A Job Safety Analysis (JSA) form is a crucial document designed to identify potential hazards associated with specific job tasks and outline measures to mitigate those risks. It serves as a structured approach to ensure safety in the workplace by assessing risks and implementing appropriate controls. For those looking to enhance workplace safety, consider filling out the JSA form by clicking the button below.
The Job Safety Analysis (JSA) form is a critical tool used to identify and mitigate risks associated with specific work activities. It begins with essential business details, such as the name, contact information, and address of the organization. This form outlines the work activity and location, as well as the individuals involved in the job. Authorization is confirmed through signatures from responsible personnel, ensuring accountability. The JSA also details the plant and equipment utilized, maintenance checks required, tools and materials used, and any necessary personal protective equipment (PPE). Furthermore, it highlights relevant legislation, codes, and standards applicable to the activity. A risk assessment section follows, where the likelihood and consequences of potential hazards are evaluated using a risk rating table. This rating helps categorize risks as low, moderate, high, critical, or catastrophic, guiding the necessary response measures. The form emphasizes the importance of risk controls, encouraging the use of a hierarchy of control measures to effectively manage hazards, from elimination to PPE usage. By systematically addressing these components, the JSA form serves as a comprehensive framework for enhancing workplace safety and compliance.
Job Safety Analysis (JSA)
Ref:
Version:
Business details
Business name:
ABN:
Contact person:
Address:
Contact position:
Contact phone number
Contact email
address:
Job Safety Analysis details
Work activity:
Location:
Who are involved in the
This job analysis has been authorised by:
activity:
Name:
Plant and equipment used:
Position:
Maintenance checks required:
Signature:
Tools used:
Date:
Materials used:
Personal protective
equipment:
Certificates, permits
and/approvals required
Relevant legislation, codes,
standard MSDSs etc
applicable to this activity
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Risk assessment
**Use the risk rating table to assess the level of risk for each job step.
Likelihood
1
2
3
4
5
Consequence
Rare
Unlikely
Moderate
Likely
Almost Certain
The event may occur in
The event could occur
The event should occur
The event will probably occur
The event is expected to
exceptional circumstances
sometimes
in most circumstances
occur in most circumstances
Insignificant
LOW
MODERATE
No injuries or health
issues
Minor
First aid treatment
HIGH
Medical treatment,
CRITICAL
potential LTI
Major
Permanent disability or
CATASTROPHIC
disease
Extreme
Death
Risk rating:
Low risk:Acceptable risk and no further action required as long as risk has been minimised as possible. Risk needs to be reviewed periodically.
Moderate risk:Tolerable with further action required to minimise risk. Risk needs to be reviewed periodically.
High risk:Tolerable with further action required to minimise risk. Risk needs to be reviewed continuously.
Critical risk:Unacceptable risk and further action required immediately to minimise risk.
Catastrophic:Unacceptable risk and urgent action required to minimise risk.
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Risk controls
The hierarchy of control can be used as an effective tool to deal with health and safety issues at work. Use the type of control suggested as measures to deal with the hazard. Aim to use control measures from as high on the hierarchy of control list as possible. If that is not possible the next option down the list or a combination of the measures should be implemented. The least effective control measure is the use of personal protective equipment (PPE) and it should be used as a last resort or a support to other control measures. Information and training should be integrated with all levels of control to explain how controls work.
1.Eliminate – if it is possible, the hazard should be removed completely. For example, get rid of dangerous machines.
2.Substitute – replace something that produces the hazard with something that does not produce a hazard. For example, replacing solvent based paint with water based paint. Risk assessment on the substitution must be conducted to ensure that it will not pose another hazard.
3.Engineering control – isolate a person from the hazard by creating physical barrier or making changes to process, equipment or plant to reduce the hazard. For example, install ventilation systems.
4.Administrative control – change the way a person works by establishing policies and procedures to minimise the risks. For example, job scheduling to limit exposure and posting hazard signs.
5.Use personal protective equipment (PPE) – protect a person from the hazard by wearing PPE. For example, wearing gloves, safety glasses, hard hats and high-visibility clothing. PPE must be correctly fitted, used and maintained to provide protection.
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JSA – Action steps
Step No
Job step details
Potential hazards
Risk rating**
How to control risks***
Name of persons responsible for work
Review number:
Page 4 of 6
Page 5 of 6
This job safety analysis has been developed through consultation with our employees and has been read, understood and signed by all employees undertaking the works:
Print Names:
Signatures:
Dates:
Review No
01
02
03
04
05
06
07
08
09
Initial:
A10592057
Page 6 of 6
Completing the Job Safety Analysis (JSA) form is essential for ensuring workplace safety. Follow these steps to accurately fill out the form.
What is a Job Safety Analysis (JSA) form?
A Job Safety Analysis (JSA) form is a tool used to identify and assess potential hazards associated with a specific job or work activity. It helps ensure the safety of employees by outlining the steps needed to mitigate risks. The form includes details such as the work activity, location, personnel involved, and the necessary safety measures and equipment.
Who should complete the JSA form?
The JSA form should be completed by individuals involved in the work activity, typically a supervisor or safety officer. It’s essential that those familiar with the job’s tasks and associated risks contribute to the analysis. Collaboration ensures a comprehensive understanding of potential hazards and necessary safety measures.
What information is required on the JSA form?
The JSA form requires several key pieces of information. This includes the business name, contact details, work activity, location, personnel involved, and equipment used. Additionally, it outlines maintenance checks, tools, materials, personal protective equipment (PPE), and any relevant permits or certifications needed for the job.
How is risk assessed in the JSA form?
Risk is assessed using a risk rating table that evaluates both the likelihood of an event occurring and its potential consequences. Each job step is rated on a scale from low to catastrophic risk. This assessment helps determine the necessary actions to mitigate identified risks effectively.
What are the hierarchy of controls mentioned in the JSA form?
The hierarchy of controls is a system used to minimize or eliminate exposure to hazards. It includes five levels: elimination, substitution, engineering controls, administrative controls, and personal protective equipment (PPE). The goal is to implement the highest level of control feasible, reserving PPE as a last line of defense.
How often should the JSA form be reviewed?
The JSA form should be reviewed periodically, especially when there are changes in the work process, equipment, or personnel involved. Regular reviews help ensure that the analysis remains relevant and effective in addressing current risks. For high-risk activities, continuous review may be necessary.
What should be done if a critical or catastrophic risk is identified?
If a critical or catastrophic risk is identified, immediate action is required to minimize that risk. This may involve halting work until the hazard is addressed, implementing new safety measures, or providing additional training. The safety of all personnel should be the top priority.
Can the JSA form be customized for different jobs?
Yes, the JSA form can and should be customized to fit the specific requirements of different jobs. Each work activity may present unique hazards, so tailoring the form ensures that all relevant risks are assessed and addressed appropriately. This customization enhances the effectiveness of the safety analysis.
Filling out a Job Safety Analysis (JSA) form is a crucial step in ensuring workplace safety. However, many individuals make common mistakes that can undermine the effectiveness of this important document. Here are ten frequent errors to watch out for when completing the JSA form.
One major mistake is failing to include all relevant business details. When the business name, ABN, contact person, and other essential information are missing, it can lead to confusion and delays in communication. Ensuring that all fields are filled out accurately helps maintain clarity and accountability.
Another common error is not specifying the work activity and location clearly. Vague descriptions can create misunderstandings about the job being analyzed. It’s important to provide detailed information to ensure that everyone involved understands the specific tasks and the environment in which they will be performed.
Omitting the list of persons involved in the activity is another oversight. Not identifying who will be participating in the job can lead to safety lapses. Including all team members ensures that everyone is aware of their roles and responsibilities during the job.
Many people also neglect to authorize the JSA properly. The section for the name and position of the person who has authorized the analysis must be completed. This step is vital for accountability and to confirm that the analysis has been reviewed and approved by a responsible party.
Inadequate risk assessment is a significant mistake. Users often fail to utilize the risk rating table effectively, leading to inaccurate risk ratings for job steps. Each job step should be assessed thoroughly to determine the likelihood and consequences of potential hazards. This assessment is crucial for implementing appropriate safety measures.
Another frequent error is not providing adequate details on risk controls. Simply stating that personal protective equipment (PPE) will be used is insufficient. The JSA should outline specific control measures, such as elimination, substitution, or engineering controls, to address identified hazards comprehensively.
In some cases, individuals forget to include necessary maintenance checks for equipment and tools. This oversight can lead to the use of faulty equipment, increasing the risk of accidents. Regular checks should be documented to ensure that all tools and equipment are safe to use.
People often overlook the need for training and information regarding the implemented controls. It is not enough to list safety measures; there must also be a plan for training workers on how to use these controls effectively. This step is essential for ensuring that everyone understands how to work safely.
Additionally, failing to update the JSA regularly can be a significant mistake. The review number and version should reflect the most current information. Regular updates help ensure that the analysis remains relevant as job conditions and risks change over time.
Lastly, individuals sometimes neglect to include all applicable legislation, codes, and standards. This information is crucial for ensuring compliance with safety regulations. Listing relevant standards helps to reinforce the importance of following established safety protocols.
By avoiding these common mistakes, individuals can enhance the effectiveness of the JSA form, ultimately contributing to a safer work environment for everyone involved.
The Job Safety Analysis (JSA) form is a vital tool for ensuring workplace safety. It helps identify potential hazards associated with specific job tasks and outlines measures to control these risks. Along with the JSA form, several other documents and forms are often utilized to enhance safety protocols and compliance. Below is a list of these documents, each serving a unique purpose in the safety management process.
Each of these documents plays a crucial role in promoting a safe work environment. By working together, they help organizations identify hazards, implement controls, and maintain compliance with safety regulations. Utilizing these forms effectively can significantly reduce the risk of accidents and injuries in the workplace.
When filling out the Job Safety Analysis (JSA) form, it’s important to approach the task with care. Here are five things you should and shouldn’t do:
There are several misconceptions about the Job Safety Analysis (JSA) form that can lead to misunderstandings about its purpose and use. Here are six common misconceptions:
Key Takeaways for Filling Out and Using the JSA Form: