• Document No.

  • Audit Title

  • Site/Location

  • Conducted on

  • Site Supervisor

  • This checklist is designed to be a pre-commencement checklist – either for use prior to actual entry or in the preparation of a Confined Space Entry (CSE) Permit to Work.
    It covers the most prevalent hazards associated with confined space entry but is not intended to be exhaustive – there is space at the end to allow local requirements or hazards to be included.


  • Are all workers inducted to site?

  • Are all workers trained in CSE?

  • Has a risk assessment been completed on the CSE task?

  • Is there a Safe Work Instruction for the task in the CSE?

  • Have all sources of energy been positively isolated?

  • Have the isolations been checked this shift?

  • Is atmospheric testing required and is there an authorised gas tester available?

  • Will constant atmospheric monitoring be required and is there a gas monitor available at the worksite?

  • Have all atmospheric monitors been challenge tested and are they within calibration date?

  • Is there any residue/sludge inside the confined space?

  • Will hot work be conducted inside and have the Hot Work permit controls been assessed and put into place?

  • Is the entry and egress point easy to access without any restrictions?

  • Is lighting required inside – is it Extra low voltage?

  • Is there a rescue plan in place?

  • Are rescuers required at the work front while the entry takes place?

  • Are electrical control boxes and safety switches managed from outside the space?

  • Are all gas cylinders (Oxy/Acetylene, etc.) outside the space and have flashback arrestors fitted?

  • Are Arc welding return leads placed so as to not create an induced current in other electrical equipment?

  • Is respiratory protection required – is it available and have personnel been trained in its use?

  • Have communications been established between the observer / supervisor outside and the work team inside?

  • Is a life line or other fall protection equipment required?

  • Is ventilation required during CSE – forced or natural? Is it monitored for effectiveness?

  • Are barricades required and are they in place?

  • Has the location of temporary equipment been assessed for exhaust, heat, ignition risk, etc.?

  • Is everyone aware of the emergency procedures?


Have specialist PPE been made available in the correct sizes for the work team:

  • - Rubber Boots

  • - Respirators

  • - Goggles and face shields

  • - PVC or other chemical gloves

  • - Welding helmets

  • - Other_______________________________

Sign Off

  • Site Supervisor

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