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Write a pre-task plan for Work permit requirements

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A robust pre-task plan for hazardous work should require a documented permit-to-work review before the job starts, tied to a task-specific job hazard analysis (JHA) or risk assessment. The JHA should break the work into steps, identify existing and potential hazards, assess severity and likelihood, and define controls, tools, equipment, work methods, and PPE. A site-specific job briefing should then be held with the crew before work begins, and repeated if conditions change. For permit-required work, the permit should clearly state the job scope, location, purpose, authorized workers, supervisor, issue and expiry times, and the precautions and controls that must be verified before work proceeds. [2] [2] [8]

  • Define the exact task, work area, equipment, and duration of the job.
  • Break the task into steps and identify hazards for each step, including energy, atmospheric, mechanical, electrical, thermal, chemical, fire, engulfment, access/egress, and environmental hazards.
  • Assess risk by considering who or what is exposed, what could go wrong, likely consequences, and contributing factors.
  • Select controls using the hierarchy of controls first, then safe work practices, isolation, barricading, ventilation, monitoring, and PPE.
  • Verify whether additional permits are required, such as confined space, hot work, or energized electrical work.
  • Conduct a pre-job briefing with all affected workers and communicate site-specific hazards, emergency arrangements, and stop-work triggers.
  • Reassess and reissue or revise the permit if conditions change, alarms occur, the work is interrupted, or the permit expires.

[2] [2] [11] Permit-to-work procedures should require verification that all prerequisite controls are in place before authorization. For hazardous energy work, the permit should identify the authorized employee, equipment, location, PPE, required energy control devices, other safety considerations, approval signature, and job completion status. For energized electrical work, the permit should document why de-energization is not feasible, the detailed work procedure, shock and flash hazard analyses, protection boundaries, PPE, means to restrict unqualified persons, and evidence of a job briefing. For confined space work, the permit should verify atmospheric testing, isolation, ventilation, communication, rescue arrangements, attendants, entrants, and supervisor authorization, and it should remain at the job site until the work is complete. [1] [4] [9]

  • Permit requester or supervisor defines the work and confirms the need for the permit.
  • Competent or qualified personnel complete the hazard analysis, isolation plan, and safe work procedure.
  • Required testing, inspections, and control measures are completed and documented before work starts.
  • Affected persons are notified, and unauthorized persons are restricted from the area.
  • The designated approver signs the permit only after confirming all required items are complete.
  • The permit is kept at the work site during the job.
  • At completion, the job is signed off, permits are returned for retention, and affected employees are notified before restart or re-energization.

[3] [1] [6] Hazard identification and risk assessment must be specific to the activity and location. Typical hazards that should be considered include hazardous energy, unexpected startup, electrical shock and arc flash, oxygen deficiency or enrichment, toxic or flammable atmospheres, engulfment, moving parts, pressure, steam, hot surfaces, slips, falls, welding fumes, poor lighting, and restricted rescue access. The permit or assessment should also identify hazards that may develop during the work, not only those present at the start. [9] [10] [4]

Isolation and lockout/tagout requirements are critical for hazardous work. Energy sources must be identified and physically isolated before work begins, using appropriate devices such as disconnects, valves, blocks, blanks/blinds, grounding means, bleeding of lines, and individual or group lock devices. Isolation must be verified, and for group lockout/tagout there must be continuous employee accountability, including sign-on/sign-off where permits are used. In confined spaces, isolation must protect against both energy and material release; a single line valve is not sufficient where complete isolation is required for connected chemical or gas lines. [1] [6] [7]

  • Identify every hazardous energy source: electrical, mechanical, hydraulic, pneumatic, chemical, thermal, steam, gravity, stored pressure, and process materials.
  • Shut down equipment using normal procedures, isolate all energy sources, apply locks and tags, release or restrain stored energy, and verify zero-energy state before starting work.
  • For line hazards, use blanking, blinding, disconnecting, misalignment, or double block and bleed where required; do not rely on control circuits or a single valve where complete isolation is needed.
  • Use group LOTO procedures when multiple workers or crews are involved, with clear accountability and sign-on/sign-off controls.
  • Notify affected employees before shutdown and again before restart after locks/tags are removed.

