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give me a list of questions for a confined space form

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A confined space entry permit should include questions and information that ensure regulatory compliance and hazard control. Key elements to include are:

  • The length of time the permit is valid for.
  • The name(s) of the worker(s) that are authorized to enter the confined space.
  • The name(s) of the attendant(s) (safety watch).
  • The name of the supervisor responsible for the work.
  • The location and description of the confined space.
  • The scope of the work that is to be done in the confined space.
  • Possible hazards that may be encountered inside and outside the space.
  • Possible hazards that may develop during the work activity.
  • The date and time of entry into the confined space and the anticipated time of exit.
  • The details of any atmospheric testing done of the confined space - when, where, results, and date monitoring equipment was last calibrated. Ideally, calibration (including bump test) would be done just before each use. If this is not possible, follow the equipment manufacturer's guidelines for the frequency of calibration.
  • Hazard control measures, including the use of mechanical ventilation, work procedures, personal protective equipment needed and any other precautions that must be followed by every worker who is going to enter the confined space.
  • Means of communication between the persons working in the confined space and the attendant.
  • Emergency plan, and the protective equipment and emergency equipment to be used by any person who takes part in a rescue or responds to other emergency situations in the confined space
  • A signature of a worker who did the confined space air testing. The signature on the permit would indicate that adequate precautions are being taken to control the anticipated hazards.
  • Authorization signature by the supervisor certifying that the space has been properly evaluated, prepared, and it is safe for entry and work.

[1] [2] Additionally, the permit should verify the completion of several key items:

  • Control of atmospheric and engulfment hazards.
  • Confirmation that operating and rescue procedures are available at the work site.
  • A survey of the surrounding area to identify potential hazards such as drifting vapors.
  • Atmospheric testing to identify dangerous air contamination and/or oxygen deficiency, including documentation of pre-entry test results.
  • Verification of rescue service availability and operable means for summoning them.
  • Confirmation that all tests specified by the permit have been conducted.
  • Confirmation that all procedures and equipment specified by the permit are in place before entry begins.

[3] [4] [5] [5] The permit must also specify how isolation shall be performed and any other necessary preparations before entry. [7]

For areas where tanks are repeatedly entered, an "Area Entry Permit" can be issued for a period, such as one month, covering production areas where entry and exit are made using manholes. [6]

The entry permit should be posted at the confined space until the work is completed, and the employer should keep a copy on file. [2]

7 source record(s)

Sources used for this answer

[1] Occupational Safety and Health Standards (OSHA 29 CFR 1910) - 1910.146 - Permit-required confined spaces

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# confined space, in order to ensure employee safety; and (cont.) ## 1910.146(i) (cont.) Duties of entry supervisors. The employer shall ensure that each entry supervisor: - 1910.146(j)(1) - Knows the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of the exposure; - 1910.146(j)(2). - Verifies, by checking that the appropriate entries have been made on the permit, that all tests specified by the permit have been conducted and that all procedures and equipment specified by the permit are in place before endorsing the permit and allowing entry to begin; - 1910.146(j)(3) - Terminates the entry and cancels the permit as required by paragraph (e)(5) of this section; - 1910.146(j)(4) - Verifies that rescue services are available and that the means for summoning them are operable; - 1910.146(j)(5) - Removes unauthorized individuals who enter or who attempt to enter the permit space during entry operations; and - 1910.146(j)(6) - Determines, whenever responsibility for a permit space entry operation is transferred and at intervals dictated by the hazards and operations performed within the space, that entry operations remain consistent with terms of the entry permit and that acceptable entry conditions are maintained. - 1910.146(k) - Rescue and emergency services. - 1910.146(k)(1) An employer who designates rescue and emergency services, pursuant to paragraph (d)(9) of this section, shall: - 1910.146(k)(1).(i) Evaluate a prospective rescuer's ability to respond to a rescue summons in a timely manner, considering the hazard(s) identified; Submit Feedback

