Confined Space Job Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

  Sonoco Tacoma

• What is the name of the confined space?

• Take a photo of the confined space

  Media

• Is the space posted with an identification placard place at the entrance of the confined space, which identifies the space and the category of the confined space?

  Yes

  No

• Take a photo of the identification placard

  Media

• Notify the program administrator

• What's the job to be done?

• Equipment to be worked on?

• Name of the Entry Supervisor?

• Name of the Entrant(s)?

• Name of Attendant(s)?

Training

• Have the entrants been trained in the hazards of the entry, the signs of exposure, to properly use the equipment and communicate with the attendant?

  Yes

  No

• Notify the supervisor immediately

• Have the attendants been trained in the hazards of the entry, to recognize behavioral effects of hazard exposure in authorized entrants and to call for rescue services if necessary?

  Yes

  No

• Notify the supervisor immediately

• Have the entry supervisor been trained and qualified so he can identify, evaluate and monitor the hazards related to a confined space?

  Yes

  No

• Notify the supervisor immediately

Equipment and PPE

• Is the entrant wearing proper PPE?

  Yes

  No

  N/A

• Are fall protection gears (harness and lifelines) used?

  Yes

  No

  N/A

• Are the tools to be used explosion proof?

  Yes

  No

  N/A

• Has necessary lighting equipment been provided?

  Yes

  No

  N/A

Pre-operation

• Isolate the space from all hazards

  Yes

  No

  N/A

• Remove unauthorized personnel from the site of entry

  Yes

  No

  N/A

• Perform the lockout procedure

  Yes

  No

  N/A

Confined Space Entry Permit

• Was the specification sheet for this confined space used?

  Yes

  No

• Was a confined space entry permit completed?

  Yes

  No

• Date and time of the permit specified?

  Compliant

  Non-Compliant

• All persons identified with names and/or signatures where required? (entrant(s), attendant, entry supervisor and permit issuer)

  Compliant

  Non-Compliant

• Was the nature of the work specified?

  Yes

  No

• Was air quality testing required, and if so was it documented with a signature?

  Compliant

  Non-Compliant

  N/A

• Were the appropriate preventive measures checked off on the permit?

  Compliant

  Non-Compliant

• Has the entry supervisor signed off on the permit indicating that entry conditions are acceptable?

  Compliant

  Non-Compliant

• Was the completed entry permit posted near the confined space entrance for all involved to observe?

  Yes

  No

Attendant

• Was monitoring done throughout the work period?

  Yes

  No

• Did the attendant remain in visual, auditory or other type of communication with the entrant?

  Yes

  No

• Does the attendant know the steps to follow in the event of an emergency?

  Yes

  No