JSA library / Heights & Lifting

Aerial Lift / Scissor Lift JSAJob Safety Analysis template

Working from boom lifts and scissor lifts (MEWPs). Use it as-is or change it to fit your job, then walk the site and add what's different today.

Make this JSA on your phone →

Free · no account · the crew signs on the same phone · prints a professional record

Date

Location

Person in charge

Company

Nearest ER / address

Muster point · Emergency: 911

Job steps, hazards & controls

#	Job step	Hazards	Controls
01	Pre-use inspection	Controls, brakes or guardrails not working Hydraulic leaks	Trained, authorized operators only Walk-around and function test before use; tag out problems Check the platform load limit
02	Check the travel path and setup area	Tipping on slopes, holes or soft ground Overhead obstructions and power lines	Firm, level ground; avoid holes, curbs and drop-offs Look up: 10 ft minimum from power lines Cone off the area under the work
03	Raise and work	Falls or ejection from the basket Crushing between the platform and structures Overreaching	Boom lifts: harness with lanyard tied to the basket anchor Stay inside the guardrails; never stand on rails Watch overhead when raising or driving; move the lift instead of leaning
04	Drive and lower	Striking people or objects Tipping while driving elevated	Spotter in tight areas Lower before driving where the manual requires Stow and shut down when finished

Don’t forget to check

Overhead Power LinesLightning & High WindTraffic & the Public

Today’s site-specific hazards

Hazard	Control

Crew sign-in: I reviewed this JSA and I can stop work

Name	Company / role	Signature	Time

How it works on your phone

1 · Pick itTap the button above. This JSA loads with the checks crews most often forget already suggested.

2 · Walk the siteAdd where you are, who's in charge and the nearest ER. The first person on site adds today's hazards.

3 · Crew signsPass the phone. Each person reads every step and signs. Print or save the PDF.

This JSA is a starting point built from common field practice. Your job, your site and your company's procedures come first: change anything that doesn't fit, and follow your permits and regulations.