Work Management System Atmospheric Test Record

Permit Number:

Test Frequency:

Area to be Tested:

Prior to work commencing:

Yes

No

Every

Yes

No

Yes

No

Hour(s):

Continuous gas testing required:

Required Tests:
O2

LEL

H 2S

CO

VOC

Benzene

SO2

CO2

Other

Calibration Date:

Detector used:
Comments/Special Precautions:

Results (Pre-Start + Work Period Tests)

CSE Class 1
Limits

CSE Class 2
Limits

19.5 to 23.5%

16% to 19.5%
or > 23.5%

Pre-Start
Test
Result

Result

Result

Result

Result

Result

Result

Date
Time
Oxygen (O2)
Lower Explosive Limit (LEL)
Flammability General Work

1% of LEL (HC)

< 10% of LEL (HC)

Flammability Hot Work/Critical Work

Spark Potential

0% of LEL

0% of LEL

Total Hydrocarbon Content (THC)

< 500 ppm

< 1000 ppm (IDLH)

Hydrogen Sulphide (H2S)

< 5 ppm

< 100 ppm (IDLH)

Carbon Monoxide (CO)

< 25 ppm

< 1200 ppm (IDLH)

Benzene

< 0.5 ppm

< 500 ppm (IDLH)

Sulphur Dioxide (SO2)

< 0.5 ppm

< 100 ppm (IDLH)

Other
Authorized Gas Tester (AGT) Initials:

Section 3.7.1 Atmospheric Test Record

Version 1.1 April 2013