OHSE 15 - BMD - Confined Space

• Document No.

• Audit Title

• Client / Site (displayed on front page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditors

• Has an assessment been made to determine whether the area is a confined space?

  Yes

  No

  N/A

• Is the space?

• Enclosed or partially enclosed?

• Likely to be entered and is it at normal atmospheric pressure?

• Have a limited or restricted entry

• Does the space?

• contain, is it intended to contain, or is it likely to contain harmful levels of atmospheric contaminants, or

• contain, is it intended to contain, or is it likely to contain an unsafe oxygen level, or

• contain, is it intended to contain, or is it likely to contain substances that could cause engulfment

• Can the work be conducted in such a way that removes working win a confined space?

  Yes

  No

  N/A

• Relevant personnel hold a valid Certificate of competency/ accreditation? (All personnel engaged in confined space activities are to provide documented evidence of trained competency)

  Yes

  No

  N/A

• All work involving working near or entry into a confined space has commenced without having a Confined Space Permit current and available?

  Yes

  No

  N/A

• Confined space permit current and available?

  Yes

  No

  N/A

• Confined space SWMS available and controls being followed?

  Yes

  No

  N/A

• Risk assessment process used to determine hazards/ risks associated with confined space entry and works?

  Yes

  No

  N/A

• Are fall from heights controls implemented?

  Yes

  No

  N/A

• Is the emergency response plan known by all workers (including rescue method and responsibilities)

  Yes

  No

  N/A

• There are no ignition sources within the confined space (smoking, grinding, naked flames, spark-generating equipment)

  Yes

  No

  N/A

• If hot works are required, has it been assessed that the hot works are necessary?

  Yes

  No

  N/A

• Rescue Plan developed and accompanying Confined Space Permit?

  Yes

  No

  N/A
• Add location
  Address

• Signed PoMC Representative:

  Sign
Action required?

• Action

• Action due

  Date

• Allocated to

• Signed Principal Contractor Representative (optional):

  Sign