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Job Safety Analysis (JSA) Template

One Excel sheet that breaks a job into steps, lists the hazards in each step, and scores each hazard before and after controls. Severity × likelihood is calculated for you, each score is graded High, Medium or Low against thresholds you set, and a summary shows what is still high after controls.

Who this template is for

When to use it

Standards it supports

How to use this template

  1. Pick the job and the team — choose one job and involve at least one person who does it every day.
  2. Break it into steps — list the job in the order it is done, in a few words per step, starting each with a verb.
  3. Find the hazards — for each step ask what could go wrong: contact, caught-in, struck-by, falls, energy, chemicals, ergonomics.
  4. Score, then control — score severity and likelihood 1 to 5, then add controls, starting with elimination and ending with PPE.
  5. Rescore and review — rescore with the controls in place, resolve anything still High, and review the JSA with the crew before use.

Tip: Watch the job being done before you write the steps. The written method and the real method often differ, and the hazards live in the real one.

What's inside the template

1

Header

Job or task, area and equipment, prepared and reviewed by, required PPE, and your High and Medium thresholds

2

Steps and hazards

Each job step in order, with the hazard in that step

3

Initial risk

Severity and likelihood (1–5), the calculated score and its level

4

Controls

What you will do about it and where it sits in the hierarchy of controls

5

Residual risk

Severity and likelihood with controls in place, the calculated score and level, and who owns the control

6

Summary

Hazards listed, High before and after controls, Medium after controls, and the highest remaining score

Example: a completed template

Example JSA for changing the blade on a horizontal band saw at Example Fabrication Co., a fictional metal fabricator. High is a score of 15 or more and Medium is 8 to 14. The steps, scores and controls are invented for illustration; score your own jobs with your own team and follow the saw manufacturer’s instructions.

Header

Job / taskChange the blade on band saw BS-02
Prepared / reviewed byMaintenance Lead / EHS Coordinator
Required PPESafety glasses, cut-resistant gloves, safety shoes
ThresholdsHigh ≥ 15, Medium ≥ 8, otherwise Low

Analysis

StepHazardS × LInitialControlsResidual S × LResidual
1. Shut down and lock outSaw starts while hands are in the blade path5 × 3 = 15HighLock out at the disconnect per the LOTO procedure; try the start button5 × 1 = 5Low
2. Release tension, remove bladeCuts from teeth; blade springs out3 × 4 = 12MediumRelease tension fully before opening guards; gloves; teeth facing away3 × 2 = 6Low
3. Uncoil and fit new bladeCoiled blade springs open toward the face3 × 3 = 9MediumUncoil on the floor away from the body; face shield and gloves2 × 2 = 4Low
4. Tension blade, close guardsOver-tensioned blade breaks3 × 2 = 6LowTension to the manufacturer’s setting with the gauge3 × 1 = 3Low
5. Remove locks, test runAnother person near the blade at restart4 × 2 = 8MediumCheck area clear, guards closed, announce restart4 × 1 = 4Low

Summary

Hazards listed5
High before / after controls1 / 0
Medium after controls0
Highest residual score6

The math in this Example

How to fill in each field

FieldWhat to enterExample
Job / taskOne job with a clear start and end. If the JSA runs past 10 to 12 steps, split it into two jobs.Change the blade on band saw BS-02
Job stepWhat is done, in order, starting with a verb. Describe the action, not the hazard or the control.Release tension, remove blade
HazardWhat could hurt someone in this step and how: the source and the type of harm.Cuts from teeth; blade springs out
Severity (1–5)The worst credible injury from this hazard. Define each number on your own scale, for example 1 first aid to 5 fatality or permanent disability, and use it every time.3
Likelihood (1–5)How likely that injury is with the current method, from 1 rare to 5 expected. Base it on the job, not on how careful the current operator is.4
ControlsSpecific actions. “Be careful” is not a control. Work down the hierarchy: eliminate, substitute, engineer, then administrative controls and PPE.Release tension fully before opening guards
Control typeWhere the main control sits in the hierarchy, so reviewers can see when a job relies only on PPE or procedures.Administrative + PPE
Residual severity / likelihoodRescore with the controls in place. Severity often stays the same; good controls usually lower likelihood.3 / 2
ThresholdsThe scores at which risk becomes High and Medium. Set them once, in your safety procedure, and keep them the same across all JSAs.High ≥ 15, Medium ≥ 8
ResponsibleWho makes sure the control is in place, such as the lead who issues the face shield or maintains the guard.Maintenance Lead

Common mistakes

Frequently asked questions

What is the difference between a JSA and a JHA?

In practice they are the same tool. Job hazard analysis (JHA) is the term OSHA uses in its guidance; job safety analysis (JSA) is common in industry. Both break a job into steps, identify the hazards in each and set controls.

Does OSHA require a job safety analysis?

OSHA’s general industry standards do not require a document called a JSA for every job, but they do require a written, certified hazard assessment for PPE, and some standards and customers require documented hazard analysis. A JSA is a practical way to meet those and to show how you control the hazards.

How do I score risk on a JSA?

Multiply severity by likelihood, each on a 1 to 5 scale, to get a score from 1 to 25. Set the High and Medium thresholds once in your safety procedure. This template uses 15 and 8 by default; you can change them in the header.

How often should a JSA be reviewed?

After any injury or near miss on the job, whenever the equipment, materials or method change, and on a regular schedule your safety program sets. Review it with the crew before they start a job that is done rarely.

Is a JSA the same as a lockout/tagout procedure?

No. A JSA covers every hazard in a job. When a step involves servicing equipment that could start up or release stored energy, the JSA should point to the machine’s lockout/tagout procedure, which sets out the exact isolation and verification steps.

See also

COPLAIN AI PLATFORM

Generate yours automatically from your existing docs

Turn the finished JSA into the method people actually follow. Upload the procedure and Coplain builds a visual job aid with numbered steps and the safety warnings at the step where they apply, ready for your review.

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