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4.0 Applicability :
This procedure is applicable to all departments of TRL Krosaki Works including contractors
and their employees.
5.0 Responsibility :
All Heads of Department involved in maintaining confined spaces are responsible for
implementation of the procedure with the help of their representatives.
6.0 Procedure:
S.No Requirement
6.1 Definitions Applicable:
(a) AEL and LEL: The TRL Krosaki acceptable exposure limits(AEL) and lower exposure
limit (LEL) are mentioned in the Confined space work permit form.
(b) Attendant: A person who must be in continual visual or hearing contact with personnel
inside the permit-required confined space. An attendant must be adequately trained to
monitor the activities of personnel inside the space and must perform all attendants’
duties assigned in the procedure of working in Confined Space.
(c) 1.0 - Controlled Space: An enclosed or partially enclosed space, which a person may
enter, where under normal conditions, the area a safe oxygen level has, has no
contamination and no risk of engulfment.
A Controlled Space may become a Confined Space due to the Task Related or Introduced
(Interaction) Hazards of a particular job or task.
2.0 - Confined Space: means any space having a limited means of egress, which is
subject to the accumulation of the toxic or flammable contaminants or has a Oxygen
deficient atmosphere. It may also have moving machinery / electrical or other
accidental / physical / engulfment hazards. Examples of confined spaces are: Pits,
Dikes, Excavations, Cable Tunnels, Sewers, Vessels, Storage Tanks, Gas Holders,
Cyclones, Dust Catchers, Electrostatic Precipitators, Scrubbers, Silos, Vats, Boilers,
Ducts, Pipe Lines, Furnaces, Conveyor tunnels, Manholes, Hoppers, Bins and any
other
equipment or location where entry / exits requires unnatural or temporary
arrangements.
(d) Competent Person: A person declared by Director of Factories and Boilers as
competent under Section 36 of Factory Act 1948 based on qualification, experience
and facilities available at his disposal to certify a confined space as safe to work based
on test / examination of atmosphere carried out by himself.
(e) Contaminant: any dust, fume, mist, vapour, gas or other substance in liquid or solid
form, the presence of which may be harmful to health and safety.
(f) Entrant: A person who has been authorized by his/her employer to enter a confined
space to perform any activity.
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 3 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
(g) Entry Supervisor: The person responsible for determining if acceptable entry
conditions are present in a confined space where entry is planned, for authorizing entry
and overseeing entry operations, and for terminating entry as required by this
procedure.
(h) Stand-by person: a safety watcher assigned to remain on the outside of, and in close
proximity to, the confined space and capable of being in continuous communication
with and to observe those inside, if practicable. In addition, where necessary, initiate
rescue procedures and operate and monitor equipment used to ensure safety during
entry and work in the confined space.
(I) CONFINED SPACE Sec 36 of Factories Act, 1948.
1. No person shall be required or allowed to enter any chamber, tank, vat, pit pipe
flue or other confined space in any factory in which any gas, fume, vapour or dust
is likely to be present to such an extent as to involve risk to persons being
overcome thereby, unless it is provided with a manhole of adequate size or other
effective means of egress.
2. No person shall be required or allowed to enter any confined space as is referred
to in subsection (1), until all practicable measures have been taken to remove any
gas, fume, vapour or dust which may be present so as to bring its level within the
permissible limits and to prevent any ingress of such gas, fume, vapour or dust
and unless –
a. A certificate in writing has been given by a competent person, based on a test
carried out by himself that the space is reasonably free from dangerous gas, fume,
vapour or dust ; or
b. Such person is wearing suitable breathing apparatus and a belt securely attached
to a rope the free end of which is held by a person outside the confined space.
Sec 36-A. Precautions regarding the use of portable electric light.
In any factory –
a) No portable electric light or any other electric appliance of voltage exceeding twenty
four volts shall be permitted for use inside any chamber, tank, vat, pit, pipe, flue or
other confined space [unless adequate safety devices are provided] and
b) If any inflammable gas, fume or dust is likely to be present in such chamber, tank, vat,
pit, pipe, flue or other confined space, no lamp or light other than that of flame proof
construction shall be permitted to be used therein.
6.2 General Requirement:
(a) All the departments shall evaluate the workplace using the checklist attached with this
procedure to identify the confined spaces. Department shall maintain a documented
master list of confined spaces and review this list at least annually to update it. Confined
spaces will have a display “Confined Space
– Do not enter without permit”.
(b) All employees shall be made aware of these confined spaces and associated hazards.
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 4 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
(c) An entry permit as per form is required to enter a confined space that has one or more
of the following characteristics...
(i) Contains or has the potential to contain hazardous air contaminants like CO, NH3,
Acid/Alkali fumes, etc.
(ii) Contains flammable materials/ vapor which can catch fire due to spark or static
charges.
(iii) Due to internal configuration of the space an entrant could be trapped or
asphyxiated (lack of oxygen) or
(iv) Contains any other site specific serious safety or health hazard as identified by the
department.
Example: Hoppers, Boilers, Tanks, Pits, Vessels, Gas Holder, Cyclone, Electrostatic
Precipitators, Scrubbers, Silo, Pipe Line, Oil Cellars, Coke Oven Battery Cellars, Blast
Furnace Stoves, Bins etc.
(d) The authorised permit from the competent person should be taken in written in the
standard entry permit form. Two parts of the form must be filled up as per instructions
given below:
Part-I – Must be authorized and signed by competent person based on test/examination
conducted by him indicating his findings in the format. He shall also recommend periodicity
of work area parameter checking, intermittently, if required.
Part-II – Based on the approval and authentication by competent person in Part-I,
departmental site in charge will issue the permit for work inside the confined space,
indicating checks carried out, to the working agency by filling format in Part-II.
(e) The person responsible for executing the job inside the confined space will maintain a
register indicating list of persons entering into the confined space with Time In and Time
Out by each individual.
(f)The Head department shall ensure that work permit and Clearance for the job to be
done in the confined space are duly provided separately like work permit for Electrical
6.3 Installation, Gaseous Hazard Area, Working at Height, Hot Jobs etc.
RISK ASSESSMENT:
(a) An employer shall ensure that a risk assessment is undertaken by a competent person
before carrying out work involving entry into a confined space. As far as practicable the
assessment shall be in writing and take into account at least the following:
(i) the nature of the confined space;
(ii) the work required to be done, including whether it is necessary to enter the confined
space;
(iii) the range of methods by which the work can be done;
(iv) the hazards involved and associated risks;
(v) the actual method selected and plan proposed; and
(vi) emergency and rescue procedures.
(b) The employer shall ensure that the assessment is revised whenever there is evidence
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 5 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
(i) Elimination;
(ii) Substitution;
(iii) Isolation;
(iv) Engineering controls;
(v) Administrative controls; and
(vi) Use of personal protective equipment.
(Vii) Use of rescue tools: Ascending and descending arrangement, Fall arrestors, Tripod
etc.
(c) Review of control measures: Control measures should be carefully reviewed and
improved, extended or replaced as necessary to ensure adequate control. Reviews should
take place at regular intervals or as indicated by the assessment report, in the event of any
significant change to plant or process.
(d) Prior to any person entering a confined space, the employer shall ensure that where
practicable all potentially hazardous services, including all process services, normally
connected to that space are isolated in order to prevent:
(i) the introduction of any materials, contaminants, agents or conditions harmful to people
occupying the confined space; and
(ii) the activation or energizing in any way of equipment or services which may pose a risk
to the health or safety of persons within the confined space.
(e) Methods of isolation from contaminants: Where required by a confined space
should be isolated before entry is permitted. The method of isolation should be in
accordance with one of the following methods or by an alternative method ensuring
equivalent security:
(i) Removal of a valve, spool piece, an expansion joint in piping leading to, and as close as
practicable to, the confined space and blanking or capping the open end of the piping
leading to the confined space. The blank or cap should be identified to indicate its purpose.
