Job Safety Analysis & Risk Assessment
Corporate Health, Safety, and Environment System
Risk Matrix Guide
Table 1: Job Administrative Information
Job Title
Work Location
Department
Scope/Job Details
Equipment Required
Supervisor
JSA Reviewer
JSA Creation Date
Table 2: Hazard Identification & Risk Assessment
Activity
Activity Details
Potential Hazards
Existing Controls
Recommended Risk Controls
Likelihood
1
2
3
4
5
Severity
1
2
3
4
5
SUBMIT JSA & ASSESSMENT
JSA & HAZARD ASSESSMENT REGISTER
No
Job Description
Activity Details
Hazard
L
S
Score
Rating
Mitigation