CONFINED SPACE ENTRY CHECKLIST

Name of Vessel / Area Date& Time ...

Name of Auditor(s) . Audi tee Name ...
OBSERVATIONS
Is there a standby Man on duty?
Does he know his responsibility?
Is ventilation sufficient?
Gas Testing (LEL & O2) done? Record?
Does Standby Man aware about vessel
entry hazards?
Is there a valid permit to work available?
Does PTW cover work being done?
Is there a current Entry Permit / Checklist?
Is the confined space clearly identified on
RA?
Is there a rescue plan available?
Does the standby man have emergency
communication media?
Name equipment?
Does the standby Man have a entry sheet?
Does the Standby Man maintain entry
sheet?
Does the stand by Man know Emergency
Procedure?
Is housekeeping adequate ?( In & Out )
Is the lighting adequate?

N/A

COMMENTS

Is hot work plan in the confined space?

Is combustible/flammables removed?
Is there a fire extinguisher available?
Does Standby Man train to use fire
extinguisher?
Does Standby Man know about PTW & RA
of Entry?
Does rescue team know about entry &
location of vessel entry?
Sign of NO Entry available & posted on
vessel man way?

Auditors Comments:

..

Signature of Auditor (S)

Signature of Auditor (S)