Blanks or caps should be of a material that is compatible with the liquid, vapour or gas with
which they are in contact. The material should also have sufficient strength to withstand
the maximum operating pressure, including surges, which can be built up in the piping.
(ii) Insertion of a suitable full-pressure spade (blank) in piping between the flanges as close
as practicable to the confined space. The full-pressure spade (blank) should be identified
to indicate its purpose.
(iii) Where neither of the methods described in Items (i) and (ii) is practicable, isolation by
means of closing and locking, or closing and tagging, or both, of at least two valves in the
piping leading to the confined space. A drain valve between the two closed valves should
also be locked open or tagged open to atmosphere as part of this method.
f) Methods of isolation from moving parts Before entry is permitted to any confined
space that in itself can move, or in which agitators, fans or other moving parts which may
pose a risk to personnel are present, the possibility of movement should be prevented by
using one of the methods described below or by alternative methods offering equivalent
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 7 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
confined space unless they are equipped with suitable personal protective equipment
including air supplied respiratory protective equipment.
(g) Exposure standards. Compliance with an exposure standard is mandatory where a
relevant standard has been incorporated into legislation. Where there is no exposure
standard, professional advice should be obtained.
(h) Atmospheric evaluation An evaluation of the atmosphere and a survey of other
hazards should be performed from outside the confined space before any entry occurs.
The results should be recorded on the entry permit. It is intended that entry into, or work in
a confined space, the atmosphere of which has been established and maintained as being
acceptable for entry, be still in compliance with the requirements of this Standard.
(i) Test required The evaluation of the atmosphere should include testing by scientific
means for –
(a) oxygen content;
(b) airborne concentration of flammable contaminants; and
(c) airborne concentration of potentially harmful contaminants, unless suitable personal
protective equipment including air supplied respiratory protective equipment is worn during
entry and occupation of the confined space.
(d) Ambient Temperature
(j) Gas detectors The continuous-monitoring flammable gas detector should be fitted with
latching, visible and audible alarms which should activate at a contaminant concentration
above the acceptable level.
6.6 RISK CONTROL:
(a) Subject to review of the risk assessment completed in accordance, the employer shall
provide written approval, in the form of an entry permit, prior to work in a confined space
being carried out.
(b) The employer shall ensure that no person enters a confined space without an entry
permit and that:
(i) the entry permit includes any precautions or instructions necessary for safe entry and
execution of the work
(ii) the entry permit is provided to the person responsible for the direct control of the work
in a confined space, and records which persons enter the confined space; and
(iii) the persons involved in the work are advised of, understand and comply with the
contents of the entry permit.
(c) An employer shall ensure and acknowledge, in writing, that work in the confined space
has been completed and that all persons involved in the work have left the space before
authorization for the return to service of the confined space is made.
(d) Issue of entry permit The entry permit should state the period of its validity and should
be revalidated whenever it becomes evident that the duration of work will involve one of
the following:
(i) A change in the person responsible for the direct control of the work in a confined
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 10 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
space.
(ii) A significant break in work continuity.
(iii) A significant change in atmosphere or work to be performed.
(e) Display of entry permit The entry permit should be displayed in a prominent place to
facilitate signing and clearance. A copy should be held by the employer.
(f) Recording persons entering a confined space The name of each person entering a
confined space and each person required for stand-by purposes should be recorded.
(g) Completion of entry permit The employer should be responsible for ensuring that the
entry permit is completed.
(h) The employer shall ensure that where the risk assessment indicates a risk to health
and safety, no person enters a confined space unless stand-by person(s) are present
outside the confined space.
(i) Provision of stand-by person The employer should provide stand-by person(s)
wherever the risk assessment indicates that -
(i) there may not be a safe oxygen level;
(ii) atmospheric contaminants are present or may be present in concentrations above the
exposure standards;
(iii) there may be a risk of fire or explosion;
(iv) there may be a risk of entrapment or engulfment;
(v) the work to be performed may generate risk to health or safety;
(vi) equipment or conditions outside the confined space require control or monitoring to
ensure the health and safety of persons in the confined space (for example, ventilation,
respirator air supply, vehicles and weather);
or
(vi) there may be other risks to the health or safety of persons entering the confined space.
