Isolate the space from all hazards

Remove unauthorized personnel from the site of entry

Perform the LOTO procedure

Check for blocking inlets, etc

Ventilate the space (if required)

Fill out the Entry Permit

Evaluate the space

Test the atmosphere

Enter atmosphere readings on the permit

Place the completed permit on or near the PRCS

Work In-Progress

Enter the space and proceed with work

Check if the supervisor is available

Check if attendant at the entry site

Check if safety harness is utilized

Required PPE is being worn

Retest atmoshpere as needed / required

Post operation

Remove all personnel, tools, and debris from the space

Close the space

Cancel the permit

Review the job with the employer (hazards, problems, etc.)

File the completed and closed permit


Enter recommendations here

Full Name and Signature of Inspector