Job Safety Analysis Template
Free SAFEPATH resource
Use this page as a simple framework for reviewing each step of a task before work begins. It is especially useful for maintenance work, non-routine tasks, line changeovers, and higher-risk activities.
JSA planning steps
- Define the task clearly
- Break the task into steps
- Identify hazards for each step
- Document controls, PPE, tools, and permits
- Review with affected employees before work begins
Best times to use it
- New or changed tasks
- Maintenance and contractor work
- Non-routine production activities
- Tasks with stored energy, line access, or ergonomic exposure
- After incidents or near misses
Sample JSA fields
- Task name / department / date
- Employees involved
- Step 1, Step 2, Step 3
- Hazards by step
- Required controls and PPE
- Supervisor review / employee sign-off
Need help applying this at your site?
SAFEPATH can help turn this resource into a real process, form, or training tool for your operation.
