Job safety analysis (jsa) checklist
Jsa
What does this form include?
This form contains 9 sections:
Project/Job/Task
List of Identified Hazards
Identified Hazard
1.1Company/Site specific information
Add photo (optional)
Steps taken to Eliminate/Minimise
2.1 Declaration
- I understand the Job/Task
- I understand my role in this Job/Task(s)
- I know the site safety rules applicable to the Job/Task(s)
- I have identified all required PPE for the Job/Task(s)
- I have identified all my known hazards
List of Employee/Contractors
Add signature
Use this template