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CONFINED SPACE ENTRY FORM Eastern Illinois University Title: Name (Please Print): This form applies to one location only, and cannot be issued for a time period exceeding an uninterrupted shift. Supervisor
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How to fill out confined space entry form

How to fill out confined space entry form:
01
Begin by gathering all necessary information, such as the date, location, and duration of the work being done in the confined space.
02
Identify and document any hazards or potential risks associated with the confined space. This may include noting the presence of toxic gases, combustible materials, or limited ventilation.
03
Determine the safety measures and precautions that will be implemented to mitigate the identified hazards. This may involve the use of personal protective equipment, proper ventilation, or the presence of an entry attendant.
04
Document the personnel involved in the confined space entry. This should include the names, roles, and qualifications of all individuals who will be working inside the confined space.
05
Outline the procedures for entering and exiting the confined space. This should include specific steps and precautions to ensure the safe entry and exit of workers.
06
Ensure that all necessary permits and authorizations are obtained before beginning work in the confined space. This may include permits for hot work, electrical work, or hazardous substance handling.
07
Clearly identify the emergency procedures to be followed in the event of an incident or accident. This should include contact information for emergency services, evacuation routes, and rescue procedures.
08
Review the completed form to ensure that all information is accurate and complete. Make any necessary revisions or additions before submitting the form.
Who needs confined space entry form:
01
Employers or project managers who oversee work in confined spaces need the confined space entry form. This form is essential for ensuring compliance with safety regulations and minimizing the risks associated with confined space work.
02
Workers or individuals who will be entering and working in confined spaces must also be aware of and have access to the confined space entry form. This allows them to understand the potential hazards and safety measures associated with their work and enables them to take necessary precautions.
03
Safety personnel or inspectors responsible for monitoring and enforcing safety regulations may require the confined space entry form to assess the adequacy of safety measures in the confined space and ensure compliance with regulations.
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What is confined space entry form?
The confined space entry form is a document that provides information about the entry and work being conducted in a confined space. It includes details such as the location of the confined space, the work to be performed, the entry permit number, and the personnel involved.
Who is required to file confined space entry form?
Employers or contractors who are conducting work in confined spaces are required to file the confined space entry form. They must ensure compliance with safety regulations, assess potential hazards, and obtain proper permits before entry.
How to fill out confined space entry form?
To fill out the confined space entry form, you need to provide information about the confined space, work being conducted, hazards present, and safety measures in place. You should include details such as entry permit number, date and duration of work, names of personnel involved, and emergency contact information.
What is the purpose of confined space entry form?
The purpose of the confined space entry form is to ensure the safety of workers entering confined spaces. It helps in assessing and controlling the potential hazards associated with confined spaces, communicating necessary information to personnel involved, and maintaining compliance with safety regulations.
What information must be reported on confined space entry form?
The confined space entry form should include information such as the location and description of the confined space, potential hazards and control measures, the entry permit number, date and duration of work, names of personnel involved, and emergency contact information.
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