JSA Job Safety Analysis: Take Five

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JSA Job Safety Analysis

JSA INSTRUCTIONS Take Five


1. Stop - step back – observe
2. Think through and talk through the task
Before you start: 3. Identify hazards
4. Control and communicate
• Team leader must be trained in JSA process. 5. Do the job safely
• Participants doing the work must contribute in the JSA.
STOP – THINK - DO – REVIEW
• You must involve people with knowledge of the job.
• Is a current JSA available? Review Remember things change. Monitor and review your
analysis regularly, e.g. if you come back from a break or
• Obtain the MSDS for any chemicals to be handled. any circumstances change.

Steps to JSA:
1. On the form, break the job into steps. Hierarchy of Controls
2. Identify the hazards related to each step 1. Eliminate hazard
3. Implement control measures in order to mitigate the hazards 2. Substitute hazard
4. Use the hierarchy of controls 3. Isolate the hazard
5. Communicate JSA to your team 4. Use engineering controls
6. Ensure that everyone in the team contributes 5. Use administrative controls
and signs off the JSA 6. Use PPE

Objective ID: A7671679 WM08 Page 1 of 4


Date: Job Title:
Description Of Work:

Hot Work Confined Space Excavation Bunkering Diving Work Afloat


Permits Required:
Crane Lift Abrasive Blasting Isolation High Voltage Other
Control Measures – Must use hierarchy of controls Action by Whom
Job Step Potential Hazard
(Eliminate, Substitute, Engineer, Administrate, PPE) (initials)

Objective ID: A7671679 WM08 Page 2 of 4


Objective ID: A7671679 WM08 Page 3 of 4
SIGN OFF
All personnel involved in performing the work shall enter their names below and sign to confirm they have read, understood and will comply with the
conditions of the JSA.
Role In Team
Name Employee Organisation Signature Date
(E.G. Team Leader)

Supervisor Signature: Name: Date:

Objective ID: A7671679 WM08 Page 4 of 4

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