RECOMMENDATIONS FOR SAFE ENTRY: A CHECKLIST

Use the following checklist to evaluate the confined space.

DO NOT ENTER A CONFINED SPACE UNTIL YOU HAVE CONSIDERED EVERY QUESTION, AND HAVE DETERMINED THE SPACE TO BE SAFE.

YES

NO

 
   

Is entry necessary?

YES

NO

TESTING

   

Are the instruments used in atmospheric testing properly calibrated?

   

Was the atmosphere in the confined space tested?

   

Was Oxygen at least 19.5% - not more than 21%?

   

Were toxic, flammable, or oxygen-displacing gases/vapours present?

Which of the following gases are identified?

Hydrogen Sulfide

 

Carbon Monoxide

 

Methane

 

Carbon Dioxide

 

Other (list)

 
   

YES

NO

MONITORING

   

Will the atmosphere in the space be monitored while work is going on?

   

Continuously?

   

Periodically?

   

(If yes, give interval: ................)

REMEMBER - ATMOSPHERIC CHANGES OCCUR DUE TO THE WORK PROCEDURE OR THE PRODUCT STORED. THE ATMOSPHERE MAY BE SAFE WHEN YOU ENTER, BUT CAN CHANGE VERY QUICKLY.

YES

NO

CLEANING

   

Has the space been cleaned before entry is made?

   

Was the space steamed?

   

If so, was it allowed to cool?

YES

NO

VENTILATION

   

Has the space been ventilated before entry?

   

Will ventilation be continued during entry?

   

Is the air intake for the ventilation system located in an area that is free of combustible dusts and vapors and toxic substances?

   

If atmosphere was found unacceptable and then ventilated, was it re-tested before entry?

YES

NO

ISOLATION

   

Has the space been isolated from other systems?

   

Has electrical equipment been locked out?

   

Have disconnects been used where possible?

   

Has mechanical equipment been blocked, chocked, and disengaged where necessary?

   

Have lines under pressure been blanked and bled?

YES

NO

CLOTHING/EQUIPMENT

   

Is special clothing required (boots, chemical suits, glasses. etc.)?
(If so, specify:............... )

   

Is special equipment required (e.g. rescue equipment. communications equipment, etc.)?
(If so, specify: ..........................................)

   

Are special tools required (e.g., spark proof)?
(If so, specify:.................................. )

YES

NO

RESPIRATORY PROTECTION

   

Are approved respirators of the type required available at the work site?

   

Is respiratory protection required (e.g., air-purifying, supplied air, self-contained breathing apparatus. etc.)?
(If so, specify type:..................................... )

   

Can you get through the opening with a respirator on?
(If you don’t know, find out before you try to enter.)

YES

NO

TRAINING

   

Have you been trained in proper use of a respirator?

   

Have you received first aid/CPR training?

   

Have you been trained in confined space entry and do you know what to look for?

YES

NO

STANDBY/RESCUE

   

Will there be a standby person on the outside for constant visual or auditory communication with the person inside?

   

Will the standby person be able to see and/or hear the person inside at all times?

   

Has the standby person(s) been trained in rescue procedures?

   

Will safety lines and harness be required to remove a person?

   

Are company rescue procedures available to be followed in the event of an emergency?

   

Are you familiar with emergency rescue procedures?

   

Do you know who in to notify and how in the event of an emergency?

YES

NO

PERMIT

   

Has a confined space entry permit been issued?

   

Does the permit include a list of emergency telephone numbers?

The permit is an authorization in writing that states that the space has been tested by a qualified person, that the space is safe for entry; what precautions, equipment, etc. are required ; and what work is to be done.


For further information on confined spaces, occupational hazards, safe work practices, and other topics which could affect your well-being, write to or consult to chief inspector of factories of your state.

 

 
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