[7] [7] [6] Authorization and approval should be formal and role-based. The person preparing the permit should be trained and experienced in the work. Approval should come from the designated supervisor or manager after confirming that hazards have been evaluated, controls are in place, workers are authorized, and emergency arrangements are adequate. Some high-risk work may require multiple approvals, such as operations, engineering, maintenance, safety, and management. No work should begin until the permit is fully completed and approved. [8] [3] [4]

PPE must be selected from the hazard assessment and permit requirements, and it supplements rather than replaces engineering and work-practice controls. Depending on the task, required PPE may include hard hat, eye and face protection, gloves, protective clothing, hearing protection, safety footwear, fall protection, respiratory protection, and retrieval harnesses. For energized electrical work, PPE must match the shock and flash hazard analysis. For confined space work, PPE may also include respiratory protection, harnesses, lifelines, and protective clothing, with rescue equipment available as required. [2] [1] [13]

Competency requirements should include training, qualification, and authorization appropriate to the hazard. Workers performing the task should participate in the JHA and understand the steps, hazards, and controls. Only authorized employees should perform lockout/tagout. Only electrically qualified persons should perform energized electrical work. For confined spaces, entrants, attendants, supervisors, and gas testers must be trained for their assigned duties, and those using gas monitors must be trained in their operation and calibration checks. [2] [4] [5]

Regulatory compliance should align the permit system with applicable OSHA or state-plan requirements for the specific hazard. At minimum, employers should ensure compliance with hazardous energy control requirements, PPE hazard assessment and documentation requirements, confined space permit requirements, and any applicable electrical safe work or hot work rules. Permit systems should be integrated into written procedures, and where permits are used as part of group lockout/tagout, the company procedure must clearly include the required control and accountability provisions. [2] [6] [11]

  • Written permit-to-work procedure and task-specific safe work procedure.
  • Completed JHA or risk assessment and documented PPE hazard assessment.
  • Current permit showing scope, location, authorized workers, supervisor, issue/expiry time, hazards, controls, and approvals.
  • Isolation/LOTO records, try-out or zero-energy verification, and line isolation details where applicable.
  • Atmospheric testing records, monitor identification, calibration or bump-test status, and continuous monitoring records where required.
  • Evidence of pre-job briefing, worker authorization, and competency/training for specialized roles.
  • Emergency and rescue arrangements, communication method, and contact numbers.
  • Completed permit closeout, return, retention, and post-job notification records.

[9] [12] [1] In practice, the minimum safe standard is: no hazardous work starts until the task has been planned, hazards identified, risks assessed, isolations applied and verified, required permits approved, workers briefed, PPE and emergency arrangements confirmed, and the permit posted or held at the job site. If conditions change, stop work, reassess, and reauthorize before continuing. [3] [9] [2]

13 source record(s)

Sources used for this answer

[1] Occupational Safety and Health Standards (OSHA 29 CFR 1910) - 1910.146 App D - Confined Space Pre-Entry Check List

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# Occupational Safety and Health Administration (cont.) Appendix D - 2 ENTRY PERMIT PERMIT VALID FOR 8 HOURS ONLY. ALL PERMIT COPIES REMAIN AT SITE UNTIL JOB COMPLETED DATE: - - SITE LOCATION/DESCRIPTION PURPOSE OF ENTRY SUPERVISOR (S) in charge of crews Type of Crew Phone # COMMUNICATION PROCEDURES RESCUE PROCEDURES (PHONE NUMBERS AT BOTTOM) * BOLD DENOTES MINIMUM REQUIREMENTS TO BE COMPLETED AND REVIEWED PRIOR TO ENTRY* REQUIREMENTS COMPLETED DATE TIME Lock Out/De-energize/Try-out Line (s) Broken-Capped-Blank Purge-Flush and Vent Ventilation Secure Area (Post and Flag) Breathing Apparatus Resuscitator - Inhalator Standby Safety Personnel Note: Items that do not apply enter N/A in the blank. REQUIREMENTS COMPLETED Full Body Harness w/"D" ring Emergency Escape Retrieval Eq Lifelines Fire Extinguishers Lighting (Explosive Proof) Protective Clothing Respirator(s) (Air Purifying) Burning and Welding Permit DATE TIME ** RECORD CONTINUOUS MONITORING RESULTS EVERY 2 HOURS ** CONTINUOUS MONITORING** Permissible TEST (S) TO BE TAKEN Entry Level PERCENT OF OXYGEN 19.5% to 23.5% LOWER FLAMMABLE LIMIT Under 10% CARBON MONOXIDE +35 PPM Aromatic Hydrocarbon + 1 PPM * 5PPM Hydrogen Cyanide (Skin) * 4PPM Hydrogen Sulfide +10 PPM *15PPM Sulfur Dioxide + 2 PPM * 5PPM Ammonia *35PPM * Short-term exposure limit:Employee can work in the area up to 15 minutes. + 8 hr. Time Weighted Avg.:Employee can work in area 8 hrs (longer with appropriate respiratory protection). REMARKS: GAS TESTER NAME & CHECK # INSTRUMENT (S) USED MODEL &/OR TYPE SERIAL &/OR UNIT # SAFETY STANDBY PERSON IS REQUIRED FOR ALL CONFINED SPACE WORK SAFETY STANDBY PERSON (S) CHECK # CONFINED SPACE ENTRANT CHECK # CONFINED SPACE ENTRANT (S) CHECK # SUPERVISOR AUTHORIZATION ALL CONDITIONS SATISFIED DEPARTMENT/PHONE AMBULANCE 2800 FIRE 2900 Safety 4901 Gas Coordinator 4529/5387 Submit Feedback

