A free one-page job safety analysis: break the job into steps, name the hazard at each step and choose the control. Print the PDF, edit it in Word, or use the Excel version with dropdowns.
Free. PDF, Word and Excel.
The whole analysis fits a single readable page so it can be reviewed at the toolbox talk and kept with the job record. The guidance sheet carries the method, the hazard prompts, the hierarchy of controls and the regulatory position, and is the only place citations appear.
A job safety analysis breaks a job into its steps, identifies the hazards at each step and selects a control for each hazard before the work is done. OSHA calls the same method a job hazard analysis (JHA) in Publication 3071; JSA, JHA and task hazard analysis describe the same document, and this template uses the terms interchangeably.
No federal OSHA standard requires a JSA by name. The duty to identify and control recognized hazards comes from the General Duty Clause, construction employers must instruct workers in hazard recognition, and general-industry employers must certify in writing that a hazard assessment for PPE selection was performed. A completed, signed JSA is accepted evidence for all three, which is why this worksheet carries the PPE certification row.
Prioritize tasks with an injury or near-miss history, serious-injury potential, or a new or changed method. Not every task needs a JSA.
Watch the task performed by someone who does it. Aim for 10 to 15 steps and describe what is done, not how.
Ask what could go wrong, using the prompts on the guidance sheet. Name the consequence, not just the hazard.
Eliminate or engineer out first, administrative controls next, PPE last. Record the type of each control in the Type column.
Workers who do the task sign the acknowledgment. Reference the JSA number on any permit. Re-review after any incident or near miss, any change, and at least annually.
OSHA requires hazard identification and a written PPE hazard assessment, not a JSA form by name. The template is an employer control built around the provisions a completed JSA evidences, and every citation lives on the guidance sheet.
General Duty Clause, Section 5(a)(1). The employer duty to keep the workplace free of recognized hazards likely to cause death or serious physical harm. A JSA is the documented act of recognizing and controlling them.
OSHA 1910.132(d). The written certification that a workplace hazard assessment for PPE selection has been performed, naming the workplace, the certifier and the date. Part D of the worksheet carries it.
OSHA 1926.21(b)(2) and Publication 3071. Hazard-recognition instruction for construction work, and the job hazard analysis method the worksheet follows. Check OSHA State Plan requirements and company rules where they apply.
This template is provided as general guidance. Site-specific procedures and the requirements of the authority having jurisdiction, insurer and other applicable authorities take precedence. Have a competent person review and adapt the template before use. Confirm citations against the standard editions your site holds. This is safety information, not legal advice.
The parent permit that releases non-routine work and references the JSA before authorizing.
View template PermitWelding, cutting and grinding outside a designated area, with fire watch and monitoring.
View template ProcedureThe equipment-specific isolation procedure the JSA points to when stored energy is the hazard.
View templateNeed the hazard analysis, the permit and the lockout in one record? Zentri links hazard analysis to permits and lockout in one system.