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JSA templates that read like the job

By Bryant Price · September 15, 2026 · 10 min read · Last reviewed September 15, 2026

A job safety analysis is the crew, before the work starts, walking the job in order and saying out loud what could hurt somebody at each step and what they are going to do about it. The paper is the record of that conversation. A JSA that was filled in by one person in the truck, without the crew, is a form and not a JSA, and everyone on the pad knows the difference.

The three templates below are written for the work small service companies in the basin actually do. Each one is a starting point: the steps are in the order the job happens, the hazards are the ones that show up on real pads, and the controls are the ones a crew can actually do with what is on the truck. Edit them for the site, the weather and the crew you have that morning. Then sign it, all of you.

The five parts of a good step

  1. The task, as one action the crew can see the end of. "Break the flange" is a step. "Repair the flowline" is the job.
  2. The hazards, named plainly. Line of fire from stored pressure. Pinch point at the union. H2S in the vapor space. If it cannot be said in a sentence a new hand understands, it is not named yet.
  3. The controls, in the order you would rather have them: get rid of it, block it, then procedure, then PPE. A control the crew will not actually do is not a control; write the one they will.
  4. Who, by name or position. A control with no owner is a hope.
  5. Residual risk after the controls. Low, Medium, High or Critical. If a step is still High after everything you can do on the pad, that is the step that needs the supervisor's call before work starts, and the template says so. Critical is the one nobody signs off: in the F&H STAC app a JSA with a Critical residual left on it will not go active, because a step that dangerous after its controls needs different controls, not a signature.

Three templates

Each one downloads as a landscape PDF you can print and hand out, or you can fill it in on this page and print that instead. Nothing you type here is sent anywhere; it stays in your browser and it is gone when you close the tab.

Hot oil treatment

Hot oil treatment of a production tank or flowline. Crew: operator, helper.

Starting point. Edit for the site, the fluid, the weather and the crew before anyone signs.

Download the PDFor fill it in below and print it

Hot oil treatment: steps, hazards, controls, who does what, and the risk left after the controls.
#TaskHazardsControlsWhoResidual
1Arrive, park, walk the locationTraffic on lease road; uneven ground; H2S on the pad; overhead lines near the tank batteryPark upwind and pointed out; monitor on and bump-tested; wind sock checked; spot overhead lines before raising anythingOperatorLow
2Confirm the job with the pumper or company manWrong tank or wrong line treated; unknown fluid or pressureConfirm tank, line, pressure and fluid by name and number; get the current pressure reading; know where the ESD isOperatorLow
3Position the unit and set upBacking blind; soft ground; hose across a walkwaySpotter for every backing move; check ground before setting outriggers or jacks; route hoses where nobody walksOperator, helperLow
4Ground and bond the unit to the tankStatic discharge igniting vaporsBond before any connection; verify continuity; no connection until bondedHelper, operator checksMedium
5Connect hoses and fittingsPinch points at unions; stored pressure in the line; hammer unions struck wrongBleed the line and verify zero before opening; hands out of the pinch; strike hammer unions on the lug, gloves on, face turnedHelperMedium
6Light the burner and bring the unit to temperatureFlash from the burner; fuel leak; unit fireStand to the side to light; check fuel connections before lighting; extinguisher at hand and inspected; nobody leaves the unit running unattendedOperatorMedium
7Circulate and treatHose failure under heat and pressure; burns from surfaces and fluid; over-pressuring the tank or line; thermal expansionStay clear of hose whip paths; rated hoses only, inspected before use; watch pressure and temperature the whole time; relief path confirmed; hot surfaces markedOperatorMedium
8Shut down, bleed, and disconnectResidual heat and pressure; hot fluid release at the unionCool down before disconnecting; bleed to zero and verify; open unions slowly with face turned; drip pan under every breakOperator, helperMedium
9Clean up, secure, and leaveSpill left behind; tools on the ground; driving tiredWalk the location; all fluid captured; count tools; report anything released, however smallBothLow

Stop work

Any one of these and the job stops until it is settled.

  • H2S alarm
  • Wind shift onto the unit
  • Any leak at temperature
  • Lightning within sight
  • A pressure reading you did not expect

Crew sign-off

Everyone on this job signs before work starts. A JSA filled in by one person in the truck is a form, not a JSA.

Name (printed)SignatureTime onTime off

Supervisor. Sign here if any step is still High after its controls, before that step starts.

Supervisor Date

Flowline repair with hot work

Cut and replace a section of flowline, welded joints. Crew: welder, helper, fire watch.

Starting point. Hot work needs its own permit. This JSA does not replace that permit and does not stand in for it.

