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GOODYEAR JAPANESE CONFINED SPACE ENTRY PERMIT Space Identification (Confined Space #): Purpose (reason for entry): Date issued (current shift only): PAGE 1 OF 2 Note: This permit is only valid while
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How to fill out confined space entry form

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How to fill out a confined space entry form?

01
Gather necessary information: Start by collecting all the necessary information required for filling out the confined space entry form. This may include the name and contact information of the person entering the confined space, the purpose of entry, the date and time of entry, and any specific hazards or risks associated with the confined space.
02
Assess the risks: Before filling out the form, it is essential to conduct a thorough risk assessment of the confined space. Identify any potential hazards, such as toxic gases, lack of oxygen, or physical obstructions. This will help ensure that the necessary precautions and safety measures are included in the form.
03
Provide details about safety precautions: In the form, include details about the safety precautions that will be taken before, during, and after entering the confined space. This may involve the use of personal protective equipment (PPE), ventilation systems, communication devices, or any other safety measures specific to the confined space.
04
Identify the authorized entrant and attendant: Clearly indicate who will be the authorized entrant(s) and attendant(s) for the confined space entry. The authorized entrant(s) are those who are trained and authorized to enter the confined space, while the attendant(s) are responsible for monitoring the entrant(s) and ensuring their safety.
05
Obtain necessary signatures: The confined space entry form often requires signatures from various individuals involved in the process. This may include the authorized entrant(s), attendant(s), and any supervisory personnel responsible for approving the entry. Make sure to obtain all the required signatures to validate the form.

Who needs confined space entry form?

01
Workers entering confined spaces: Any worker who needs to enter a confined space as part of their job duties requires a confined space entry form. This ensures that they follow proper procedures, understand the risks involved, and take necessary safety measures.
02
Supervisors and safety personnel: Supervisors or safety personnel overseeing work in confined spaces also need to complete a confined space entry form. This helps them ensure that all necessary precautions are in place and provides a record of the entry process.
03
Regulatory authorities: Regulatory bodies responsible for monitoring workplace safety may require organizations to maintain records of confined space entries. This could involve submitting the confined space entry form as part of compliance requirements.
04
Emergency responders: In case of an emergency, emergency responders may need access to the confined space entry form to understand the risks and precautions already established for a particular confined space.
Overall, the confined space entry form is essential for maintaining a safe and organized approach to confined space entries. It serves as a comprehensive record of the entry process and ensures that all necessary safety measures are considered and implemented.
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Confined space entry form is a document used to outline the details of entering and working in confined spaces to ensure safety.
Workers and supervisors who will be entering a confined space are required to file the confined space entry form.
The form should be filled out with details of the confined space, potential hazards, safety measures, and emergency procedures.
The purpose of the confined space entry form is to ensure proper planning, communication, and safety measures are in place before entering a confined space.
Information such as location of the confined space, entry procedures, hazard assessment, rescue procedures, and signatures of workers and supervisors must be reported on the form.
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