Free Job Safety Analysis (JSA) Template in Word, PDF & Excel
Break a job into steps, identify hazards, and record controls with your crew. Download a blank JSA / JHA worksheet and an illustrative example in all three formats.
Enter your email to unlock PDF, Word and Excel downloads below.
Enter your email to unlock all three downloads here. We also send the download link by email. Adapt the worksheet to your task and site procedures before use.
Created by Jacob Szyszka, founder of BasinCheck · ASSP member · built with safety managers in the Permian Basin
Industry membership and independent recognition
Energy producer network member
SoftwareWorldCustomer Choice recognitionWhat’s included in the JSA download
Why JSA Templates Matter in Oil & Gas
A job safety analysis (JSA), also called a job hazard analysis (JHA), gives the crew a way to discuss each step before work begins. Record what could cause harm, agree the controls, and identify who will verify them. The worksheet supports that conversation; completing a form does not establish that the job is safe.
Prefer to build a JSA in your browser?
Add job steps, hazards and controls in the free JSA builder, then export a PDF draft for site-specific review.
Try Free JSA BuilderHow to complete the JSA worksheet
Describe the job and site
Enter the task, location, date, revision, preparer and reviewer. Identify the PPE, permits and emergency arrangements required for the actual job.
List the job steps
Use one row per step in the order the work will happen. The blank worksheet has five rows. Copy it for additional steps; do not omit steps to fit the form.
Identify hazards and controls
For each step, record what could cause harm and the controls to verify before proceeding. Name the responsible person. Use your site’s risk assessment process where required; this worksheet does not contain a risk matrix.
Review with the crew
Discuss the steps, hazards and controls with the people doing the work. Use the crew review fields to record acknowledgment. Copy the sheet if you need more than three crew rows.
Use the example as a layout guide
The second page or tab shows a simple stockroom task. It is illustrative, incomplete for any real job and not approved for work. Replace it with your own analysis.
OSHA guidance and site-specific review
OSHA’s Job Hazard Analysis guide describes breaking a job into steps, identifying hazards and selecting controls with worker involvement. Use the guide alongside the requirements and procedures that apply to your work. This download is a general worksheet: it does not authorize work, replace permits or certify compliance.
Choose the format that fits your workflow
Printable PDF
Two US Letter landscape pages: one blank worksheet and one illustrative example. Print the blank page for the job.
Editable Word and Excel
Word has two pages; Excel has a blank worksheet tab and a worked example tab. Both use the same fields as the PDF.
Site-specific review
Space for crew acknowledgment, PPE / permits and emergency arrangements. Review and adapt every field before use.
Common Questions About JSA Templates
When should we review a JSA?
Review it with the crew before the job. Revisit it when the task, equipment, people or conditions change, or an incident or near miss reveals a gap. Follow the review and approval process required at your site.
Who should help complete the worksheet?
Involve the people doing the work and the person supervising it. Bring in safety or technical specialists where the task requires their knowledge. The example does not substitute for their assessment.
Can I use this JSA / JHA template for oilfield or construction work?
You can adapt the Word or Excel worksheet to either setting. Add the task-specific hazards, controls, permits and review fields your work requires. The included stockroom example is not an oilfield or construction work procedure.
About This Free Download
Is this JSA template free?
Yes. Enter your email to unlock PDF, Word (.docx) and Excel (.xlsx) download links on this page. No payment is required.
Which format should I choose?
Use PDF to print and complete by hand. Use Word or Excel to edit the worksheet, add rows and adapt the fields. The PDF is not an interactive fillable form. Each format includes the same blank worksheet and example.
What if I need more space?
Copy the blank worksheet for additional steps or crew members. In Word or Excel, you can also insert rows. Check the page breaks and print preview after editing.
Manage your team’s JSAs in BasinCheck
Explore the JSA workflow alongside audits, incidents and corrective actions. Review the features and plans to decide whether it fits your team.
More Free Safety Checklists
Want All 6 Templates Including This JSA Template?
Combine JSA with rig inspection, hot work, confined space, equipment, and toolbox talk templates - templates to adapt to your site procedures.
Get Complete KitGet Your Free JSA Template
Enter your email to unlock all three downloads here. We also send the download link by email. Adapt the worksheet to your task and site procedures before use.