Job Safety Analysis Worksheet

Job Name Employee Name Employee Title Analysis By 

JSA Number Area/Supervisor Last Analysis Date Analysis Date 

After the worksheet is complete, the data compiled is transferred to the actual JSA form. Once it is entered and verified, obtain signature approval for the JSA from an upper-level manager. 

Once the JSA is completed, it is discussed with employees performing the job. Any necessary safety procedures or equipment required to perform the job is reviewed with employees. In addition, a copy of the JSA is available for employees to use when they perform the job— particularly for jobs not done on a regular basis. No job is static JSAs are reviewed on a regular basis and any necessary changes are made. 

The major benefits of a JSA come after its completion. Supervisors can learn more about the jobs they supervise and can use JSAs for training new employees. JSAs provide a list of steps needed to perform the job and identify the procedures and equipment needed to do it safely. Employees can use JSAs for improved safety knowledge and as reviews before performing unfamiliar jobs. Supervisors occasionally observe employees as they perform the jobs for which the analysis was developed. If any procedural deviations are observed, the supervisor alerts the employee and reviews the job operation. 

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