Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Contact salesLog in
Sign up
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 safety managementQuality managementOperational 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
or download 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
or download pdf

About the WorkSafe JSA template

When working in high-risk environments, ensuring safety is paramount. The WorkSafe JSA template is designed to help businesses proactively manage risks and comply with safety regulations. By breaking down tasks, identifying hazards, and implementing control measures, this template streamlines the process of conducting a job safety analysis (JSA). It’s a valuable tool for construction companies, manufacturing firms, and other industries where safety is a top priority.

Key elements of the WorkSafe JSA template

This template follows WorkSafe standards, covering several critical elements:

  1. Task description: This section outlines the specific job or task at hand. A clear, concise description helps your team understand the scope of the job and identify potential hazards right from the start.
  2. Hazard identification: Listing down possible hazards is crucial for preventing accidents. You’ll list down potential risks associated with the task here, ensuring your team is fully aware of any dangers.
  3. Risk assessment: Evaluate the likelihood and severity of the identified hazards. By understanding the risk level, you can prioritize safety measures and focus on areas that require immediate attention.
  4. Control measures: This section guides you through providing solutions to mitigate risks. From personal protective equipment to administrative controls, outlining control measures ensures your team knows how to manage hazards effectively.
  5. Verification: In this final section, team members can review and acknowledge the safety measures in place. By verifying their commitment, you ensure everyone understands the risks and is ready to follow the outlined precautions.

Best practices for using the WorkSafe JSA template

Here are some essential tips to get the most out of your template.

Prioritize high-risk tasks first. Always address tasks that pose the greatest risks before moving on to less critical ones. By identifying and mitigating hazards in high-risk tasks, you significantly reduce the likelihood of serious incidents.

Use detailed control measures for each hazard. Simply identifying hazards is not enough–you must outline clear and detailed control measures to minimize risks. These measures should be specific to each hazard and include a combination of elimination, engineering controls, and personal protective equipment.

Don’t forget to regularly update the template with new safety protocols. Workplace safety standards evolve, and so should your JSA template. Make it a habit to review and update your template, especially when new regulations or safety measures are introduced.

Download Lumiform’s JSA template today

Strengthen your safety processes with this JSA template. Whether you’re managing a construction site or overseeing factory operations, this template supports you in organizing tasks, identifying risks, and implementing control measures efficiently. Start optimizing your safety protocols today and give your team the tools they need to operate safely and confidently.

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
geolocation!!!
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.
JSA template – South Australia
JSA template – South Australia
This specialized template guides you through identifying hazards, assessing risks, and assigning safety measures with ease.
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.
Workplace safety 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 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

What does JSA stand for in safety management?

A Job Safety Analysis (JSA) is a process used in safety management to identify potential hazards associated with specific job tasks. By breaking down each task step-by-step, it helps in understanding risks and implementing measures to mitigate them. This proactive approach enhances workplace safety and prevents accidents.

How do I identify potential hazards during a JSA?

To identify potential hazards during a JSA, observe the work environment and task procedures closely. Engage with employees to gain insights from their experiences. Look for physical, chemical, and ergonomic risks, and utilize checklists and past incident reports to spot patterns. Regularly updating your knowledge of industry-specific hazards is also crucial.

What steps should I take if I find a safety risk during a JSA?

If you find a safety risk during a JSA, first document the hazard and assess its severity. Consult with team members to brainstorm practical solutions. Implement control measures, such as engineering controls or personal protective equipment. Communicate changes to all employees and monitor the effectiveness of these measures regularly.


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
HomeSign upProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the app
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safety managementQuality managementOperational excellenceCompliance and risk management
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