CONFINED SPACE ENTRY SAFETY INSPECTION CHECKLIST

S.No ITEM Yes No

1 Job description of task and purpose of entry is clearly identified.
2 JSA recommendations are implemented and identified in the respective permits
3 Approved blind list attached to the certificate
4 Nearest N2 utility stations identified and locked, Don’t use tag applied.
5 Zero Energy confirmed (Electrical and Mechanical isolation)
6 Gas testing has been Performed by AGT and values accepted. (02, LEL, H2S, VCM etc.)
7 Equipment for continuous/frequent gas testing is ava ilable at site. Personal portable meter is available w ith
8 A ll electrical equipment are equipped with ELCB/GFCI and all electricalequipment used ins ide have < 24 Volts
9 Internal atmosphere is safe for entry (Dust, lighting,ventilation, temperature <45 o C)
10Approved rescue plan and equ ipment is available and understood by all involved
Confined space is secu red w ith clear access and egress w ith no obstruction, chain block and hard
11 barricade is available
12 Trained and certified CSE Watch is available and aware of his roles and responsibilities
13 TBT is conducted and workers aware of task hazards and commun ication
14 PPE's identified in certificate a no work perm it a re ava liable at site