Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • On the confined space diamond, a low hazard checked checkbox means what?

  • On the confined space diamond, a medium hazard checked checkbox means what?

  • Contents of pipes and supply lines can create dangerous conditions if permitted to enter a confined space. To ensure this does not happen, workers must ________ prior to entering a confined space which presents this risk.

  • Noise levels inside the vessel can be intensified up to ___ times by reverberation.

  • Atmospheric testing of all designated confined spaces must be completed how many minutes prior to pre-entry of a worker?

  • Before going into any confined space, workers must review the ____________

  • When should positive pressure ventilation be used?

  • Audit a recent confined space permit, ensure pre-entry assessment is filled out accurately and signed by the appropriate personnel

  • Audit a recent hole watch / standby sheet to ensure it is filled out correctly

  • Observe a hole-watch dipping a confined space, ensure all levels are checked and that each level is sampled for the appropriate time as per SWP & hose length

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