IJM CONSTRUCTION SDN BHD

PJ 8 DEVELOPMENT PROJECT
APPENDIX 2

CHECKLIST FOR CONFINED SPACES:

Do not enter a confined space unless you have considered every question.

YES NO YES NO
Is entry required? WRITTEN
PROCEDURES
TRAINING
Has the employer
Have you been properly established a written
trained in the use of a procedure?
respirator if you are
Has the emplyer
Have you received first-aid identified the procedures to
training? follow while in a confined
space?
Have you been trained on
confined space entry? Has the employer
identified the protective
Hav you read the equipment?
procedures on entry into a
confined space and signed Have the written
them? procedures been explained
to you?
Have the written
procedures been signed by Does the ventilation
a qualified person? equipment have an alarm
that will activate if the
Are there emergency equipment fails?
procedures?
will the ventilation
TESTING equipment be monitored
constantly by a qualified
Has a qualified person employee?
been appointed to do
appropriate tasks? ISOLATION

Is the testing equipment Has the space been

properly calibrated? isolated?(ie., have pipes,
etc., been blanked off?)
Have all areas of the
confined space been tested Has all electrical and
by a qualified person? mechanical equipment in
the space been
Is the oxygen level not less disconnected and locked
than 19.5% and not more out?
than 23.5% by volume?
Is the opening for entry or

Page 1 of 6
Are toxic, flammable, or exit large enough to allow
oxygen-displacing gas passage of a person using
vapours present? protective equipment?

YES
Does the concentration of
any airborne chemical
agent exceed the prescribed
level?
Will the air be monitored
in the space when the
workers are in it?
CLEANING
Have all liquids or free-
flowing solids been
removed or been prevented
by a secure means from
entering the confined
space?
VENTILATING
Has the space been
ventilated before entry?
Will the ventilation be
maintained during entry?
NO YES NO
CLOTHING AND EQUIPMENT
Is special clothing required
Is a safety harness
available?
Is a suitable lifting device
available?
Is special equipment
required?
Are special tools required?
Are all the above supplied?
RESPIRATORY PROTECTION
Do the respirators meet
prescribed standards?
Have the proper respirators
been supplied?

Prepared By

Name : __________________________________

Position : ________________________________

Date/Time :________________________________

Comment:

Page 2 of 6
 C. SPACE ENT. PERMIT NO. CHECK SHEET NO.

EQUESTER ( Contractor or Work Leader)

NAME : DATE :
SIGN : TIME :

Do not enter a confined space unless you have considered every question.

YES NO
A REASON
Is entry required?

B TRAINING

Have you been properly

trained in the use of a
respirator if you are

Have you received first-aid

training?

Have you been trained on

confined space entry?

Hav you read the

procedures on entry into a
confined space and signed
them?

C WRITTEN PROCEDURE

Has the employer

established a written
procedure?

Has the emplyer

identified the procedures to
follow while in a confined
space?

Has the employer

identified the protective
equipment?

Have the written

procedures been explained
 to you?

Have the written

procedures been signed by
a qualified person?

Are there emergency

procedures?

D TESTING

Has a qualified person

been appointed to do
appropriate tasks?

Is the testing equipment

properly calibrated?

Have all areas of the

confined space been tested
by a qualified person?

Is the oxygen level not less

than 18% and not more
than 23% by volume?

Are toxic, flammable, or

oxygen-displacing gas
vapours present?

Does the concentration of

any airborne chemical
agent exceed the prescribed
level?

Will the air be monitored

in the space when the
workers are in it?

E CLEANING

Have all liquids or free-

flowing solids been
removed or been prevented
by a secure means from
entering the confined
space?

F VENTILATING
 Has the space been
ventilated before entry?

Will the ventilation be

maintained during entry?

Does the ventilation

equipment have an alarm
that will activate if the
equipment fails?

will the ventilation

equipment be monitored
constantly by a qualified
employee?

G ISOLATION

Has the space been

isolated?(ie., have pipes,
etc., been blanked off?)

Has all electrical and

mechanical equipment in
the space been
disconnected and locked
out?

Is the opening for entry or

exit large enough to allow
passage of a person using
protective equipment?

H CLOTHING AND EQUIPMENT

Is special clothing required

Is a safety harness
available?

Is a suitable lifting device

available?

Is special equipment
required?

Are special tools required?

 Are all the above supplied?

I RESPIRATORY PROTECTION

Do the respirators meet

prescribed standards?

Have the proper respirators

been supplied?

J STANDBY RESCUE

Are the standby persons in

attendance outside the
confined space when
required?

Are they in communication

with you while you are
inside?

Is there a suitable alarm

device for summoning
assistance?

Is your safety harness

securely attached to a life
line?

Do the standly persons

have protective equipment
and emergency equipment
for possible rescue?

Do the standly persons

have first-aid training?

Are emergency and

protective equipment for
use in rescue identified?