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CONFINED SPACE ENTRY PERMITRevision #3Location of Work: ___Date: ___Purpose of Work: ___Supervisor: ___Entry Date/Time: ___Expire Date/Time: ___Entrant(s): ______Attendant: ______Air Monitor: ___This
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How to fill out confined space entry

01
Identify the confined space and assess potential hazards.
02
Develop and implement a confined space entry plan.
03
Test the atmosphere in the confined space before entry.
04
Ensure proper ventilation if needed.
05
Provide necessary safety equipment such as harnesses, respiratory protection, and gas detectors.
06
Assign trained workers to enter the confined space and continuously monitor the atmosphere.
07
Communicate with workers inside the confined space using radios or other methods.
08
Have an emergency rescue plan in place in case of an incident.

Who needs confined space entry?

01
Workers who need to enter a confined space for maintenance, cleaning, or other tasks.
02
Employers who are responsible for ensuring the safety of workers in confined spaces.
03
Safety professionals who are involved in developing and implementing confined space entry protocols.
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Confined space entry is the process of entering and working in a space that is not designed for continuous occupancy and has limited means of entry or exit.
Employers and workers who will be entering confined spaces are required to file confined space entry.
Confined space entry must be filled out with information about the location of the confined space, hazards present, entry procedures, and emergency rescue plans.
The purpose of confined space entry is to ensure that workers are aware of the hazards present in a confined space and are trained on how to safely enter and work in these spaces.
Information such as the location of the confined space, hazards present, entry procedures, and emergency rescue plans must be reported on confined space entry.
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