[2] Confined Space - Program

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# Confined Space - Program (cont.) ## What is a Confined Space Hazard Assessment and Control Program? (cont.) - Development of an emergency plan complete with training and equipment in case an unforeseen situation occurs. - An emergency response system. - Reporting and investigating incidents related to work in confined spaces. - Record and documentation control. - Program review whenever there is a change in circumstances or at least annually, to identify program weaknesses and make any necessary changes to the program. More information about confined spaces is located in the OSH Answers documents Confined Spaces - Introduction and Confined Space - Atmospheric Testing. ## What is an Entry Permit System? An entry permit is an administrative tool used to document the completion of a hazard and risk assessment for each confined space entry. Someone fully trained and experienced in confined space work should complete the entry permit. Some jurisdictions require a permit for all confined space entries. An entry permit is required for confined spaces where the hazard and risk assessment determined that the measures to control the risk involve the following: - atmospheric monitoring, - isolation, - lockout, - ventilation, - safeguarding devices, - respiratory protection, or - any other control that needs to be verified and documented in the permit as required by the assessment. Before entering a confined space, an entry permit should be completed. It should contain at least the following information: - The length of time the permit is valid for. - The name(s) of the worker(s) that are authorized to enter the confined space. - The name(s) of the attendant(s) (safety watch). - The name of the supervisor responsible for the work. - The location and description of the confined space. Confined Space - Program CCOHS

[3] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §5157. Permit-Required Confined Spaces, Appendix C - Examples of Permit-required Confined Space Programs

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# §5157. Permit-Required Confined Spaces, Appendix C - Examples of Permit-required Confined Space Programs. (cont.) ## A. ENTRY WITHOUT PERMIT/ATTENDANT (cont.) dangerous air contamination or engulfment. Not all laterals to sewers or storm drains require blocking. However, where experience or knowledge of industrial use indicates there is a reasonable potential for contamination of air or engulfment into a occupied sewer, then all affected laterals shall be blocked. If blocking and/or isolation requires entry into the space the provisions for entry into a permit-required confined space must be implemented. Surveillance. The surrounding area shall be surveyed to avoid hazards such as drifting vapors from the tanks, piping, or sewers. Testing. The atmosphere within the space will be tested to determine whether dangerous air contamination and/or oxygen deficiency exists. Detector tubes, alarm only type gas monitors and explosion meters are examples of equipment that may be used to test permit space atmospheres. Testing shall be performed by the LEAD WORKER who has successfully completed the Gas detector training for the monitors he will use. The minimum parameters to be monitored are oxygen deficiency, LFL, and hydrogen sulfide concentration. A written record of the pre-entry test results shall be made and kept at the work site for the duration of the job. The supervisor will certify in writing, based upon the results of the pre-entry testing, that all hazards have been eliminated. Affected employees shall be able to review the testing results. The most hazardous conditions shall govern when work is being performed in two adjoining, connecting spaces. Entry Procedures. If there are no non-atmospheric hazards present and if the pre-entry tests show there is no dangerous air contamination and/or oxygen deficiency within the space and there is no reason to believe that any is likely to develop, entry into and work within may proceed. Continuous testing of the atmosph

[4] Occupational Safety and Health Standards (OSHA 29 CFR 1910) - 1910.146 App C - Examples of Permit-required Confined Space Programs

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# Occupational Safety and Health Administration (cont.) ## B. Entry Permit Required - Permits. Confined Space Entry Permit. All spaces shall be considered permit-required confined spaces until the pre-entry procedures demonstrate otherwise. Any employee required or permitted to pre-check or enter a permit-required confined space shall have successfully completed, as a minimum, the training as required by the following sections of these procedures. A written copy of operating and rescue procedures as required by these procedures shall be at the work site for the duration of the job. The Confined Space Entry Permit must be completed before approval can be given to enter a permit-required confined space. This permit verifies completion of items listed below. This permit shall be kept at the job site for the duration of the job. If circumstances cause an interruption in the work or a change in the alarm conditions for which entry was approved, a new Confined Space Entry Permit must be completed. - Control of atmospheric and engulfment hazards. - Surveillance. The surrounding area shall be surveyed to avoid hazards such as drifting vapors from tanks, piping or sewers. - Testing. The confined space atmosphere shall be tested to determine whether dangerous air contamination and/or oxygen deficiency exists. A direct reading gas monitor shall be used. Testing shall be performed by the SUPERVISOR who has successfully completed the gas detector training for the monitor he will use. The minimum parameters to be monitored are oxygen deficiency, LFL and hydrogen sulfide concentration. A written record of the pre- entry test results shall be made and kept at the work site for the duration of the job. Affected employees shall be able to review the testing results. The most hazardous conditions shall govern when work is being performed in two adjoining, connected spaces. - Space Ventilation. Mechanical ventilation systems, where applicable, shall be set at 100% outside air. Wh

[5] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §5157. Permit-Required Confined Spaces, Appendix C - Examples of Permit-required Confined Space Programs

