JSA template - GCoE - Job Hazard Analysis (JHA)

Sep 19, 2026

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Job Safety Analysis (JSA) / Job Hazard Analysis (JHA) template for documenting workplace activities, breaking jobs into clear work steps, and systematically identifying hazards and estimating risk for each step. The template supports evaluation using an Energy Wheel and a Risk Matrix, then selecting controls through the Hierarchy of Controls. It emphasizes training, communication, availability of resources, and periodic review when job procedures, personnel, tools, materials, or locations change. Includes references and job-aid figures for hazard and risk assessment.

LanguageEnglish

CategoryForms

FormatPDF

Pages5

Reading Time2 min

AccessFree to download

JSA / JHA Template Fields

Activity, Task or Job Information

Work Steps, Hazards, Risk Level, Controls/PPE

Instructions for Writing the JSA

Select the Job to be Analyzed

Break Down the Job into Steps

Identify Hazards and Estimate Risk Level

Determine Controls and Preventive Measures

Implement and Communicate Controls

Review and Update the JSA

Aids to Writing a JSA

Figure 1 Energy Wheel

Figure 2 Hierarchy of Controls

Figure 3 Probability of Occurrence

Figure 4 Severity of Consequence

Figure 5 Risk Level

| | Job Safety Analysis (JSA) or Job Hazard Analysis (JHA) | | | --- | --- | --- | | Activity, Task or Job: | | | | Completed by: | | Date completed: | | Group name: | | Job location: | | Other information: | | | | Work steps | Hazards identiﬁed for each step | Risk level | Hazard Controls/Safe Work Procedures/PPE | | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Work steps continued (if needed) | Work steps | Hazards identiﬁed for each step | Risk level | Hazard Controls/Safe Work Procedures/PPE | | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | See following pages for instructions and job aids. Job Hazard Analysis template jfcorral 21AUG2025 Instructions for writing the JSA Select the Job to be Analyzed Jobs that have potential to cause injuries or illnesses are good candidates for a JSA, such as those that use hazardous materials or involve hazardous processes, especially those with a known history of accidents. Ideally, one JSA should be written for every Job. Break Down the Job into Steps Most jobs can be described in 6-8 steps. If a job requires many steps, divide into two or more segments, each with their own JHA. Keep the steps in order, since listing out of order may cause an oversight. Describe what is being done instead of how it is done. Identify Hazards and Estimate Risk Level Examine each step to identify hazardous actions, conditions and potentials that can lead to an accident. Use the Energy Wheel to identify hazards. All hazards should be identiﬁed including those that are not obvious. Using the Risk Matrix, identify the Risk Level of each step by thinking about the severity of the consequence (how badly someone can get hurt) in combination with the likelihood of occurrence. Determine Controls and Preventive Measures Use the Hierarchy of Controls to choose the most effective method of controlling the hazard—multiple controls may better than one, especially if the Risk Level is High or Critical. If the risk level is Critical, you may want to think about changing how the job is performed to reduce the Risk Level. Be speciﬁc and list exactly what needs to be done to control the hazard. Implement and Communicate Controls Train all personnel performing the job on the speciﬁc JSA to recognize the hazards and understand what appropriate control measures need to be taken. Make sure resources are available for implementing the controls—if the controls are not readily available, they will likely not be utilized. Review and Update the JSA The JSA should be reviewed regularly and may need to be updated whenever there is a change in the nature and circumstances of the job, for example: • There is a change in how thejob is performed (for example: different procedure, new tools or new materials) • Personnel are new or unfamiliar with the job. • The job will be performed in a new location or environment. Job Hazard Analysis template jfcorral 21AUG2025 Aids to writing a JSA Figure 1 Energy Wheel Hallowell, M. R. (2021) Prof. Safety 66 (12): 27–33. Figure 2 Hierarchy of Controls [https://www.cdc.gov/niosh/hierarchy-of-controls/about/index.html](https://www.cdc.gov/niosh/hierarchy-of-controls/about/index.html) Job Hazard Analysis template jfcorral 21AUG2025 Aids to writing a JSA (cont) Figure 3 Probability of Occurrence [https://institute.acs.org/acs-center/lab-safety/hazard-assessment/fundamentals/risk-assessment.html](https://institute.acs.org/acs-center/lab-safety/hazard-assessment/fundamentals/risk-assessment.html) Figure 4 Severity of Consequence [https://institute.acs.org/acs-center/lab-safety/hazard](https://institute.acs.org/acs-center/lab-safety/hazard)assessment/fundamentals/risk-assessment. html Figure 5 Risk Level [https://ehs.ucla.edu/integrated-safety-management](https://ehs.ucl

FAQs

What is a JSA/JHA used for?

A JSA/JHA documents workplace tasks and identifies hazards that could cause injuries or illnesses. It then estimates risk level and defines safe work procedures and PPE.

How should a job be structured in the template?

Most jobs can be described in 6–8 steps, kept in order to avoid missing hazards. If there are many steps, split the job into segments, each with its own JHA.

How are hazards and risk levels determined?

Examine each step to identify hazardous actions, conditions, and potentials that could lead to an accident. Use the Energy Wheel to identify hazards and use the Risk Matrix to determine the risk level based on severity and likelihood.

Sep 19, 2026

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