Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Log in
Book a demo
Book a demo
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safetyQualityOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
WorkSafe JSA template

WorkSafe JSA template

Manage job site safety efficiently with this JSA template. It helps you address hazards to keep your team safe and maintain compliance.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
WorkSafe JSA template

Manage job site safety efficiently with this JSA template. It helps you address hazards to keep your team safe and maintain compliance.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

The WorkSafe JSA template transforms complex safety assessments into a structured process that’s easier to follow. With dedicated sections for risk evaluation and control measures, you’ll create comprehensive safety plans that address both obvious and hidden hazards specific to each task.

Workplace accidents cost the New Zealand economy $4.4 billion yearly, according to the Business Leaders’ Health and Safety Forum. This template proves especially valuable for chemical handling operations, where you can document exposure risks, incompatibility concerns, and required PPE—ensuring your team has clear guidance before beginning potentially dangerous work.

Related categories

  • Health and safety management templates
  • Construction templates
  • General templates
  • Risk assessment templates
  • Workplace safety templates
Preview of the template
Page 1
Project Details
Project Name
Date
Prepared By
Task Summary
Detailed Task Description
Potential Hazards
Risk Assessment
Likelihood of Incident
Severity of Incident
Overall Risk Level
Control Measures
Elimination
Substitution
Engineering Controls
Administrative Controls
Personal Protective Equipment
Verification
I have reviewed the JSA and will follow the control measures outlined
Signature

More templates like this

JSA form – OSHA
JSA form – OSHA
This JSA form will guide you through essential job safety assessments, covering key steps and improving consistency across your workflow.
Risk assessment templates
JSA template – South Australia
JSA template – South Australia
Complete your workplace safety documentation with our South Australia-specific JSA template for identifying risks and assigning proper safety measures.
Risk assessment templates
JSA form for construction
JSA form for construction
Keep your team protected with this JSA template, which guides you through documenting construction tasks and addressing risks thoroughly.
Risk assessment templates
JSA template – Australia
JSA template – Australia
Use this template to document workplace hazards, assess risks, and assign safety measures, ultimately improving your team safety protocols.
Risk assessment templates
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.
Risk assessment templates
JSA SWMS template
JSA SWMS template
Use this JSA SWMS template to establish safety controls, manage risk assessments, and improve communication within your team.
Workplace safety templates

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 practicesJob safety analysis (JSA): A comprehensive guideSafety audit: A comprehensive guide to proactive risk management
See all topic guides

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
See all template collections

Use cases

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

Risk management software for anticipating and adressing safety risksSafety Incident Reporting SoftwareJob safety analysis softwareWorkplace safety software
See all use cases

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 write a workplace safety policy4 benefits of safety management and how to communicate them

Frequently asked questions

How do I identify all potential hazards for a specific task?

Start by observing the task being performed. Interview experienced workers about challenges they’ve faced. Review incident reports from similar work. Consider environmental factors, equipment failure scenarios, and human factors like fatigue. Be particularly thorough with tasks that seem routine.

What if I can’t eliminate a hazard completely in my JSA?

Follow the hierarchy of controls systematically. If elimination isn’t possible, try substitution with less hazardous materials or processes. Next, implement engineering controls like barriers or ventilation. Then add administrative controls such as procedures and training. Finally, specify appropriate PPE as your last defense. Document why higher-level controls aren’t feasible in your JSA.

How do I ensure workers actually follow the JSA controls?

Involve workers in developing the JSA so they understand the reasoning behind controls. Review the completed JSA during pre-job briefings and make it easily accessible at the worksite. Conduct periodic observations to verify compliance. Create a culture where workers feel comfortable reporting when controls aren’t practical or effective, and be responsive to their feedback.

When should I use a WorkSafe JSA template versus a standard operating procedure?

Use a JSA for non-routine, complex, or high-risk tasks where hazards may vary based on conditions. SOP’s work better for standardized, repetitive processes with consistent hazards. Many organizations develop SOPs based on completed JSAs once the process is well-understood. For new tasks or changing environments, always start with a JSA to identify all potential risks.


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.
Lumiform logo
Platform
HomeProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the appDemo videos
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safetyQualityOperational excellenceRisk management and compliance
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play