Information
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Confined Space Entry Permit
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Conducted on
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Prepared by
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Location
Entry Permit
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1. Are all personnel currently trained in confined space entry?
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2. Workers are aware of potential hazards?
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3. Hazards have been addressed by using risk controls e.g. PPE, Elimination etc.
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4. Is appropriate signage displayed to alert personnel regarding CSE? i.e. No Entry Signs etc.
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5. If necessary, all energy sources have been isolated
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6. Entry and egress points are clear of obstructions?
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7. The work area is well lit?
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8. There is sufficient ventilation?
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9. Atmospheric Testing (if necessary) has been conducted?
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10. Atmospheric monitors have been challenge tested and are within calibration dates?
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11. If respiratory protection is needed, personnel have been trained in it's use?
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12. If gas cylinders are to be used, they have flashback arrestors fitted?
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13. Is communication available between the work team inside and the supervisor outside?
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14. Workers take regular breaks if a lengthy period of time is needed inside the confined space?
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15. All equipment is safe to use e.g. slings are inspected regularly?
Comments
Recommendation & Evaluation
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