Job Safety Analysis (JSA)

Complete JSA form

You MUST complete this Job Safety Analysis (JSA) form before commencing work on the Job Card and attach it to
this Job Card before staring. Make sure it’s safe to proceed. If not, discuss the safety concern with your Assessor
before commencing.

Resources

 JSA form

Document Name: Job Safety Analysis (JSA) Form Created Date: 01st Dec 2020
Document No: Auswide College – Job Safety Analysis (JSA) Form Version No: 1.0 Last Modified
Date:
© Auswide College | RTO Code: 45893 | CRICOS Code: 04045K Page Sequence: Page 1 of 3
 Job Safety Analysis (JSA)

TAKE 5 - Job Safety Analysis

Job Safety Analysis Risk
Rating
Describe Control Residual
W/O
the Hazard Measures Risk
Job No TASK YES NO Contro
l

1 Do you understand the scope of the task? 

Are there references such as SOP’s or Manufacturer’s 

2
Manuals available?

3 Do you understand the steps? 

4 Are the tools and equipment in good safe working order? 

5 Do you have the correct PPE for the job? 

6 Do you have the correct licenses and permits? 

RISKS

7 Are you exposed to sharp objects, pinch or crush points? 

Is there a requirement for heavy manual handling or 

8
awkward positioning?

9 Is anything needed to be isolated or disabled? 

10 Is there a risk of heat, gas, fumes or stored energy? 

11 Are there any fluids under pressure? 

Is there a possibility of explosion or fire from dust, 

12
combustible product or vapours?

13 Can equipment be damaged, is a spotter required? 

14 Is there a risk of working at heights, tripping or slipping? 

15 Will you require hand tools in restricted spaces? 

Is any other authorisation needed or additional skills 

16
required?

Is there a risk of spill or pollution to waterways, ground 

17
or air?

18 Is there a risk of falling objects from overhead? 

Are there other activities in the immediate area that 

19
could impact this task?

20 Is there a risk of uncontrolled movement? 

Is there mobile plant, equipment or other vehicles 

21
working in the area?

22 Are there any hazardous materials in use? 

Are there extremes of hot or cold associated with the 

23
task?

If any risk is marked YES, Identify the hazard and 

24
any control measures taken to mitigate the risk

Document Name: Job Safety Analysis (JSA) Form Created Date: 01st Dec 2020
Document No: Auswide College – Job Safety Analysis (JSA) Form Version No: 1.0 Last Modified
Date:
© Auswide College | RTO Code: 45893 | CRICOS Code: 04045K Page Sequence: Page 2 of 3
 Job Safety Analysis (JSA)

If a risk is associated as HIGH or EXTREME, consult 

25 your supervisor and complete a complete HAZARD
ANALYSIS

26 All control Measures are identified and implemented 

STUDENT NAME: DATE: haider nadeem Signature:

CALCULATING A RISK RATING

1. Work out a risk Rating for the hazard without controls
2. Write how you will manage the hazard.
a) ELIMINATION – Remove the hazard from the workplace, task, process, method or material
b) SUBSTITUTION – Replace the activity, process, material or substance with a less hazardous one.
c) ENGINEERING – Isolate the hazard using mechanical aids, barriers, ventilation, space and time.
d) ADMINISTRATION – Establish policies, procedures, and training to reduce exposure to risk.
e) PPE – Provide suitable and properly maintained PPE to protect from hazards.
3. Work out a risk rating with controls. Make sure you do not introduce new risks

MUST do!
1. Attach it to this Job Card before commencing the Job Card.
2. Make sure it’s safe to proceed. If not, discuss the safety concern with your Assessor before
commencing.

Document Name: Job Safety Analysis (JSA) Form Created Date: 01st Dec 2020
Document No: Auswide College – Job Safety Analysis (JSA) Form Version No: 1.0 Last Modified
Date:
© Auswide College | RTO Code: 45893 | CRICOS Code: 04045K Page Sequence: Page 3 of 3