JSA library / Construction

Scaffold Erection & Use JSAJob Safety Analysis template

Putting up, using and taking down frame or system scaffold. 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 and inspect parts	Damaged frames, planks or pins Scaffold not built for the load	A competent person plans the scaffold and inspects parts Tag out bent, cracked or rusted parts Know the load: people, tools and material
02	Set the base	Scaffold settling or tipping Soft or uneven ground	Base plates and mudsills on firm ground; no blocks or bricks Level and plumb before going up Tie to the structure as height requires
03	Erect the scaffold	Falls while building Dropped parts hitting workers below	Fall protection while erecting where feasible Hoist parts with a rope; barricade below Guardrails, midrails and toeboards on working levels
04	Work from the scaffold	Falls from platforms Overloading the scaffold Climbing the cross braces	Fully planked platforms with guardrails (fall protection over 10 ft) Use the built-in ladder or stair access, never the cross braces Competent person inspects before each shift and after wind or changes
05	Dismantle	Scaffold becoming unstable as parts come off Dropped parts	Take down top to bottom; remove ties last as you go Lower parts by rope; keep the area below closed

Don’t forget to check

Overhead Power LinesLightning & High WindFall ExposureTraffic & 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.