(j) Communication Employers should ensure that communication and, where practicable,
observation between those in the confined space and the stand-by person(s) are capable
of being constantly maintained. Communication can be achieved, dependent on the
conditions existing in the confined space, in a number of ways, including voice, radio, hand
signals and other appropriate means.
(k) The employer, prior to any person entering a confined space, and during any
occupancy of the confined space, shall ensure appropriate signs and protective barriers
are erected to prevent entry of people not involved in the work.
(l) An employer shall provide suitable equipment, including, where necessary, equipment
for:
(i) personal protection;
(ii) rescue;
(iii) first aid; and
(iv) fire suppression.
(m) The employer shall ensure that the equipment is appropriate to the work to be carried
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 11 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
out in the confined space, and maintained in a proper working condition. The employer
shall ensure that personal
protective equipment and rescue equipment is selected and fitted to suit the individual.
(n) Respiratory protective devices Suitable supplied-air respiratory protective devices
should be worn where -
(i) the results of the assessment or monitoring indicate that a safe atmosphere cannot be
established or may not be maintained; or,
(ii) the nature of the work procedure within the confined space is likely to degrade or
contaminate the atmosphere in the confined space (for example, hot work, painting or
removal of sludge).
(o) Safety harnesses and lines Suitable safety harnesses and safety lines or rescue lines
(i) there is a hazard of falling during ascent or descent; or
(ii) Rescue by a direct route, either vertical or horizontal, is practicable.
(p) Precautions for use It is not always desirable to specify the use of a safety harness,
safety line or rescue line as this may be impracticable. When considering specifying the
wearing of such equipment, care should be exercised to ensure that such equipment
would not introduce a hazard or unnecessarily hinder free movement within a confined
space. In the event of free movement being hindered, alternative plans should be
arranged, for example, for rescue and fall arrest.
(q) Rescue considerations Removal of unconscious persons from confined spaces is
extremely difficult. The use of hand-operated lifting equipment should be considered and,
where appropriate, be on site before entry to the confined space is permitted.
(r) Ignition sources Where a flammable atmosphere is likely to exist, precautions should
be taken to eliminate all sources of ignition.
(s) Gas cylinders Where practicable, no cylinder of compressed or liquefied gas, other
than those used for self-contained breathing apparatus, should be taken into a confined
space. The compressed or liquefied gas supply to equipment in the confined space should
be turned off at the cylinder valve when not in use. These gas cylinders should be secured.
Hoses supplying gas -operated equipment used in a confined space should be located,
suspended or otherwise guarded to avoid accidental damage. In addition, these hoses
should be tested for leaks prior to installation.
(t) Portable ladders Where a portable ladder is used, particular care should be taken to
ensure it is firmly secured to prevent movement.
(u) No portable electric light or any other electric appliance of voltage more than 24 Volts
shall be permitted for use inside any confined space.
6.7
EDUCATION AND TRAINING:
(a) The employer shall provide training for all persons required to work within or on a
confined space in all relevant activities related to entering and working in or on confined
spaces.
(b) The training program shall include at least the following:
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 12 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
confined space
(but shall not lose visual or verbal contact with entrants in doing so)
- Take the following actions, when necessary, if unauthorized persons are in or near a
confined space
– warn them away
– direct the unauthorized persons to immediately exit the space
– inform entrants and the entry supervisor of unauthorized entry into the space.
Duties of Entry Supervisor
The entry supervisor shall ensure that each person involved in a confined space entry
complies with
the requirements of this procedure .
