Compliance Inspection Sheet - Confined Space

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation Criteria

• Is the Permit currently valid for the Confined Space

  Yes

  No

  N/A

• Permit requirements complied with - access, gas monitoring, isolation, housekeeping, ventilation, etc.

  Yes

  No

  N/A

• Confined space entry procedure is attached to permit with any additional JHA's. MSDS's attached to permit and complied with

  Yes

  No

  N/A

• Communications in place, suitable and understood by employees

  Yes

  No

  N/A

• JHA accounts for daily conditions and change management processes

  Yes

  No

  N/A

• Access - internal and external conducive to safe entry

  Yes

  No

  N/A

• Pre-entry briefing was conducted and sign off completed

  Yes

  No

  N/A

• Emergency evacuation plan in place and understood by employees

  Yes

  No

  N/A

• Stand-by person identified, in position, understands the responsibilities

  Yes

  No

  N/A

• Entry leader identified and understands responsibilities

  Yes

  No

  N/A

• Correct signage in place "No Unauthorised Access", "Confined Space - No Unauthorised Entry"

  Yes

  No

  N/A

• Personal locks and danger tags attached to hasp at permit

  Yes

  No

  N/A

• Emergency lighting installed and functional

  Yes

  No

  N/A