To be completed by the Assessor to assist in the process of determining unit competency.
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Recognise and Demonstrate an understanding of the process of preparing a confined space for entry.
Confined Space JSA completed for a simulated task involving Hot Work.
C/S Entry Permit raised and issued to Permit Holder
Stand-by Person Appointed and recorded on the permit
Recognise & Describe the need for and the understanding of the process of atmospheric testing and monitoring.
Gas Testing organised and results recorded on C/S Entry Permit
Continuous Monitoring considered
Recognise & Describe safety confined space entry techniques.
Sign onto a c/s entry permit
Consider PPE requirements
Re-validate permit when conditions change
Alarm raised in an emergency situation
Recognise & Describe an understanding of the process of withdrawing the permit after the work is finished.
C/S returned to normal operational status
Entry Permit cancelled
Documentation processed in accordance with site procedures (Archived)
Date/Time Assessment Completed:
Assessor's Name & Signature:
Participant's Name & Signature:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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