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# §5157. Permit-Required Confined Spaces, Appendix C - Examples of Permit-required Confined Space Programs. (cont.) ## B. ENTRY PERMIT REQUIRED (cont.) Slips and falls. Remove residual grease before entering cooker/dryer. Attendant. The supervisor shall be the attendant for employees entering cooker/dryers. Permit. The permit shall specify how isolation shall be done and any other preparations needed before making entry. This is especially important in parallel arrangements of cooker/dryers so that the entire operation need not be shut down to allow safe entry into one unit. Rescue. When necessary, the attendant shall call the fire department as previously arranged. Example 3. Workplace. Workplaces where tank cars, trucks, and trailers, dry bulk tanks and trailers, railroad tank cars, and similar portable tanks are fabricated or serviced. A. During fabrication. These tanks and dry-bulk carriers are entered repeatedly throughout the fabrication process. These products are not configured identically, but the manufacturing processes by which they are made are very similar. Sources of hazards. In addition to the mechanical hazards arising from the risks that an entrant would be injured due to contact with components of the tank or the tools being used, there is also the risk that a worker could be injured by breathing fumes from welding materials or mists or vapors from materials used to coat the tank interior. In addition, many of these vapors and mists are flammable, so the failure to properly ventilate a tank could lead to a fire or explosion. Control of hazards. Welding. Local exhaust ventilation shall be used to remove welding fumes once the tank or carrier is completed to the point that workers may enter and exit only through a manhole. (Follow the requirements of California Code of Regulations, Title 8, welding standards at all times.) Welding gas tanks may never be brought into a tank or carrier that is a permit entry confined space. Application of i

[6] Confined Space - Program

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Source excerpt

# Confined Space - Program (cont.) ## What is an Entry Permit System? (cont.) - The scope of the work that is to be done in the confined space. - Possible hazards that may be encountered inside and outside the space. - Possible hazards that may develop during the work activity. - The date and time of entry into the confined space and the anticipated time of exit. - The details of any atmospheric testing done of the confined space - when, where, results, and date monitoring equipment was last calibrated. Ideally, calibration (including bump test) would be done just before each use. If this is not possible, follow the equipment manufacturer's guidelines for the frequency of calibration. - Hazard control measures, including the use of mechanical ventilation, work procedures, personal protective equipment needed and any other precautions that must be followed by every worker who is going to enter the confined space. - Means of communication between the persons working in the confined space and the attendant. - Emergency plan, and the protective equipment and emergency equipment to be used by any person who takes part in a rescue or responds to other emergency situations in the confined space - A signature of a worker who did the confined space air testing. The signature on the permit would indicate that adequate precautions are being taken to control the anticipated hazards. - Authorization signature by the supervisor certifying that the space has been properly evaluated, prepared, and it is safe for entry and work. The entry permit should be posted at the confined space and remain so until the work is completed. The employer should keep a copy of the completed permit on file. ## What should happen when work is being done in a confined space? Use warning signs to prevent unauthorized entry to the confined space. Anyone working in a confined space must be constantly alert for any changing conditions within the confined space. In the event of an alarm fr

[7] Occupational Safety and Health Standards (OSHA 29 CFR 1910) - 1910.146 App C - Examples of Permit-required Confined Space Programs

Page 6

Open source document

Source excerpt

# Occupational Safety and Health Administration (cont.) ## B. Entry Permit Required (cont.) Attendant. The supervisor shall be the attendant for employees entering cooker/dryers. Permit. The permit shall specify how isolation shall be done and any other preparations needed before making entry. This is especially important in parallel arrangements of cooker/dryers so that the entire operation need not be shut down to allow safe entry into one unit. Rescue. When necessary, the attendant shall call the fire department as previously arranged. Example 3. Workplace. Workplaces where tank cars, trucks, and trailers, dry bulk tanks and trailers, railroad tank cars, and similar portable tanks are fabricated or serviced. A. During fabrication. These tanks and dry-bulk carriers are entered repeatedly throughout the fabrication process. These products are not configured identically, but the manufacturing processes by which they are made are very similar. Sources of hazards. In addition to the mechanical hazards arising from the risks that an entrant would be injured due to contact with components of the tank or the tools being used, there is also the risk that a worker could be injured by breathing fumes from welding materials or mists or vapors from materials used to coat the tank interior. In addition, many of these vapors and mists are flammable, so the failure to properly ventilate a tank could lead to a fire or explosion. Control of hazards. - Welding. Local exhaust ventilation shall be used to remove welding fumes once the tank or carrier is completed to the point that workers may enter and exit only through a manhole. (Follow the requirements of 29 CFR 1910, subpart Q, OSHA's welding standard, at all times.) Welding gas tanks may never be brought into a tank or carrier that is a permit entry confined space. Application of interior coatings/linings. Atmospheric hazards shall be controlled by forced air ventilation sufficient to keep the atmospheric concentration of

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