Template

JSA (Job Safety Analysis) Template

A JSA is the contractor's defense against OSHA citations, workers' comp disputes, and post-incident liability. Most contractors run JSAs on paper, in folders, or not at all. This template gives you the structured format insurance carriers and OSHA inspectors expect — broken into work steps, with hazards and controls per step, and a crew acknowledgement section that holds up under audit.

What this template includes

A structured JSA with job description, work steps numbered sequentially, hazards identified per step, control measures specified, required PPE per task, and crew member acknowledgement signature lines.

Who uses this

Roofers (fall protection)Electricians (LOTO)Concrete contractors (silica)Plumbers (confined space)HVAC techs (refrigerant, electrical)Demolition crewsGeneral contractors (per-trade JSAs)

Template preview

Job info

Job: Tear-off and re-roof — 123 Main St

Date: [today] · Foreman: J. Martinez · Crew: 4 members

Weather: Sunny, 72°F, no precipitation forecast

Step 1: Material staging at jobsite

HAZARD: Strains from manual lifting of shingle bundles (~75 lbs)

CONTROL: Two-person lifts for bundles. Use dolly when ground permits.

PPE: Gloves, steel-toe boots

Step 2: Set up roof access (ladder/scaffold)

HAZARD: Falls from ladder; ladder kick-out; falls during transitions

CONTROL: 4:1 ladder ratio, secure top and bottom, 3ft above eave

PPE: Hard hat, work gloves

Step 3: Tear off existing shingles

HAZARD: Falls from roof (height >6ft, 6/12 pitch)

CONTROL: Personal fall arrest system — anchor + harness + lanyard + retractable; visual inspection of all components before each use

PPE: Hard hat, harness, safety glasses, gloves, work boots

Step 4: Install underlayment and shingles

HAZARD: Falls; cuts from utility knife; sun exposure

CONTROL: PFAS remains active throughout; hot day = water cooler on site, breaks every hour

PPE: Hard hat, harness, gloves, sunscreen, water available

Crew acknowledgement

I have read and understood this JSA. I have been issued the required PPE.

J. Martinez (Foreman) ___________________ Date: ____ Time: ____

M. Rivera _______________________________ Date: ____ Time: ____

D. Kim __________________________________ Date: ____ Time: ____

T. Jackson ______________________________ Date: ____ Time: ____

Copy this structure into your own document, or run it natively in Vexor.

How to use it well

1. Break the job into actual steps

Not "do roofing work" — that's useless. "Carry materials up ladder; tear off existing shingles; install underlayment; install starter course; install field shingles..." Each step has different hazards.

2. Identify hazards specifically

"Be careful" is not a hazard. "Fall from height >6ft" is. "Caught in moving equipment" is. "Inhalation of crystalline silica" is. Specific hazards lead to specific controls.

3. Specify controls by hierarchy

Elimination > substitution > engineering controls > administrative controls > PPE. Don't default to "wear PPE" if you can guard the hazard physically.

4. Get every crew member to sign

Verbal acknowledgement is worthless after an incident. Each worker on the task signs the JSA on the day, with timestamp. Vexor captures this digitally; on paper, use a roster with date/time/signature.

5. Save the JSA forever

If an incident happens 18 months later and the injured worker claims they were never trained on the hazard, the signed JSA is your defense. Throw nothing away.

FAQ

Does OSHA require a JSA?

OSHA does not require a specific JSA format, but expects documented hazard assessment with controls and crew awareness for any work involving recognized hazards. Roofing, electrical, excavation, confined space, silica work — all expected. A documented JSA on file when an inspector arrives changes the conversation.

How often should JSAs be updated?

Per job, per significant change in conditions (weather, scope, crew). Many shops do a "morning huddle" JSA daily for active jobs. Vexor automates recurring JSAs with the same hazards but new dates.

Is electronic signing legal?

Yes — the federal ESIGN Act (2000) and state UETA equivalents recognize electronic signatures as binding. OSHA accepts digitally-signed JSAs as documentation.

Who should sign the JSA?

Every crew member performing the task. Not just the foreman. The signature is the worker's acknowledgement of the hazards and controls — and it's what protects you from "I was never trained" claims.

Does this satisfy my insurance carrier?

Most workers' comp carriers accept documented JSAs as evidence of a safety program, which feeds into experience modifier calculation. Specific carrier requirements vary — check with your broker.

Skip the copy-paste

Vexor generates this template natively, attached to the customer and the job — with e-signature, automatic invoice flow, and the full audit trail.

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