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SEWERS EXHIBIT B Township of Middle Sewer Use Amended 9-17-1992 by Res. No. 214-92; 12-16-2002 by ORD. No. 1120-2002 Application for Sewer Connection Date filed: Account No: This application must

How to fill out model confined space entry

How to fill out a model confined space entry:

1. Begin by providing basic information about the confined space, such as its location, size, and purpose.
2. Identify the potential hazards associated with the confined space, such as toxic gases, lack of oxygen, or physical obstructions.
3. Determine the control measures or safety precautions that will be implemented to mitigate the identified hazards.
4. Specify the equipment needed for entry into the confined space, such as personal protective equipment (PPE), lighting, and communication devices.
5. Develop an entry plan, including the sequence of activities, roles and responsibilities of each team member, and emergency procedures.
6. Conduct a thorough inspection of the confined space before entry to ensure it is safe and meets all necessary requirements.
7. Fill out the model confined space entry form, providing details about the date and time of entry, names of the entry personnel, and any additional observations or precautions.
8. Once the form is completed, review it with all team members involved in the entry to ensure everyone is aware of the plan and any potential risks.
9. Keep a copy of the filled-out form on-site for reference and record-keeping purposes.

Who needs model confined space entry:

1. Companies or organizations that have confined spaces on their premises, such as tanks, vessels, or underground chambers.
2. Workers or contractors who will be entering and working in confined spaces as part of their job duties.
3. Health and safety professionals or supervisors responsible for overseeing and managing confined space entry activities.

For pdfFiller’s FAQs

What is model confined space entry?

Model confined space entry refers to a standardized form or template that is used to document and record information related to the entry and work conducted in confined spaces, ensuring compliance with safety regulations and procedures.

Who is required to file model confined space entry?

It is typically the responsibility of the employer or site supervisor to file the model confined space entry. They are required to ensure that the form is properly completed and submitted according to safety regulations.

How to fill out model confined space entry?

To fill out the model confined space entry, one must provide details such as the location of the confined space, date and time of entry, names of individuals involved, description of the work to be conducted, safety precautions taken, and any potential hazards associated with the confined space.

What is the purpose of model confined space entry?

The purpose of the model confined space entry is to document and communicate important information related to confined space entries, including potential hazards, safety procedures, and the individuals involved. It serves as a record to ensure compliance with safety regulations and to promote the safety of workers.

What information must be reported on model confined space entry?

Information that must be reported on the model confined space entry includes the location of the confined space, date and time of entry, names of individuals involved, description of the work being conducted, safety precautions taken, potential hazards present, and any incidents or accidents that occurred during the confined space entry.

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