JSA library / Heights & Lifting

Working at Heights JSAJob Safety Analysis template

Work near unprotected edges, on platforms, or at height with fall arrest. 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	Plan fall protection	Falls 6 ft or more No anchor or the wrong anchor	Guardrails first; personal fall arrest where guardrails aren't possible Anchors rated for 5,000 lb or engineered; handrails are not anchors
02	Inspect gear	Worn webbing, damaged hooks or deployed lanyards	Inspect harness, lanyard and connectors before each use; retire any that caught a fall
03	Tie off and work	Swing falls Hitting the ground before the lanyard stops you Dropped tools	Anchor overhead where possible; check fall clearance 100% tie-off when moving Tool lanyards; keep the area below closed off
04	Rescue plan	Suspension trauma after a fall	Know who will get a fallen worker down and how, within minutes Rescue gear on site; don't rely only on 911

Don’t forget to check

Fall ExposureLightning & High Wind

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.