VECTREN Confined Space Operations Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit Overview

Area Safety Consultant
Inspection By
Entry Location
• Add location
  Address

• Date and Time of Confined Space operations

  Date

• Was the location identified on the Confined Space Form?

  Yes

  No

  N/A

• Was the location identified by the Confined Space ID number?

  Yes

  No

  N/A

• Was there a Confined Space sign?

  Yes

  No

  N/A

• Has the Attendant been trained?

  Yes

  No

  N/A

• Has the Entrant been trained?

  Yes

  No

  N/A

• Has the Supervisor been trained?

  Yes

  No

  N/A

• Does each of the above understand his/her specific duties/responsibilities?

  Yes

  No

  N/A

• Understand what happens when alarms go off?

  Yes

  No

  N/A

• Has the equipment been calibrated and recorded on the permit?

  Yes

  No

  N/A

• Is the machine type and S/N recorded on the permit?

  Yes

  No

  N/A

• Has the atmosphere been checked?

  Yes

  No

  N/A

• Is the date & Time recorded correctly from the test?

  Yes

  No

  N/A

• Is the readings from the test recorded using zero as needed?

  Yes

  No

  N/A

• Is continuous testing needed?

  Yes

  No

  N/A

• Has PPE been determined for the area?

  Yes

  No

  N/A

• Has ALL (necessary) PPE been checked off on the form?

  Yes

  No

  N/A

• Is ALL (necessary) PPE being used?

  Yes

  No

  N/A

• Was the NPCS or PRCS determination flow chart used?

  Yes

  No

  N/A

• Are all dates and times correct?

  Yes

  No

  N/A

• Was a Pre-Entry briefing performed?

  Yes

  No

  N/A

• If NPCS, was authorization done?

  Yes

  No

  N/A

• If PRCS, was section completed?

  Yes

  No

  N/A

• Was Permit Authorized?

  Yes

  No

  N/A

• Was Permit Cancelled?

  Yes

  No

  N/A

• Was post entry evaluation done?

  Yes

  No

  N/A

• Is Communication in place?

  Yes

  No

  N/A

• Is Communication working properly?

  Yes

  No

  N/A

• Is a retrieval system needed?

  Yes

  No

  N/A

• If so, is it in place?

  Yes

  No

  N/A