[2] Oregon OSHA Program Directive | Control of Hazardous Energy – Enforcement Policy and Inspection Procedures (Lockout/Tagout)

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# CHAPTER 4 -- GROUP LOCKOUT/TAGOUT (cont.) P. After the LOTO devices have been removed, notify affected employees that the control devices have been removed. [This notification must be given prior to the starting of a machine or piece of equipment to alert affected employees that the equipment is capable of being started up.] - Q Operations personnel then begin inspection and testing of the equipment prior to its being returned to production service. In summary, the use of the work permit and/or master tag system, combined with the verification of hazardous energy control, work procedures, and walk-through, is an acceptable approach to compliance with the group LOTO and shift transfer provisions, as long as the control and accountability procedure provides a level of protection equivalent to each individual authorized employee affixing her lockout device to the energy isolating device. Work authorization permits, when used, must be included as a component of the company's energy control procedure and would additionally require that the company procedure clearly contain, in conjunction with other energy control procedures, the specific requirements detailed in paragraph 1910.147(c)(4) of the standard. NOTE: A work authorization permit system fulfilling the Personal Tagout (Accountability) Device definitional requirements is considered a Tagout Device and, as such, all of the tagout provisions of the standard must be met if this system is used. This includes additional employee training and additional periodic inspection requirements. Furthermore, as the preceding example procedure illustrates, each employee must sign on/off the permit, and the crew leader (Principal Authorized Employee) must present this permit documentation to the person responsible for coordinating group LOTO activities (Primary Authorized Employee). The crew leader signs off the master tag only after all crew members are accounted for and after all of the crew member signatures (i.e., sign o…

[3] 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 (cont.) Potential Hazards. The recognized hazards associated with cookers and dryers are the risk that employees could be: 1. Struck or caught by rotating agitator; 2. Engulfed in raw material or hot, recycled fat; 3. Burned by steam from leaks into the cooker/dryer steam jacket or the condenser duct system if steam valves are not properly closed and locked out; 4. Burned by contact with hot metal surfaces, such as the agitator shaft assembly, or inner shell of the cooker/dryer; 5. Heat stress caused by warm atmosphere inside cooker/dryer; 6. Slipping and falling on grease in the cooker/dryer; 7. Electrically shocked by faulty equipment taken into the cooker/dryer; 8. Burned or overcome by fire or products of combustion; or 9. Overcome by fumes generated by welding or cutting done on grease covered surfaces. Permits. The supervisor in this case is always present at the cooker/dryer or other permit entry confined space when entry is made. The supervisor must follow the pre-entry isolation procedures described in the entry permit in preparing for entry, and ensure that the protective clothing, ventilating equipment and any other equipment required by the permit are at the entry site. - Control of hazards. Mechanical. Lock out main power switch to agitator motor at main power panel. Affix tag to the lock to inform others that a permit entry confined space entry is in progress. Engulfment. Close all valves in the raw material blow line. Secure each valve in its closed position using chain and lock. Attach a tag to the valve and chain warning that a permit entry confined space entry is in progress. The same procedure shall be used for securing the fat recycle valve. Burns and heat stress. Close steam supply valves to jacket and secure with chains and tags. Insert solid blank at flange in cooker vent line to condenser manifold duct system. Vent cooker/dryer by opening access do…

