Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Names of Auditors
-
Name(s) of Employees and Supervisor being audited.
Employee Competencies
-
All personnel can explain what a confined space is, and are aware that entry into a confined space requires specific training, permitting, and safety procedures.
-
Completion Date:
-
Personnel who may enter a confined space can explain how to conduct a hazard assessment, including examples of hazards that may be created by their work (e.g. CO from oxy/acetylene torches, hydrocarbons from paint or solvent, etc.).
-
Completion Date:
-
Personnel who may enter a confined space can define "IDLH" and know that entry into IDLH conditions is not permitted without additional procedures and equipment.
-
Completion Date:
-
Personnel who may be assigned as an entrant, attendant, and/or entry supervisor can explain their specific responsibilities and procedures for their assigned task.
-
Completion Date:
-
Personnel who are assigned to monitor air quality in a confined space can explain the following:
-
How to determine if their gas monitor is in working order and is ready for use.
-
Completion Date:
-
How to operate their gas monitor.
-
Completion Date:
-
How to measure the air inside the confined space with their gas monitor (top, middle, bottom; measure from outside without exposing yourself, etc.).
-
Completion Date:
-
When monitoring must be conducted, and when continuous monitoring is required (as defined in current FCX Confined Space Guideline).
-
Completion Date:
Supervisor Competencies
-
Supervisors can describe how they trust but verify the following for their employees:
-
Entry teams identify all hazards prior to entry.
-
Completion Date:
-
Entry teams implement and maintain effective controls for each hazard prior to and during entry.
-
Completion Date:
-
Entry teams conduct accurate air monitoring using properly calibrated and maintained equipment.
-
Completion Date:
-
Employees properly classify whether a confined space is a non-permit required confined space or a permit required confined space (or confirm they are all treated as PRCS).
-
Completion Date:
Observation of Work Practices
-
Confined spaces are labeled properly.
-
Completion Date:
-
Visit a permit required confined space (PRCS) that is being entered and confirm the following:
-
The PRCS has a valid permit posted in the area.
-
Completion Date:
-
Entrants, entry supervisor, and attendant can explain the specific hazards in the PRCS, and can explain all necessary control measures.
-
Completion Date:
-
LOTOTO requirements have been met.
-
Completion Date:
-
Air monitoring was conducted at the appropriate time and frequency, continuous monitoring is being conducted if necessary (see FCX Confined Space Guideline), gas monitor is properly calibrated.
-
Completion Date:
-
Attendant is present at all times when entrants are in the PRCS, and has no other assignments that might interfere with his/her duties.
-
Completion Date:
-
Emergency response resources are available, and have been notified that the PRCS has been entered. Appropriate retrieval tools and rescue plans are available for the PRCS.
-
Completion Date:
-
Effective means of communication between the attendant and entrant(s) is being used.
-
Completion Date:
-
Entrant and attendant all know the conditions that would prompt immediate evacuation (e.g. Hazardous atmosphere, gas monitor fails, uncontrolled hazard is suspected or observed, entrant experiences symptoms of exposure or medical emergency, communication link fails, outside conditions threaten entrant or attendant, etc.).
-
Completion Date:
-
Auditor(s) Signature
-
Revision 1.0 iCloud posted document is the controlled copy. 07/03/13
-
Completion Date:
