Task details
Task or activity being analysed
Location
Date and time
Supervisor
Workers involved
Permits or licences required e.g. hot work permit, confined space entry, high risk work licence
Break the task into steps
Walk the task where it will actually be done and write down what happens, in order. Aim for 5 to 10 steps. Each step should be a distinct action (position the ladder, isolate the supply, lift the unit), not a job title or an outcome.
Then work through each step in the table below and ask what could go wrong at that step, not just for the task as a whole. A hazard tied to a step gets a control that sticks.
Steps, hazards and controls
| # | Job step | Hazards at this step | Risk rating | Controls | Responsible |
|---|---|---|---|---|---|
Pre-start checks
- Everyone doing the task has read the JSA and signed on
- Required permits are issued and current
- Plant and tools inspected, and test-and-tag current where applicable
- PPE identified for each step is available and worn
- Exclusion zones or barricades set up where the JSA calls for them
- Communication method agreed, including how to reach 111 from this location
- Weather and site conditions checked against the assumptions in the JSA
- Nearby work that could interact with this task has been identified
- Emergency and rescue arrangements are in place before work at height or entry work starts
- Everyone knows what would trigger a stop-work
Sign-on and review
Sign on before starting. If the task, tools, people or conditions change mid-job, stop, revise the JSA and sign on again.
| Name | Signature | Date |
|---|---|---|