Skip to main content.

Appendix A: Example of a Job Safety Analysis Form

Return to the point in the document where this form is located.

Safety and Health Management System
Project Health and Safety Plans - Job Safety Analysis (JSA)

Hazard/risk

Potential harm

Eliminate

Isolate

Minimise

Action(s) proposed / relevant procedure
(Please state action and when applicable refer to relevant procedure)

Person(s) responsible