Title Page

  • Conducted on

  • Prepared by

  • Location

  • Some safe practices are used.

  • Written program specifies: <br>• Roles and responsibilities;<br>• Safe entry procedures; <br>• The process for authorization to enter;<br>• Equipment and tools required for safe entry;<br>• Inspection and calibration requirements for tools and equipment; <br>• Rules and procedures regarding entry and non-entry rescue<br>• Employee training requirements.<br><br>A revision log shall be included as part of the written program.

  • Inventory of confined spaces has been completed and each space has been categorized (i.e. permit required). Spaces have been labeled. (Review inventory. Check spaces for labels.)

  • Equipment and tools needed for safe entry have been defined and purchased. (Review entry procedures and verify equipment and tools are available.)

  • What is needed

  • Written program is reviewed annually and updated as necessary. The revision log has been maintained to reflect the annual review and any other changes made to the written program throughout the year.

  • Trainers are competent and qualified to train on the subject matter

  • Trainers are competent and qualified to train on the subject matter. (Review experience of trainers and/or interview trainer. Internal trainers must attend external training every three years, or more frequently if required by law, to stay current on the subject matter.)

  • Site maintains a list of qualified employees (entrants, attendants, and entry supervisors) which includes the date of last formalized training and date of last compliance audit.

  • Audits to test compliance with the system occur at a minimum of annually

  • A log of confined space entries is maintained. The log includes the permit number, date of entry, space entered, and outcome.

  • Documentation is available showing willingness and capability of local rescue services (e.g. fire department) to provide confined space rescue services if they have been identified by the site as their method of rescue. Site has offered the rescue service the opportunity to review the spaces and train to verify capability.

  • Entries do not occur if a safe entry procedure is not available or conditions are unsafe.

  • Rules and requirements for confined space entry are strictly followed.

  • Equipment and tools are readily available, in good condition and inspected at specified frequencies

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