Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Work Scope

  • Confined Space Over Veiw

  • Location

  • ISO Number

Confined Space Details<br>EXTERNAL EMERGENCY RESPONSE PROCEDURE<br>1. Notify Emergency Services – 000 and inform them of the nature of the emergency, status of the person (s), directions to the site.<br>Address: 62 Elder road, Birkenhead South Australia<br>2. Ensure spotters are in place to direct emergency services to the location.<br>3. Assist emergency services as required. <br>

  • Numbers Door

  • Door Entry's

  • Entry type

  • Potential Rescue Hazards

  • Will entry and exit to the work area impact on any emergency rescue

Required Confined Space Requirements

  • Rescue Equipment

  • Communication Requirements

  • Possible High Points {Add Photos}

  • Possible Anchor points {Add Photos}

  • Access for use of EWP/Crane

  • Gas Detection Requirements

  • Ventilation

  • Raspatory Protection Equipment

  • Possible Person Required

  • Will rescue be complex and require external assistance

Rescue Break Down • Assess situation to establish if external assistance is required. • If Safe to do so entry space to apply medical treatment to the injured worker if required • If able to assist worker out if space for further medical assessment and possible treatment

  • Confined Space Rescue Break Down

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