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  • Confined Space Entry Permit (Back)

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    Andy Sayco
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    This document appears to be a checklist for work completed in a confined space, to be filled out by both the issuer and receiver. It includes boxes to check off that atmospheric tests, proper personal protective equipment, ventilation, fire prevention, emergency evacuation plans, and more were in place and provided. The post-entry checklist confirms the site was left clean and orderly with all equipment removed once work was finished.

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    This document appears to be a checklist for work completed in a confined space, to be filled out by both the issuer and receiver. It includes boxes to check off that atmospheric tests, proper personal protective equipment, ventilation, fire prevention, emergency evacuation plans, and more were in place and provided. The post-entry checklist confirms the site was left clean and orderly with all equipment removed once work was finished.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views1 page

    Confined Space Entry Permit (Back)

    Uploaded by

    Andy Sayco
    This document appears to be a checklist for work completed in a confined space, to be filled out by both the issuer and receiver. It includes boxes to check off that atmospheric tests, proper personal protective equipment, ventilation, fire prevention, emergency evacuation plans, and more were in place and provided. The post-entry checklist confirms the site was left clean and orderly with all equipment removed once work was finished.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MUST RETURN TO ISSUER WHEN WORK COMPLETED

    Closed out by Issuer:______________ Time:____________________ Date:________________ Date:________________ YES NO

    Closed out by Receiver:_________________Time:____________________ Item Permit completed properly and entry certificate available and posted on entry door Training Provided to entry team Warning signs and barricades are in place Initial atmosphereric tests performed Proper PPE is provided and used Proper lighting Lifelines provided Access / egress is provided and clear to use Communication methods are established Good ventilation is provided Fire prevention and protection is in place Emergancy plan for personnel evacuation is in place Standby man is available

    Pre - entry, Post entry Checklist Pre-entry Checklist

    Post Entry Checklist Item Site left in clean and well kept condition All compressed gas cylinders properly closed and removed from the confined space All equipment and tools are removed from the confined space. Permit and entry certificate closed out properly. YES NO

    PP710_SCSE_864_2

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