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Permit Number: Work Order Number: Confined Space Entry Permit Authorization and Notifications Entry Authorized By (Print and Sign) Notify WSU Rescue Team Justin Size more (336) 391-6659 Steve Bienne
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How to fill out confined space entry permit

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01
The first step in filling out a confined space entry permit is to gather all the necessary information. This includes identifying the specific confined space, noting its location and characteristics, and determining the reason for entry.
02
The next step is to evaluate the potential hazards within the confined space. This involves assessing the presence of toxic gases, lack of oxygen, flammable substances, and any other risks that may pose a threat to the safety of the workers.
03
Once the hazards are identified, appropriate control measures should be implemented. This may include measures such as ventilation, isolation, atmospheric monitoring, and the use of personal protective equipment (PPE) to ensure the safety of the individuals entering the confined space.
04
After the hazards have been addressed, the responsible person or supervisor should document the control measures taken and communicate them to the workers who will be entering the confined space.
05
The confined space entry permit must be filled out accurately and completely. The permit should include details such as the date and time of entry, the names of the authorized entrants, and the names of the attendants and supervisors involved in the process.
06
The permit should also outline the specific tasks to be performed inside the confined space, as well as the expected duration of the entry. It is important to provide clear instructions and guidelines to ensure the safety of everyone involved.
07
Additionally, the permit should indicate the required equipment and tools to be used, including details on their inspection and maintenance records. This ensures that all equipment is in proper working condition and ready to be used safely.
08
The permit should be reviewed and signed by the authorized supervisors and entrants before the entry is allowed to proceed. This signifies their understanding and agreement to comply with the safety measures outlined in the permit.
09
Finally, the completed permit should be kept on-site and readily accessible for inspection by relevant authorities. It is essential to maintain accurate records of confined space entries to facilitate effective safety monitoring and compliance with regulations.

Who needs a confined space entry permit?

01
Any individual or organization that intends to enter a confined space, such as tanks, vessels, pits, tunnels, or other enclosed areas that may pose risks to the safety and health of the workers, will need a confined space entry permit.
02
Contractors, maintenance personnel, emergency responders, or any other individual who needs to access a confined space for work-related purposes must have a permit in order to ensure proper safety protocols are followed.
03
The need for a confined space entry permit is determined by a thorough evaluation of the potential hazards and risks associated with the specific confined space. It is crucial to prioritize the safety of individuals and ensure that necessary precautions are taken before entering these potentially dangerous environments.
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A confined space entry permit is a document that authorizes entry and work in confined spaces, ensuring that necessary precautions are taken to protect workers from potential hazards.
Employers or individuals responsible for the safety of workers entering confined spaces are required to file a confined space entry permit.
To fill out a confined space entry permit, one must provide detailed information about the confined space, the work to be performed, potential hazards, safety measures, and emergency procedures.
The purpose of a confined space entry permit is to ensure that safe work practices are followed when entering and working in confined spaces, to prevent accidents and protect workers from harm.
A confined space entry permit must include information such as the location of the confined space, assigned personnel, hazard assessment, safety measures, authorization signatures, and emergency contact information.
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