Survey JSA SWMS Checklist Generator

Prepare a site-specific survey JSA worksheet or SWMS draft: work steps, hazards, controls, roadside and SWMS prompts, and reviewer gates — never pre-signed.

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Project and review scope

A site-specific preparation record for a survey task: JSA work steps, hazards and controls, and — where selected — SWMS preparation prompts. It is a DRAFT for competent review. It is not an approved SWMS, carries no pre-signed fields and does not decide legal applicability.

Work-step worksheet

JSA / SWMS preparation record — record type not chosen

Blank, editable site-specific rows. For each step record the hazard, who is exposed, the controls already in place, any higher-order control proposed, who is responsible and how it will be verified. There are no signature or approval fields here.

No steps yet.

    • Check: Choose JSA, SWMS or both — they are different records.
    • Note: No work steps entered yet — add each step with its hazard, persons exposed, controls, responsible role and verification.

    Review status: Not reviewed

    Review progress 0 of 23 applicable rows verified (0%)

    Outstanding critical findings

    • JSA scope distinguished from SWMS applicability — Not started
    • Competent reviewer and consultation recorded — Not started

    Review rows

    7 row(s) do not apply to the project settings above; they are hidden but kept in the record.

    Record identity and scope

    0/4 verified
    • Task and location described

    • Workers and supervisor named

    • Jurisdiction and employer procedure recorded

    • JSA scope distinguished from SWMS applicability

      Critical

    JSA worksheet — work steps

    0/2 verified
    • Work-step hazard and exposed persons recorded

    • Control owner and verification method recorded

    Hazards

    0/7 verified
    • Traffic, plant and mobile equipment

    • Underground and overhead services

    • Working near water, edges or excavations

    • Heat, sun, weather and remoteness

    • Manual handling of gear

    • Plant interaction and exclusion zones

    • Terrain, ground conditions and slips/trips

    Controls (hierarchy)

    0/4 verified
    • Elimination / substitution considered

    • Engineering controls (barriers, spotters)

    • Administrative controls (signage, comms)

    • PPE specified for the task

    Permits and access

    0/1 verified
    • Permits / inductions in place

    Communications and emergency access

    0/3 verified
    • Emergency plan and contacts

    • Communication method tested at the work location

    • Emergency vehicle access to the work location confirmed

    Review, acknowledgment and approval

    0/2 verified
    • Reviewed and signed by the crew

      Crew acknowledgment happens on site through your own process — this page has no signature fields and is not an approval.

    • Competent reviewer and consultation recorded

      Critical

    Add your own row

    Keep, share and print

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    Before you rely on this: First-pass guide only. Verify safety-critical or regulated work against the relevant standards, your project requirements and a qualified professional.

    Tip: Enter any known values to calculate the remaining results.

    Designed to run locally in your browser. Tool inputs are not intentionally stored by Zerdly unless stated otherwise.