Title Page

  • Conducted on

  • Prepared by

  • Location

Job Safety Analysis Worksheet

  • Job Tasks

  • Location

  • JSA developed by Anna-Marie Moffat
    Local Laws / Rural Lands Department
    Developed: 7 April 2021

  • JSA approved by Morgan Bell
    Workplace Health & Safety Advisor
    Date Approved: 08/04/2021

  • JSA last review date:

  • If any changes or additional information are noted in the Officer Comments the JSA must be updated and noted in "JSA Last Review Date" by the Officer suggesting the changes or additional information.

Plant & Equipment

  • Plant Used

  • Equipment Used

PPE Required

  • PPE Required

Extra Job Information

Section 2 Task or Job Breakdown

  • Sequence of Basic Job Steps - A brief description of what is to be done, in the right order. Consider equipment involved, and work method

Step 1 - Pre-Start and Documentation

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions Refer to Section 4

  • Risk Score After Control - L7

Step 2 - Check of Staff PPE

  • Hazards and Potential Accidents

  • Risk Score Before Control - H4

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 3 - Loading of Work Vehicle

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7-L8

Step 4 - Use of Horse Float/Trailers/K9 Cubes

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 5 - Travelling to Site or Patrols

  • Hazards and Potential Accidents

  • Risk Score Before Control - H4-H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 6 - Collecting of Animals/Livestock

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 7 - Manual Labour

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 8 - Approved Signage

  • Hazards and Potential Accidents

  • Risk Score Before Control - H4

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 9 - Erection of Exclusion Zone

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L8

Step 10 - Spraying Weeds

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 11 - Travelling Back to Depot

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - L7

Step 12 - Unloading of Vehicle at Depot

  • Hazards and Potential Accidents

  • Risk Score Before Control - H5

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - M6

Step 13 - Spreading of Pest Weeds

  • Hazards and Potential Accidents

  • Risk Score Before Control - E3

  • Control Options / Safety Precautions (Refer to Section 4)

  • Risk Score After Control - H5

Considering the above tasks or job break down, can the processes and/or substances be changed:

  • ELIMINATE – Can the process or substance be eliminated completely?

  • If Yes, Detail Action:

  • SUBSTITUTE – Can the process or substance be replaced with a safer one?

  • If Yes, Detail Action:

  • ISOLATE – Can the process or person be isolated from the hazard/risk?

  • If Yes, Detail Action:

  • ENGINEER – Can the process be re-designed?

  • If Yes, Detail Action:

  • ADMINISTRATION – Can we limit exposure to the risk, by job rotation or training?

  • If Yes, Detail Action:

  • PPE – Can we use Personal Protective Equipment?

  • Officer Comments

Officers Details and Signatures

  • Sign On

  • Name & Position

  • Week Commencing

  • Sign On

  • Name & Position

  • Week Commence

  • Sign On

  • Name & position

  • Week Commence

  • Sign On

  • Name & Position

  • Week Commence

  • Sign On

  • Name & Position

  • Week Commencing

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