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Information
Audit Title
This form is for categorising a place that is substantially (though not always entirely) enclosed and there will be a reasonably foreseeable risk of serious injury from conditions in the space of hazardous substances.
Location
Confined Space Ser No
Take Photograph to show area, confined space and signage.
Facilities
Dave Hill
Ciaran Dorrity
Martin Richards
Richard Mobley
John Warner
Brad Gelston
Assessor if not Facilities Mech Team
Select date
Is the area enclosed or partial enclosed AND have a Specific Risk that makes it a Confined Space.
1. Score each parameter against conditions provided - if in doubt score high.
2. Total your score and compare withcategory/score bands.
DEPTH
ACCESS/EGRESS
VENTILATION
CHANCE OF TOXIC OR FLAMMABLE ATMOSPHERE OR OXYGENDEFICIECY
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