Download the PDFor fill it in below and print it

Flowline repair with hot work: steps, hazards, controls, who does what, and the risk left after the controls.
#TaskHazardsControlsWhoResidual
1Isolate, depressure and drain the lineStored pressure; trapped fluid; H2SClose and tag valves both sides; bleed and verify zero at the work point, not at the valve; drain to a container; monitor runningOperator or pumper, welder verifiesMedium
2Gas test and permit the hot workFlammable vapor in the line or the ground around it; wrong test pointTest at the cut points and inside the line where possible; permit signed before any spark; retest after any break longer than the permit allowsFire watch, welderMedium
3Clear and wet the areaDry grass; oil-soaked ground; combustibles within reach of slagClear or wet the ground for the permit distance; remove or cover anything that burns; extinguisher and water at the work pointHelperLow
4Cut out the bad sectionPinch and drop when the section comes free; residual fluid in the pipe; sparks and slagSupport both sides before the second cut; catch pan under the cut; helper clear of the drop path; face shield and leathersWelder, helperMedium
5Fit and tack the new sectionCrush between pipe and ground; misalignment forcing a hand into the jointFit with a clamp or a second person, never a hand in the gap; check alignment before the tackWelder, helperMedium
6Weld outBurns, fume, arc eye for anyone watching; fire from slagFire watch stays on the job and for the time the permit requires after; nobody watches the arc without a lens; fume upwindWelder, fire watchMedium
7Inspect the weld and pressure testFailure under test; standing in front of a blind or a capTest to the pressure the procedure names, not higher; nobody in front of end caps or blinds during the test; hold and checkWelder, operatorMedium
8Return to service and clean upLeak at the new joint; forgotten tag or blindWalk the line under pressure; remove every tag and blind you installed and count them; fire watch final check before leavingOperator, fire watchLow

Stop work

Any one of these and the job stops until it is settled.

  • Any gas reading above the permit limit
  • Wind above what the permit allows
  • Anyone not on the JSA entering the area
  • A leak during the test

Crew sign-off

Everyone on this job signs before work starts. A JSA filled in by one person in the truck is a form, not a JSA.

Name (printed)SignatureTime onTime off

Supervisor. Sign here if any step is still High after its controls, before that step starts.

Supervisor Date

Pump skid teardown

Tear down, repair and reassemble a triplex pump skid in the yard. Crew: mechanic, helper, forklift or picker operator as needed.

Starting point. Yard work feels safer than the pad and the injury log says otherwise.

Download the PDFor fill it in below and print it

Pump skid teardown: steps, hazards, controls, who does what, and the risk left after the controls.
#TaskHazardsControlsWhoResidual
1Set up the work areaTrips over hoses and parts; forklift traffic through the bayMark the area; one path in and out; parts on a table or in a bin, not on the floorHelperLow
2Isolate energy: electrical, hydraulic, stored pressure, gravityUnexpected start; hydraulic injection; a raised component fallingLock and tag every source; bleed hydraulics to zero and verify; block or crib anything that can fall; try the start before workingMechanicMedium
3Drain fluidsSlips; skin contact; hot oil if recently runDrain pans in place before opening; let it cool; gloves and eye protection; absorbent at handHelperLow
4Remove heavy components with the liftCrush under a load; rigging failure; hand between load and frameRated rigging inspected before the lift; tag lines, not hands, to guide; nobody under the load; set on cribbing, never on a handLift operator, mechanicMedium
5Disassemble the fluid endSpring-loaded parts releasing; pinch at the cover; struck by a stuck part coming freeKnow which parts are under spring load before you pull them; pullers, not pry bars, on stuck parts; face turned when it lets goMechanicMedium
6Clean and inspect partsSolvent exposure; compressed air; flying debrisSolvent per its label, gloves and eye protection; air below 30 psi for cleaning and never at a person; parts washer lid downHelperLow
7Reassemble and torquePinch during alignment; wrench slip; wrong torqueAlignment pins before fingers; torque to the manual, in sequence; second person checks the sequenceMechanic, helperLow
8Remove locks, test runStart with a hand or tool still inside; leak under pressureEveryone accounts for their own lock; walkdown before the first start; stand clear for the first run; check for leaks at low pressure firstMechanicMedium

Stop work

Any one of these and the job stops until it is settled.

  • A lock you did not put on
  • A part under spring load you were not expecting
  • Anything raised without cribbing under it

Crew sign-off

Everyone on this job signs before work starts. A JSA filled in by one person in the truck is a form, not a JSA.

Name (printed)SignatureTime onTime off

Supervisor. Sign here if any step is still High after its controls, before that step starts.

Supervisor Date

To fill one in here: type straight into any cell, including the three blank rows at the bottom of each table. Then print with Ctrl+P, or Cmd+P on a Mac. The printed sheet comes out landscape on white paper with a crew sign-off block on it, the same as the PDF.

The same form, with the signatures on it

In the F&H STAC app this is the same form. The difference is that each hand signs it on his own phone under his own login, it saves with no signal and goes up when the truck finds one, and the signed copy is in your register the same day, not in a binder in the truck. If you would rather see that than read about it, book a consult and I will walk you through it on your own work.

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