Free download · Australia

    A blank job safety analysis template

    Use this simple CSV as a starting point for recording the task, its steps, hazards, controls and review. It is intentionally blank: your team supplies the job-specific information and decides what else the document needs.

    Download the blank JSA template

    CSV file. Open in a spreadsheet application and add or adapt columns to suit your process.

    Download CSV

    What to put in each part

    Start with the job and location, then describe the work in the order it will happen. Keep each step specific enough that someone familiar with the task can recognise what is being done.

    Task step

    Break the activity into a clear sequence. Include preparation, access, the work itself and pack-up where relevant.

    Hazard

    Record what could cause harm at that step, including equipment, energy sources, environment, people and interaction with other work.

    Control

    Describe the measures that prevent exposure or reduce risk. Name the practical action, not just a broad label such as “be careful”.

    Responsible person / review

    Identify who will put controls in place and who checks the document with the crew before work begins. Add date, site and sign-off fields as your process requires.

    JSA example: planning a materials delivery

    This educational example shows how to turn a broad job description into steps and questions for the crew. The hazards are not exhaustive. Your team must assess the real task, choose and document controls, assign responsibility and arrange review before use.

    Illustrative JSA steps and review questions, not a completed safety document
    Job stepPotential hazards to assessQuestions before selecting controls
    Confirm the delivery and work areaVehicle movements, pedestrians and restricted accessWhere will the delivery take place? Who will confirm access and separation arrangements?
    Move materials to the agreed locationLoad weight, handling needs and obstructionsWhat handling method and equipment suit the actual load? Who will check the route and conditions?
    Finish the delivery and check the areaPackaging, remaining obstructions and changed accessWho will confirm the area is clear and communicate any remaining hazards before other work resumes?

    This is a JSA worksheet example, not a SWMS template. If the actual delivery involves high-risk construction work, determine the applicable SWMS requirements separately.

    Further reading: SafeWork SA: developing and reviewing a site-specific SWMS. This source describes South Australian guidance. Check the regulator for the jurisdiction where the work takes place.

    Prefer to start by speaking? Explore the JSA & SWMS drafting app.

    Need help with the drafting sequence? Read how to write a JSA, or see how JSA, JHA and SWMS terminology differs.