Information
-
Document No.
-
Sudent Name
-
Client / Site
-
Conducted on
-
Prepared by
Site Setup
-
Student chooses correct sign and puts them in place prior to work
-
correct barricades are assembled and positioned
-
Equipment is checked for date and compliance
-
Documentation is completed and signed off correctly
-
Spotter is position at entry
PPE
-
Does the student choose the correct PPE
-
Can the student put the PPE on correctly
-
Does the student comply with the RPE fit test
-
Can the student remove PPE correctly
Tools and Equipment
-
Chooses the correct equipment
-
Identifies isolation procedures
-
checks tools for defects in accordance with policies
-
Shows correct use of equipment
-
Wears harness correctly
Cleanup
-
Work area is made safe
-
Removal of waste and damaged equipment is done in accordance with the Company Policy
-
All tools are cleaned and put away
-
Equipment is checked after use and tagged for service
Declaration
-
I declare that the information included in this report is true and I have witnessed the student participate in the process of confined space entry in accordance with the Legal requirements.