The entry supervisor shall:
-ensure that necessary permits are complete and posted
-know the potential hazards that may be faced during entry
-verify that specified tests have been performed
-verify that equipment specified by permit is in place
-sign the entry permit authorizing entry
-ensure that isolation points are identified and isolation is complete;
-terminate and cancel permit
-ensure that the rescue plan is known and understood by all entrants and attendants
-verify that rescue and emergency services are available and ensure that the means to
summon them are operable
-remove unauthorized individuals
-determine that entry operations remain consistent with permit requirements and that
acceptable entry conditions are maintained
6.8 RESCUE AND FIRST AID
(a) General The need for the rescue of personnel from a confined space and the provision
of first aid, either in the confined space or after rescue from the space, may arise. This
may include the involvement of the emergency services. The employer shall ensure that
appropriate rescue and first aid procedures and provisions are planned, established and
rehearsed. Also, the confined space rescue team members must be specially trained and
only these trained persons shall be allowed to carry out the rescue operation.
b) Procedures All persons who may be involved in any way with rescues from a confined
space should be made aware that -
(i) well-planned and well-rehearsed rescue procedures are essential and are to be followed
at all times; and
(ii) in an emergency, the spontaneous reaction to immediately enter and attempt a rescue
from a confined space may lead to the deaths or serious injury of those attempting the
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 14 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
rescue.
(c) An employer shall ensure that:
(i) openings for entry and exit to a confined space are of adequate size to permit rescue of
all persons who may enter a confined space; and
(ii) the openings are not obstructed by fittings or equipment which could impede rescue, or,
where this is not practicable, that a suitable alternative means of rescue is provided.
(d) MEANS OF ENTRY AND EXIT Except for boilers and pressure vessels, each confined
space should be provided with at least:
(i) one entry having an aperture not less than 450 mm long by 400 mm wide, if rectangular,
or not less than 450 mm in diameter, if circular, or having major and minor axes not less
than 450 mm and 400 mm respectively, if elliptical; or
(ii) other suitable means of entry and exit meeting the intent of Item (a).
6.9
TYPICAL CHECKLIST:
The following checklist provides a ready reference of the major considerations that apply to
work in a confined space. This list, or an alternative list designed for a particular confined
space or industry, should be used in order to minimize the risks involved in confined space
work.
(viii) Comparison of initial test results with existing standards to determine ventilation
and/or personal protection requirements.
(ix) Ventilate and/or provide personal protection.
(x) Provide for monitoring of confined space during work.
(xi) Ensure that standby staff are available for rescue and operation of essential
equipment.
(xii) Ensure rescue equipment is readily available and in order.
(xiii) Authorise entry by permit.
(xiv) Suspend work/evacuate space if conditions change to present real/potential danger.
(d) Recognition of potential hazards. The hazards to be considered should include at
least the following:
(2)DURING ENTRY AND RE-ENTRY The considerations during entry and re-entry should
be at least the following:
(a) A comparison of initial test results with an existing standard to determine whether
ventilation or personal protective equipment will be used.
(b) Continuous or periodic monitoring of confined space atmosphere.
(c) Ensure safe work practices followed.
(d) Reissue permit after absence from area or if conditions change.
(e) Confirmation that all persons and equipment are accounted for.
(f) Availability of records, rescue arrangements, emergency preparedness etc.
(3) AFTER EXIT The consideration after exit should include at least the following:
(a) Ensure safe work practices followed.
(b) Review of operation - comment on any unsatisfactory aspects.
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 16 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
FORM# EHSMSM/WORKS/446/4002
CONFINED SPACE ENTRY PERMIT
Sl. No____________. Dated_____________
PART – I : TO BE FILLED / AUTHENTICATED BY COMPETENT PERSON
A. Departmental Information
1. Requested by Chief/HOD of the Department on Date________________________________
2.Name of the Department_______________________________________________________
3. Actual Location of Confined Space______________________________________________
B. Method of Isolation: From Gas System and all other Piped Utility Services
1. Gas______________________________________________________________________
2. N2/Inert Gas_______________________________________________________________
3. Steam___________________________ Water____________________________________
4. Any Other Lines____________________________________________________________.
C. Results of test and Observations
Oxygen……………………………% Aromatic Hydrocarbon……………………………..PPM
CO………………………………… Dust…………………………………………………….PPM
NH3………………………………...PPM Any other Fumes……………………………….PPM
TEST HAVE BEEN CARRIED OUT IN THE ABOVE MENTIONED CONFINED SPACE AND
ENTRY IS PERMITTED AS INDICATED BELOW;
Recommendation for Periodic Checking…………………………………………………………….
