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, CONFINED SPACE, AUGUST 2009 PAGE 8APPENDIX A Confined Space Entry Permit Location of space: Date: Time: Expiration: Purpose of entry: Authorized Entrant(s): Attendant(s): Entry Supervisor: Hazards:
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How to fill out confined space entry permit

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How to fill out confined space entry permit

01
Gather all necessary information about the confined space, including its location, dimensions, and potential hazards.
02
Identify and assess all potential hazards associated with the confined space entry.
03
Develop a safe entry plan that includes the necessary control measures to mitigate identified hazards.
04
Fill out the confined space entry permit form, including all required information such as date, time, and duration of the entry.
05
Include a list of authorized personnel who will be entering the confined space, along with their qualifications and training records.
06
Specify the required personal protective equipment (PPE) that must be worn during the entry, including respiratory protection, fall protection, and any specialized equipment.
07
Indicate the atmospheric monitoring procedures that will be used to ensure safe air quality within the confined space.
08
Obtain necessary signatures and approvals from designated personnel, such as the entry supervisor and permit issuer.
09
Before starting the entry, conduct a thorough pre-entry inspection of the confined space and ensure all control measures are in place.
10
Communicate the details of the entry permit to all authorized personnel involved and ensure that everyone is aware of their roles and responsibilities.
11
Carry out the confined space entry activities according to the approved permit and the established safe entry plan.
12
Continuously monitor conditions inside the confined space and conduct periodic checks to ensure the safety of the personnel.
13
Upon completion of the entry, document any incidents, observations, or near misses that occurred during the process.
14
Conduct a post-entry evaluation to identify any lessons learned and make necessary improvements to the confined space entry procedure.
15
Keep a record of the confined space entry permit and related documentation for future reference and compliance purposes.

Who needs confined space entry permit?

01
Any individual or organization that intends to enter a confined space for work or any other authorized purpose needs a confined space entry permit.
02
Examples of individuals who may need a confined space entry permit include maintenance personnel, construction workers, welders, electricians, and industrial inspectors.
03
Employers are responsible for ensuring that their employees or contractors follow proper procedures and obtain the necessary confined space entry permits.
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A confined space entry permit is a document that authorizes employees to enter a confined space, ensuring that specific safety measures and procedures are followed to protect workers.
Employers are required to file a confined space entry permit for any work that involves employees entering confined spaces, as part of their compliance with safety regulations.
To fill out a confined space entry permit, employers must complete the form by providing details such as the location of the confined space, the names of workers entering, the hazards present, emergency procedures, and safety precautions taken.
The purpose of a confined space entry permit is to ensure safe entry into confined spaces by outlining the hazards, mitigating measures, and emergency procedures, thereby protecting workers' health and safety.
Essential information includes the name and location of the confined space, hazards identified, names of authorized entrants, monitoring results, and the safety measures in place.
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