Job Safety Analysis (JSA)

Free JSA / JSEA template for NZ & Australian worksites. Break the job into steps, list the hazards, and write the controls. Fill in by hand on-site, or use it as a baseline when building your own. Tired of re-writing this every job? Try Formate free for 30 days — same analysis, ready in 60 seconds.

1. Job Details

2. Steps, Hazards & Controls

Step	What is the step?	What can go wrong? (hazards)	How do we control it?
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3. PPE Required

☐ Hard hat    ☐ Hi-vis    ☐ Safety boots    ☐ Eye protection    ☐ Hearing protection    ☐ Gloves    ☐ Respirator    ☐ Harness    ☐ Other: __________

4. Emergency Information

5. Worker Sign-Off

All workers confirm they have read, understood, and will follow this JSA.

Name	Signature	Date