D) Entry Without Breathing Apparatus
Clearance for Entry Without Breathing Apparatus is valid-
From Date………………………………… Time……………………………………
Until Date…………………………. Time……………………………………………
………………………………………………………………………………………………
CHECKLIST
Yes No N/A
Pumps/lines disconnected/blanked/de-energized …….. ……… ………
Confined space Purged/Flushed …….. ……… ………
Ventilation provided
Forced …….. ……… ………
Natural
Direct reading gas monitors tested/calibrated. …….. ……… ………
Safety harness and lifelines for entry and standby persons
available ……… ……… ………
Adequate personal protective equipment provided . ……… ……… ………
Explosion proof 24V electric equipment (class1, division1, group D)……… ……… ………
Non-Sparking tools available ………. ……… ………
Breathing Apparatus required to be put on. ………. ……… ………
Breathing Apparatus available for emergency ………. ……… ………
Fire Extinguishers/Fire Hydrant lines available. ………. ……… ………
All persons engaged for working provided required training ………. ……… ………
Rescue training provided ………. ……… ………
Communication Procedure (Communication between person inside the confined space and
outside)
…………………………………………………………………………….
…………………………………………………………………………….
TRL KROSAKI REFRACTORIES LIMITED
Working Confined Space Doc. No SFT/WICS-57 Effc. Date 01.12.2012
Doc. Name
Sheet 20 of 22 Rev. Date 01.12.2015
Comp. By S.Acharya Signed Date 20.11.2012
Auth. By P.K.Patel Signed Date 20.11.2012
Periodic monitoring is necessary if work itself generates toxic or flammable vapor or when there is
a possibility that such vapor will enter the space. If work ceases for any reason, the atmospheric
testing should be repeated before entry.
Periodic Atmospheric check
…………………………….. Time……………………..Date…………………..
……………………………. (Use separate sheet if more readings are required)
We have reviewed the work authorized by this permit and safety procedures are understood.
This permit to be issued only after getting certification from competent person for entry in confined
space
Permit issued by Dept. Representative Permit Received by Working Agency
(Signature with Date & Time)……….... (Signature Date & Time)……………………
Name ………………….. Desig……………….. Name……………………..Desig…………….
If you answered “yes” to “all” three of the above then the area is deemed a “CONFINED SPACE!”
You must meet all three of the above criteria and one or more of the following to be deemed a “CONFINED
SPACE!”
Yes/No?
________ Contains or has a potential to contain a hazardous atmosphere?
-AND/OR-
________ Contains a material that has the potential for engulfing an entrant?
-AND/OR-
________ Has an internal configuration such that an entrant could be trapped or asphyxiated by inwardly
covering walls or by a floor, which slopes downward and tapers to a smaller cross section?
-AND/OR-
________ Contains any other recognized serious safety or health hazard?
If you answered “yes” to “all” three of the first criteria and “yes” to one or more of the
rest of the criteria then it is a “CONFINED SPACE!”
Some examples include: tanks, tank cars, vessels, vessel skirts, hoppers, open vessels,
trenches or pits, diked areas, vaults, pipe lines, tunnels, ductwork, boilers and manholes.
INSPECTED BY _____________________________________
DATE ______________________________________________
All entrants and attendants have been instructed about potential hazards, safety
precautions, and specified protective emergency equipment.
Attendant Name:
(Attendant during entry)
Entrant Name:
(All persons entering)
Time in Initials: --------------------------- Time out Initials: -------------------------------------
……………………………………………………………………………………………………………….