[4] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §5157. Permit-Required Confined Spaces, Appendix D-1. Confined Space Entry Permit

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<table><tr><th>Is it current?</th><th colspan="4">( C ) ( = )</th></tr><tr><td>9. Equipment:</td><td>N/A</td><td></td><td>Yes</td><td>No</td></tr><tr><td>Direct reading gas monitor.</td><td></td><td></td><td></td><td>20</td></tr><tr><td>tested</td><td>( )</td><td></td><td>( )</td><td>( )</td></tr><tr><td>Safety harnesses and lifelines for entry and standby persons</td><td>( )</td><td></td><td>( )</td><td>( )</td></tr><tr><td>Hoisting equipment</td><td>( )</td><td></td><td>( )</td><td>000</td></tr><tr><td>Powered communications</td><td></td><td></td><td></td><td></td></tr><tr><td>SCBA's for entry and standby persons</td><td>000000 ( )</td><td></td><td>CCCCCC ( )</td><td>( )</td></tr><tr><td>Protective Clothing</td><td></td><td></td><td></td><td>( CC )</td></tr><tr><td>All electric equipment listed Class I, Division I, Group D and Non-sparking tools</td><td>( )</td><td></td><td>( )</td><td>( C )</td></tr><tr><td colspan="4">10. Periodic atmospheric tests:</td><td></td></tr><tr><td>Oxygen % Time</td><td>Oxygen</td><td>%</td><td>Time</td><td></td></tr><tr><td>Oxygen % Time</td><td>Oxygen</td><td>%</td><td>Time</td><td></td></tr><tr><td>Explosive % Time</td><td>Explosive</td><td>%</td><td>Time</td><td></td></tr><tr><td>Explosive % Time</td><td>Explosive</td><td>%</td><td>Time</td><td></td></tr><tr><td>Toxic % Time</td><td>Toxic</td><td>%</td><td>Time</td><td></td></tr><tr><td>Toxic % Time</td><td>Toxic</td><td>%</td><td>Time</td><td></td></tr></table> We have reviewed the work authorized by this permit and the information contained here-in. Written instructions and safety procedures have been received and are understood. Entry cannot be approved if any squares are marked in the "No" column. This permit is not valid unless all appropriate items are completed. Permit Prepared By: (Supervisor). Approved By: (Unit Supervisor)_ Reviewed By (Cs Operations Personnel) : (printed name) (signature) This permit to be kept at job site. Return job site copy to Safety Office …

[5] Lockout/Tagout Sample Forms: Evaluation, Procedures, and Permit

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# Equipment-Specific Hazardous Energy Control Evaluation and Certification (cont.) Enter name of your company here # Safety Permit for Hazardous Energy Control (Lockout/Tagout) Work Operations Date of work activity: <empty> Permit issued to: Authorized employee name: <empty> Title: <empty> Company name (if outside contractor): <empty> Contact number: <empty> Date/Time issued: <empty> Date/Time permit expires: <empty> Work activity: <empty> Machine/equipment description: <empty> Work location: <empty> Personal protective equipment (PPE), as required: (also circle specific types within the parentheses) [ ] Face shield [ ] Ear plugs [ ] Hard hat [ ] Safety glasses [ ] Ear muffs [ ] Hood (chemical, thermal) [ ] Safety goggles [ ] Suit (rubber, thermal, Tyvek) [ ] Safety harness & line [ ] Filtering facepiece/N95 [ ] Respirator (dust, vapor, combination, full-face, half-face) [ ] Gloves (thermal) [ ] Gloves (latex, neoprene, nitrile, PVC, rubber) [ ] Rubber boots [ ] Shoes (steel-toed, electrical safety, slip-resistant) [ ] Additional PPE required: <empty> Energy control devices, as required: (also circle applicable activities within the parentheses) [ ] Disconnect [ ] Blocks [ ] Accident prevention tags [ ] Valves (close, block, blind) [ ] Lock devices (individual, group) [ ] Grounding means [ ] Lines (bleeding, blanking/blinding) [ ] Other: <empty> Other safety considerations, as required: (also circle applicable items within the parentheses) [ ] Confined space (requires additional permit) [ ] Fire hazards (fire extinguisher, area free of combustibles) [ ] Restrict area (barricade, safety tape) [ ] Welding (sparks, shield arcs) [ ] Safe access (ladder, aerial device, scissor lift) [ ] Other: <empty> Approval: Signature: <empty> Print name/title (i.e., Safety Manager, Supervisor): <empty> Date: <empty> [ ] Job complete [ ] Job incomplete Notes: <empty> The authorized worker holds this permit during the work activity and returns it to the approver after wo…

