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Environmental Health and Safety 2408 Wanda Daley Drive Ames, Iowa 500113602 Phone: 515 2945359 www.ehs.iastate.eduCONFINED SPACES ENTRY PLAN IDENTIFICATION Name of confined space: Location: Space
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How to fill out confined spaces entry permit

01
Gather all the necessary information about the confined space, such as its location, size, and potential hazards.
02
Identify all the individuals involved in the entry, including the authorized entrants, attendants, and supervisors.
03
Develop an entry plan that addresses the specific hazards and controls to be implemented.
04
Communicate the entry plan and any important information to all the involved individuals.
05
Ensure that all the necessary equipment and tools are available and in proper working condition.
06
Conduct a thorough inspection of the confined space to verify its safety, including testing the atmosphere for any toxic gases or low oxygen levels.
07
Issue the Confined Spaces Entry Permit, clearly stating the entry conditions, precautions, and time limits.
08
Review and confirm that all the required safety measures have been implemented before allowing entry.
09
Continuously monitor the work inside the confined space and have a standby rescue team on hand.
10
After completion, close out the permit and document any observations or incidents that occurred during the entry.

Who needs confined spaces entry permit?

01
Any individual or organization that plans to enter a confined space for work purposes needs a Confined Spaces Entry Permit.
02
This includes workers, contractors, maintenance personnel, and anyone who may come into contact with the confined space.
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A confined spaces entry permit is a document that grants authorization for personnel to enter a confined space and outlines the safety protocols and procedures to ensure their safety.
Typically, employers or supervisors are required to file a confined spaces entry permit, specifically when workers will be entering confined spaces that pose potential health or safety risks.
To fill out a confined spaces entry permit, one must include details such as the location of the confined space, the purpose of entry, participants involved, potential hazards, required safety measures, and emergency procedures.
The purpose of a confined spaces entry permit is to ensure that all safety protocols are followed and that all hazards are assessed and mitigated before personnel enter the confined space.
Information that must be reported includes the specific location, date and time of entry, names of personnel entering, hazard assessment, safety precautions taken, and the names of the individuals who authorize and monitor the entry.
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