– Hole Watch-

Written Assessment Questionnaire

Employee Details
(Employee to complete)

Last Name

Given Names

Occupation Division

Site Signature

Assessment Details
(Instructor to complete)
Assessment
checked by:

Position Date

Result Signature

Question 1
The Hole Watch can stop workers entering the Confined Space if they do not
have the correct PPE? (Put a cross in the appropriate box.)

True

False
Question 2
In an emergency the Hole Watch can leave the place of duty for 10 minutes?
(Put a cross in the appropriate box.)

True

False
Question 3
The entry in / out log should be filled up by supervisor (Put a cross in the
appropriate box or boxes.)

True

False

Rev00
 – Hole Watch-
Question 4
If an emergency occurs outside the confined space, the Hole Watch does not
have the authority to stop the work. (Put a cross in the appropriate box.)

True

False
Question 5
If for any reason, one worker fell down unconscious inside the confined
space, the Hole Watch is responsible for bringing him out. (Put a cross in the
appropriate box.)
True

False
Question 6
In an emergency situation, any body can perform the duties of the Hole
Watch. (Put a cross in the appropriate box.)
True

False
Question 7
The Hole Watch must make sure a means of communicating with the
emergency services is available. (Put a cross in the appropriate box.)
True

False
Question 8
The Hole Watch must make sure the Confined Space has been Gas Tested
before anyone enters. (Put a cross in the appropriate box.)
True

False
Question 9
Managers and Supervisors are allowed to enter the Confined Space if there is
an emergency. (Put a cross in the appropriate box.)
True

False
Question 10
The Hole Watch can enter the Confined Space to check the personnel inside
are okay. (Put a cross in the appropriate box.)
True

Fals

Additional Comments if any :

Rev00