[6] OSHA Letter of Interpretation | Permit Required Confined Space Isolation

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U.S. DEPARTMENT OF LABOR # Occupational Safety and Health Administration • Standard Number: 1910.146(b), 1926.1202 OSHA requirements are set by statute, standards and regulations. Our interpretation letters explain these requirements and how they apply to particular circumstances, but they cannot create additional employer obligations. This letter constitutes OSHA's interpretation of the requirements discussed. Note that our enforcement guidance may be affected by changes to OSHA rules. Also, from time to time we update our guidance in response to new information. To keep apprised of such developments, you can consult OSHA's website at https://www.osha.gov. November 12, 2021 Brian Monistere, P.E., CSP Professional Safety Services [redacted street address] #301 Flowood, MS [redacted postal code] Dear Mr. Monistere: Thank you for your letter to the Occupational Safety and Health Administration (OSHA), regarding permit required confined space (PRCS) entry requirements. In your letter, you seek clarification from OSHA on PRCS isolation methods. This letter constitutes OSHA's interpretation only of the requirements herein, and may not be applicable to any questions not delineated in your original correspondence. Your paraphrased questions, and our responses, follow. Background: An employer has installed a single knife gate valve equipped with a bleed valve at the bottom of the assembly. Sleeves or gaskets within the knife gate valve form a tight seal when the valve is closed. Two relevant definitions include: "Isolation" (29 C.F.R. § 1910.146(b)) means the process by which a permit space is removed from service and completely protected against the release of energy and material into the space by such means as: blanking or blinding; misaligning or removing sections of lines, pipes, or ducts; a double block and bleed system; lockout or tagout of all sources of energy; or blocking or disconnecting all mechanical linkages. "Energy isolating device" (29 C.F.R § 1…

[7] 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

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

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# Occupational Safety and Health Administration (cont.) ## 1910.146(c)(8)(iii) (cont.) Communications equipment necessary for compliance with paragraphs (h)(3) and (i)(5) of this section; - 1910.146(d)(4)(iv) Personal protective equipment insofar as feasible engineering and work practice controls do not adequately protect employees; - 1910.146(d)(4)(v) Lighting equipment needed to enable employees to see well enough to work safely and to exit the space quickly in an emergency; - 1910.146(d)(4)(vi) Barriers and shields as required by paragraph (d)(3)(v) of this section. 1910.146(d)(4)(vii) Equipment, such as ladders, needed for safe ingress and egress by authorized entrants; - 1910.146(d)(4)(viii) Rescue and emergency equipment needed to comply with paragraph (d)(9) of this section, except to the extent that the equipment is provided by rescue services; and - 1910.146(d)(4)(ix) - Any other equipment necessary for safe entry into and rescue from permit spaces. - 1910.146(d)(5) - Evaluate permit space conditions as follows when entry operations are conducted: - 1910.146(d)(5)(i) - Test conditions in the permit space to determine if acceptable entry conditions exist before entry is authorized to begin, except that, if isolation of the space is infeasible because the space is large or is part of a continuous system (such as a sewer), pre-entry testing shall be performed to the extent feasible before entry is authorized and, if entry is authorized, entry conditions shall be continuously monitored in the areas where authorized entrants are working; - 1910.146(d)(5)(ii) Test or monitor the permit space as necessary to determine if acceptable entry conditions are being maintained during the course of entry operations; and 1910.146(d)(5)(iii). Submit Feedback

