Templates › Job Safety Analysis (JSA)
🔎 Job Safety Analysis (JSA)
Step-by-step task hazard analysis for NZ tradies — identify risks and control measures for each step of a specific job.
How to use: Complete a JSA for each task before work begins. Workers must read and sign. All fields are editable — click any text to change it.
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JOB SAFETY ANALYSIS (JSA)
Complete a JSA for each specific task before work begins. All workers performing the task must read and sign. Review if task conditions change.
Site / Project
Site address
Principal Contractor: [Name]
Prepared by
Name / Role
Review date: [date]
PPE Required for This Task
List all PPE required for this specific task...
Task Steps, Hazards & Controls
| # | Task Step | Hazard / Risk | Risk Level | Control Measure | Residual Risk |
|---|---|---|---|---|---|
| 1 | Set up work area | Slip/trip hazards | M | Clear area, barricade if needed | L |
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 | |||||
| 6 |
Risk Level: H = High (stop work if uncontrolled) | M = Medium | L = Low
Emergency Procedures
Emergency contact: [Name / Phone]. First aid location: [Location]. If serious incident: call 111, do not disturb scene, notify WorkSafe 0800 030 040.
Worker Sign-Off — I have read and understood this JSA
| Name | Role | Signature | Date |
|---|---|---|---|