Confined Spaces Checklist.

• Audit Title

• Squadron

• Conducted on

  Date

• Inspector

• Location
  Address

• Supervisor

23.11. Confined Spaces Checklist

• Has the commander and/or functional manager developed and implemented a written<br>confined space program? AFI 91-203 para. 23.2.7

  Yes

  No

  N/A

• Does the commander and/or functional manager ensure personnel who support the permit required confined space program are properly trained, equipped and qualified? AFI 91-203 para. 23.2.7.2

  Yes

  No

  N/A

• Does the commander and/or functional manager ensure required equipment is available and properly maintained? AFI 91-203 para. 23.2.7.3

  Yes

  No

  N/A

• Does the commander and/or functional manager maintain a current list of all confined spaces, both permit-required and non-permit, under the control of their organization? AFI 91-203 para. 23.2.7.4

  Yes

  No

  N/A

• Does the entry supervisor have a copy of the MEP? AFI 91-203 para. 23.2.8.1

  Yes

  No

  N/A

• Prior to the start of entry operations, does the entry supervisor ensure workers are properly trained and qualified in safe operating, emergency and egress procedures, and the use of PPE? AFI 91-203 para. 23.2.8.5

  Yes

  No

  N/A

• Prior to allowing entry to the confined space, does the entry supervisor brief workers on the hazards of the operation? AFI 91-203 para. 23.2.8.6

  Yes

  No

  N/A

• Does the confined space attendant maintain an accurate account of all entrants by name and time in and out of the permit-required space? AFI 91-203 para. 23.2.9.1

  Yes

  No

  N/A

• Does the attendant maintain continuous communication with all authorized entrants within the permit-required space via the most viable means of communication? AFI 91-203 para. 23.2.9.3

  Yes

  No

  N/A

• Does the attendant ensure unauthorized persons are not allowed in the permit-required space? AFI 91-203 para. 23.2.9.7

  Yes

  No

  N/A

• As appropriate, does the confined space entrant notify the entry supervisor when hazards existed that had not been previously identified? AFI 91-203 para. 23.2.10.3

  Yes

  No

  N/A

• Does the commander or functional manager identify all confined spaces within their organization, located both on and off the installation? AFI 91-203 para. 23.3.2

  Yes

  No

  N/A

• Do functional managers and entry supervisors ensure the organization‘s confined spaces are evaluated and tested prior to being classified? AFI 91-203 para. 23.3.2

  Yes

  No

  N/A

• Is initial testing of confined spaces accomplished by a technically qualified member of the installation CSPT prior to the space being classified? AFI 91-203 para. 23.3.3

  Yes

  No

  N/A

• Are danger signs posted at permit-required confined spaces, as appropriate? AFI 91-203 para. 23.3.5

  Yes

  No

  N/A

• Does the entry supervisor establish a frequency for atmospheric monitoring and the type of tests to monitor the tests, and ensures the requirements were entered on the MEP and entry permit? AFI 91-203 para. 23.3.9

  Yes

  No

  N/A

• Does the entry supervisor ensure workers obtain an AF Form 1024, Confined Spaces Entry Permit, prior to entering a permit-required confined space? AFI 91-203 para. 23.5.1

  Yes

  No

  N/A

• Are entry permits, including those canceled or revoked, retained on file for one year? AFI 91-203 para. 23.5.1.2

  Yes

  No

  N/A

• Does the entry supervisor ensure entry into known IDLH spaces are only authorized after the required conditions for IDLH are met? AFI 91-203 para. 23.5.3

  Yes

  No

  N/A

• Does the entry supervisor ensure workers entering IDLH spaces are equipped with proper PPE, including a positive pressure SCBA and a harness of a type suitable to permit extraction of the worker? AFI 91-203 para. 23.5.3.4

  Yes

  No

  N/A

• Does the entry supervisor ensure only explosion-proof or intrinsically safe equipment is used when flammable or explosive atmospheres are present for IDLH operations? AFI 91-203 para. 23.5.3.7

  Yes

  No

  N/A

• Does the entry supervisor ensure a qualified FES Flight specialist is present during all IDLH space operations? AFI 91-203 para. 23.5.3.9

  Yes

  No

  N/A

• When additional hazards are present or may be introduced in a permit-required operation, does the entry supervisor ensure the hazards are adequately addressed on the entry permit? AFI 91-203 para. 23.5.4.4

  Yes

  No

  N/A

• When toxic materials are present or may be introduced in a permit-required operation, does the entry supervisor contact BE to determine the necessity for respiratory protection equipment? AFI 91-203 para. 23.5.4.4.1

  Yes

  No

  N/A

• Does the organization have a MEP, as appropriate? AFI 91-203 para. 23.5.4.10

  Yes

  No

  N/A

• Are entry permits revoked whenever any testing in the space is not within established parameters in the MEP? AFI 91-203 para. 23.5.4.10.5

  Yes

  No

  N/A

• Is an AF Form 592, USAF Welding, Cutting, and Brazing Permit, obtained by workers prior to performing hot riveting, welding, cutting, burning or heating operations within a confined space? AFI 91-203 para. 23.5.5

  Yes

  No

  N/A

• Does the commander or functional manager ensure non-permit required confined spaces are reviewed periodically (but no less than annually)? AFI 91-203 para.e 23.5.6.2

  Yes

  No

  N/A

• Does the MEP include emergency and rescue procedures consistent with the nature of each operation that requires entry into a permit-required confined space? AFI 91-203 para. 23.6.1

  Yes

  No

  N/A

• Does the entry supervisor ensure an organization rescue team is available when the installation FES Flight is unable to provide a team? AFI 91-203 para. 23.6.1.3

  Yes

  No

  N/A

• Does the entry supervisor ensure all members of the rescue team is trained and current in CPR and basic first aid during permit-required confined space entry operations? AFI 91-203 para. 23.6.1.3.2

  Yes

  No

  N/A

• Does the entry supervisor ensure the inspection, testing, maintenance and documentation of safety and rescue equipment are accomplished prior to an operation being performed? AFI 91-203 para. 23.6.2

  Yes

  No

  N/A

• Does the organization have an effective training program that incorporates safe work practices and techniques? AFI 91-203 para. 23.7.1

  Yes

  No

  N/A

• Does the organization ensure each member assigned permit-required confined space duties is trained prior to being assigned? AFI 91-203 para. 23.7.1.3

  Yes

  No

  N/A

• Does the organization ensure all individuals authorized and assigned permit-required confined space entry duties complete site-specific training? AFI 91-203 para. 23.7.2

  Yes

  No

  N/A

• Do all rescue team members receive initial and annual hands-on training in removing simulated victims from actual or representative confined spaces? AFI 91-203 para. 23.7.3.1

  Yes

  No

  N/A

• Does the installation CSPT periodically review and assess the rescue team training? AFI 91-203 para. 23.7.5

  Yes

  No

  N/A

• Is confined space training documented on an AF IMT 55, Employee Safety and Health Record, or an authorized computerized information management system? AFI 91-203 para. 23.7.5

  Yes

  No

  N/A

• Does the organization ensure all of the requirements are met prior to a contractor performing work that involves a permit-required confined space entry? AFI 91-203 para. 23.8.1

  Yes

  No

  N/A

• Does the organization coordinate entry operations and procedures with the contractor prior to both organizational and contractor personnel working in a permit-required confined space? AFI 91-203 para. 23.8.2

  Yes

  No

  N/A

• Report Routing

• Supervisor Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Superintendent Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Safety Office Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Wing Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A