statements are legally required for designated high-risk construction work in South Australia. This JSA template can serve as a foundation for developing a SWMS when needed, as it captures similar hazard and control information.