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The template also prompts identification of required plant, equipment, tools, and worker skills, training, and supervision, plus references for further information such as material safety data sheets, regulations, and guidance resources.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/appendix-e-job-safety-analysis-jsa-template/307346/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/appendix-e-job-safety-analysis-jsa-template/307346.png","ImageObject",442,249,{"name":42,"@type":43},"นรินทร์","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information fields are included in the JSA template’s details section?","Question",{"text":63,"@type":64},"The template includes job number, date (DD/MM/YEAR), prepared by, approved by, and job description fields.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the worksheet structure hazard and control measures for each job step?",{"text":68,"@type":64},"For each step, it asks to identify hazards and the risks to deal with, assign priority/urgency, and select control measures in an elimination-first hierarchy, followed by substitution/isolation/engineering controls, and then administrative controls and PPE if any risk remains.",{"name":70,"@type":61,"acceptedAnswer":71},"What additional items does the template require beyond the hazard-risk matrix?",{"text":72,"@type":64},"It prompts identification of plant, equipment, and tools required for healthy and safe work, and the worker skills, training, and supervision needed. It also includes references such as material safety data sheets, HSWA and regulations, and relevant guidance resources.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},307346,1790718665,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":22},2336475104957,"https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136","Appendix E: Job safety analysis template  \nJob safety analysis (JSA)  \nDocumenting your chosen control measures can assist with planning work that is healthy and safe for workers and others  \n\n| 1. Details |\n| --- |\n| Job number: |\n| Date: DD / MM / YEAR |\n| Prepared by: (name and title) |\n| Approved by: (name and title) |\n| Job description: |\n\n\n| 2. JSA team members\u003Cbr>Print name and sign below to confirm that you have read, understood and agreed to the procedures and control measures in this JSA. |\n| --- |\n| Name: |\n| Signature: |\n| Name: |\n| Signature: |\n| Name: |\n| Signature: |\n| Name: |\n| Signature: |\n| Name: |\n| Signature: |\n| Are work permits required?  Yes  No\u003Cbr>If yes, provide details: |\n| Notes: |\n\nW O R K S H E E T  \n123  \nJob safety analysis (JSA)  \n\n| For each step of a job, identify the hazards, the risks to deal with and their priority, and the control measure/s |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| JOB STEP HAZARD/S IDENTIFY RISKS\u003Cbr>YOU NEED TO DEAL WITH | PRIORITY/URGENCY\u003Cbr>Pay close attention to your high priority risks | CONTROL MEASURE\u003Cbr>First try to\u003Cbr>eliminate risk | | CONTROL MEASURE\u003Cbr>If elimination not possible:\u003Cbr>– substitute and/or\u003Cbr>– isolate and/or\u003Cbr>– use engineering control measures | | CONTROL MEASURE\u003Cbr>If any risk remains:\u003Cbr>– use administrative control measures and/or\u003Cbr>– PPE\u003Cbr>(PPE is least effective; should not be first or only control measure considered) |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| | |  |  | |  |  |\n\n| Identify plant, equipment and tools required for healthy and safe work for this job |  |\n| --- | --- |\n| Identify worker skills, training and/or supervision required for healthy and safe work for this job |  |\n\nFor further information, refer to:  \n1. Material Safety Data Sheets  \n2. HSWA and relevant regulations  \n3. WorkSafe resources such as guidance ([see](see worksafe.govt.nz)[ ](see worksafe.govt.nz)[worksafe.govt.nz](see worksafe.govt.nz))  \n4. Industry-specific guidance  \n5. Permit attachments  \nAppendices","cbCainMvPsiiKfQG","https://ap.wps.com/l/cbCainMvPsiiKfQG","pdf",42821,"English","# Job safety analysis (JSA) template\n## 1. Details\n## 2. JSA team members\n## Work sheet: hazard, risks, priority and control measures\n## Additional identification prompts\n## Further information references","[{\"question\":\"What information fields are included in the JSA template’s details section?\",\"answer\":\"The template includes job number, date (DD/MM/YEAR), prepared by, approved by, and job description fields.\"},{\"question\":\"How does the worksheet structure hazard and control measures for each job step?\",\"answer\":\"For each step, it asks to identify hazards and the risks to deal with, assign priority/urgency, and select control measures in an elimination-first hierarchy, followed by substitution/isolation/engineering controls, and then administrative controls and PPE if any risk remains.\"},{\"question\":\"What additional items does the template require beyond the hazard-risk matrix?\",\"answer\":\"It prompts identification of plant, equipment, and tools required for healthy and safe work, and the worker skills, training, and supervision needed. It also includes references such as material safety data sheets, HSWA and regulations, and relevant guidance resources.\"}]","Appendix E - Job Safety Analysis (JSA) Template | PDF",1789848221]