Jsa audit form
King spring contracting
What does this form include?
This form contains 8 sections:
JSA number
JSA Review is to be carried out by asking the following questions (answer yes or no if the JSA meets
JSA Review
- Is the JSA located on the job and its location known?
- Is the JSA signed by the employee/s before the task is started?
- Was the employee/s involved in the development of the JSA?
- Has the JSA been reviewed (today) by the employee/s doing the task? If "NO" see points 15-16.
- Are the JSA steps consistent with the activity being carried out? (ask person to explain the task)
- Are the hazards identified in the JSA consistent with the task area?
- Have hazard controls been identified and implemented?
- Are hazard controls adequate for the task?
- Are individuals responsibilities clearly defined?
- Have persons received adequate JSA training? If yes, describe what/when
- Does the JSA identify task specific requirements including: Personnel, Equipment/Tools, Process Controls, Permits, etc?
- Has a specific means of communication been identified?
- Are emergency procedures clearly defined for the task?
- Is 'Safe Talk' Practise in the team and what was the feedback received, by whom?
General Comments
Action
By Whom?
By When?
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