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Alternate Confined Space Entry Procedure Certification Form Please fill out this form and email or fax the completed form to Environmental Health & Safety (EHS). SECTION 1 ENTRY SUPERVISORS INFORMATION
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How to fill out alternate confined space entry

01
Identify the confined space and its hazards.
02
Determine if the space can be made safe through elimination or control of hazards.
03
Ensure that all personnel involved are trained in confined space entry procedures.
04
Perform atmospheric testing to assess the conditions inside the space.
05
Develop an alternate entry plan that includes specific procedures and safety measures.
06
Document the alternate entry plan, including roles and responsibilities.
07
Review the plan with all team members before proceeding with the entry.
08
Ensure that rescue equipment is readily available and a rescue plan is in place.
09
Monitor the conditions inside the space throughout the duration of the entry.
10
Conduct a debriefing after the work is completed to discuss any issues or improvements.

Who needs alternate confined space entry?

01
Workers who are required to enter a confined space that cannot be made safe for standard entry.
02
Supervisors and safety personnel responsible for ensuring compliance with safety regulations.
03
Emergency responders who may need to assist in confined space rescues.
04
Companies operating in industries such as construction, manufacturing, and wastewater management.
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Alternate confined space entry is a method utilized in situations where the standard confined space entry procedures cannot be followed, often involving specific safety measures and protocols to ensure the safety of workers entering these spaces.
Employers or designated safety personnel responsible for managing confined space operations are required to file an alternate confined space entry plan when standard procedures are not applicable.
To fill out an alternate confined space entry, one must complete the designated forms ensuring all required safety measures are outlined, including risk assessments, safety equipment used, and personnel involved in the entry.
The purpose of alternate confined space entry is to provide safety guidelines and procedures for entering spaces that pose additional hazards beyond those addressed in standard practices.
Information that must be reported includes the nature of the work, identified hazards, safety measures implemented, training records, and names of authorized entrants and attendants.
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