JSEA Form (Job Safety and Environmental Analysis)

Use this form to think a job through before it starts. Each row is one job step with its hazards, who could be harmed, the controls in order of effectiveness, a risk score before and after, and who will act. It suits supervisors and crews in construction, maintenance and trades work.

What is included in our JSEA form (job safety & environmental analysis)?

• Assessment details: the job, location, who assessed it, who was consulted and the related SWMS, procedures and permits
• Job steps set out in order, each with the hazards that could cause harm
• Safety, health and environmental hazards considered at every step
• Worked job steps that show how to fill in each row, ready to overwrite
• Five by five risk matrix with scores before and after the controls
• Controls set out in the order of the hierarchy of control measures, with PPE last
• Who could be harmed, who is responsible and a due or done column for each action
• Blank rows for the remaining job steps
• Review record and sign-off for the assessor and the manager
• Document control details that fill the header and footer of every page

What you get

• An editable Microsoft Word risk assessment (4 pages), A4 landscape
• Assessment details, a 5 x 5 risk matrix and the hierarchy of controls
• Worked hazard rows with initial and residual risk scores, plus blank rows
• Review record, sign-off and document control
• Business details typed once and filled in on every page, plus a space for your logo

Review it and adjust it to suit your business, your sites and the way your team works, and talk it through with your workers.