Title Page
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Project
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Sewer Structure
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Conducted on
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Prepared by
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Document No.
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No smoking, welding or fires within 6.0m of entrance to confined space<br>
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Safety line used when access chamber is more than 2.0m deep<br>
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Self rescue breathing sets available<br>
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Electronic gas detection meter used prior to entry<br>
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Peak gas levels at a safe level<br>
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Three qualified personnel in working party<br>
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Equal number of personnel at the surface as down below<br>
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Communication maintained at all times between surface and below<br>
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All personnel hold current confined space entry record of training<br>
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Harness is being worn in access chambers greater than 2.0m deep<br>
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Confined space entry form completed and sighted<br>
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Radio or telephone communication available on site<br>
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Communication with Water Agency at entry and exit to confined space<br>
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Safety equipment is in good order, compliant to standards<br>
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Three qualified personnel in working party<br>
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Equal number of personnel at the surface as down below<br>