Other permits eg permit to work, Hot work, FIFM, Working at heights.
If the answer is YES to any of the questions bellow the controls must be coved on the site specific Risk Assessment
Is there the possibility of contact with electricity / Is LOTO in place?
Are there chemicals present in the confined space? Controls must be put in place to mitigate the hazard of these chemicals?
Trade Waste Flammable gas or substances pressent / Ventilate and use specialist gas tester
Restricted size of access / Is the hatch larger than 450mm x 550mm
Restricted size of chamber / Is the chamber greater than 750mm square / 900mmm for sewer?
Is the structural integrity of the confined space damage or suffers from deterioration?
ERP - Please state below the Emergency response plan it must be documented below and rehearsed before entry.
Has all Mechanical or Electrical Isolation, handover from a competent person been completed
Air Supplied breathing apparatus
Oxygen between 19.5 - 23.5% As per calibration on bottle? Record reading below.
Is Carbon Monoxide below 30ppm As per calibration on bottle? Record reading below.
Flammables under 5%LEL As per calibration on bottle? Record reading below.
Hydrogen Sulphide under 10ppm. As per calibration on bottle? Record reading below.
Gas Test Equipment / Serial Number
Site Induction completed prior to entry: Sign In and Out when working in a confined space. (Including all Visitors). If more people than five people are going to be signed in and out of the confined space a paper based sign in sheet is to be placed at the entry and exit point of the confined space and be managed by the responsible person.
Are all people accounted for and have safely exited the confined space