Job Safety Analysis (JSA)

This detailed Job Safety Analysis (JSA) checklist template can be used in Construction and other environments as part of Health and Safety procedures, to identify risk factors and mitigation procedures before starting a job.

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Construction
Job Safety Analysis (JSA)

General Information

Human Performance

PPE

Permits

Emergency Equipment

Hazard Recognition

Competent Person Identified

Equipment Necessary

Job Task Assessment-1

Job Task Assessment-2

Post Shift Review

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Job Safety Analysis (JSA)

This detailed Job Safety Analysis (JSA) checklist template can be used in Construction and other environments as part of Health and Safety procedures, to identify risk factors and mitigation procedures before starting a job.

1. Foreman

2. Weather/Conditions

3. Job Steps to be performed

1. First Time Evolution

2. Lack of Experience/Apprentice

3. Near by Work Activities

4. Mix Up Potential

1. Hard Hat

2. Safety Glasses

3. Safety Boots / Steel Toed Boots

4. Gloves

5. FR Clothing

6. Face Shield

7. Welding PPE

8. Face shield

9. Arc Rated PPE

1. Confined Space

2. Hot Work

3. Excavation

4. Line Breaking

5. Critical Lift

6. Permit Notes

1. Fire Extinguisher

2. Eye Wash

3. Safety Shower

4. Evacuation Route/Reporting Area

5. Emergency Phone

1. Fall Protection

2. Fall Prevention

3. Hole Covers

4. Life Lines

5. Anchorage Point

6. Struck By/Pinch Points

7. Visibility

8. Slips/Trips

9. Work Area Notes

10. GFCI Required

11. Quarterly Inspection of Electrical Tools

12. Guards and Handles In place

13. Tools Required for the job

14. Adequate Lighting

15. Flammables/Combustibles

16. Fire Blanket

17. Flash Shielding

18. Lead Paint/Coatings

19. Potential Asbestos Identified

20. Hexavalent Chromium

21. Other Heavy Metals

22. Heat/Cold Stress

23. Barricading Necessary

24. Proper Signage

25. Environmental Conditions to Note

1. Rigging/Signaling

2. Scaffolding

3. Confined Space

4. Fall Protection

5. Excavations

6. Electrical

7. Notes

1. Crane

2. Aerial Lift/Scissor Lift

3. Fork Lift

4. Training Verified

5. Overhead Hazards

6. Make sure to complete pre operational checks and document

7. Other Hazard Notation/Mitigation

1. Ladders

2. Barricades

3. LOTO

4. Housekeeping

5. Electrical Cords/Tools

6. Fall Protection

7. Hand Tools

8. Fire Extinguisher

9. Do check if item not applicable

1. Protection from falls

2. Protection from electrocution/shock

3. Proper PPE for task