Confined Space Permit Format

A Confined Space Entry Permit is a critical document that ensures safety protocols are followed when workers enter confined spaces, which are areas not designed for continuous occupancy and may present hazards such as limited entry or exit points, poor ventilation, or potential exposure to hazardous substances. The permit serves to identify, communicate, and mitigate these risks, ensuring that all necessary precautions are in place before entry.

Key Components of a Confined Space Entry Permit:

1. General Information:
   • Date and Time Issued: Specifies when the permit becomes active.
   • Date and Time of Expiration: Indicates when the permit is no longer valid.
   • Job Site/Space Identification: Details the specific location and identification of the confined space.
   • Purpose of Entry: Describes the work to be performed within the space.
2. Personnel Involved:
   • Entrant(s): Names of individuals entering the confined space.
   • Attendant(s): Names of individuals stationed outside to monitor the entrants.
   • Entry Supervisor: Person responsible for authorizing and overseeing the entry.
3. Hazard Identification and Control Measures:
   • Potential Hazards: Identification of hazards such as atmospheric dangers, entrapment, or engulfment.
   • Isolation Methods: Procedures to isolate the space from hazards (e.g., lockout/tagout).
   • Ventilation Requirements: Measures to ensure adequate airflow and removal of contaminants.
4. Atmospheric Testing:
   • Pre-Entry Readings: Measurements of oxygen levels, flammable gases, toxic substances, etc., before entry.
   • Continuous Monitoring: Ongoing assessment of atmospheric conditions during occupancy.
   • Acceptable Entry Conditions: Defined safe ranges for atmospheric parameters.
5. Personal Protective Equipment (PPE):
   • Required PPE: List of necessary equipment such as respirators, gloves, and protective clothing.
   • Equipment Inspection: Confirmation that all PPE has been inspected and is in good condition.
6. Communication Procedures:
   • Methods: Means of communication between entrants and attendants (e.g., radios, hand signals).
   • Emergency Signals: Predefined signals to indicate distress or the need for evacuation.
7. Rescue and Emergency Services:
   • Rescue Equipment: Availability and readiness of rescue tools and devices.
   • Rescue Personnel: Names and contact information of trained rescue team members.
   • Emergency Procedures: Detailed steps to follow in case of an incident.
8. Authorization:
   • Signatures: Sign-offs from the entry supervisor, entrants, and attendants, confirming that all safety measures are understood and in place.
   • Permit Posting: Requirement to post the permit at the entry site for the duration of the work.