[9] Toolbox Talk: Job Hazard Analysis

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# JOB HAZARD ANALYSIS the ease e, plea e, our organ our a a Risk Assessment plea organ include Hazard Chemical Date Posted: 05/13/2025 # Job Hazard Analysis (JHA) A job hazard analysis (JHA) analyzes a task's associated hazards and risks and focuses on identifying and controlling hazards. Utilizing the JHA will provide a process for analyzing the work activities that will determine the tools, materials, and equipment needed to develop work methods and procedures for accomplishing the task. The process will identify existing and potential hazards, assess the risk, and identify ways to eliminate or protect against the hazard. ## STEPS FOR COMPLETING A JHA In accordance with WAC 296-800-[redacted postal code] - Hazard Assessment for PPE, a hazard assessment must be conducted to identify hazards or potential hazards and determine if PPE necessary on the job. Additionally, this hazard assessment must be documented according to WAC 296-800-[redacted postal code]. The steps required for completing a quality hazard assessment are as follows: is • Involve the Right People in the Process: Employees who do the job know the job best at the frontline level, and their knowledge is valuable in identifying hazards and coming up with solutions to mitigate hazards. - Define the core tasks and Break the Hazard Analysis into Steps: In the first step, separate each job into all the individual segments of the job. The simplest way to do it is observe the worker doing the task and list the individual steps. to - Observe the work: Watch employees perform the task in question. • Record steps: Break down tasks into a reasonable number of steps. • • - Review your findings: Review your task lists with the employees you observe. Are you missing any necessary steps? - Identify specific hazards in Each Step: With all the steps outlined, identify each hazard associated with each step. Some hazards will be obvious (risk of laceration, fall, struck by, caught in or between, etc.…

[10] Confined Space - Program

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# 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…

[11] 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…

[12] Confined Space Entry Permit

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# Confined space entry permit Permit date: <empty> Work shift: [ ] 1st [ ] 2nd [ ] 3rd Expires: <empty> Time started: <empty> Permit space to be entered (name and location of space): <empty> Purpose of entry: <empty> ## Names of trained, authorized individuals Emergency contact information Entry supervisor: Emergency responder: Entry attendant: Contact person: Authorized entrants: Phone number: Authorized entrants: Time: ## Pre-entry checklist Do not enter this permit space until the following "needs action" conditions are corrected: <table><tr><th>OK</th><th>Needs action</th><th></th></tr><tr><td></td><td></td><td>Before entering the permit space, the supervisor or designee must notify the rescue team. IDLH conditions require at least one rescue team member located outside the space.</td></tr><tr><td></td><td></td><td>A minimum of two employees must be assigned to work involving permit space entry. One employee must remain outside the permit space at all times</td></tr><tr><td></td><td></td><td>The surrounding area must be surveyed to show that it is free of hazards such as drifting vapors from tanks, piping, sewers, or vehicle exhaust.</td></tr><tr><td></td><td></td><td>Those responsible for operation of the gas monitor have been trained.</td></tr><tr><td></td><td></td><td>Gas monitor calibration tests and functional test (fresh air calibration) have been performed this shift on the gas monitor. If so, by whom?</td></tr><tr><td></td><td></td><td>The atmosphere will be continuously monitored while the space is occupied, if required by entry procedure.</td></tr></table> <table><tr><th colspan="8">Pre-entry requirements</th></tr><tr><td>Requirements</td><td>Yes</td><td>No</td><td>N/A</td><td>Requirements</td><td>Yes</td><td>No</td><td>N/A</td></tr><tr><td>Lockout-tagout/de-energize</td><td></td><td></td><td></td><td>Hot work permit</td><td></td><td></td><td></td></tr><tr><td>Pipes(s) broken or capped or blanked</td><td></td><td></td><td></td><td>Fall …

[13] Energized Electrical Work Permit

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# ENERGIZED ELECTRICAL WORK PERMIT ## PART I: TO BE COMPLETED BY THE REQUESTER: Job/Work Order Number: <empty> 1) Description of circuit/equipment/job location: <empty> 2) Description of work to be done: <empty> 3) Justification of why the circuit/equipment cannot be de-energized or the work deferred until the next scheduled outage: <empty> Requester/Title: <empty> Date: <empty> ## PART II: TO BE COMPLETED BY THE ELECTRICALLY QUALIFIED PERSONS DOING THE WORK: <table><tr><th>1)</th><th>Detailed job description procedure to be used in performing the above described work:</th><th>Check when Complete</th></tr><tr><td></td><td></td><td></td></tr><tr><td>2)</td><td>Description of the Safe Work Practices to be employed:</td><td></td></tr><tr><td>3)</td><td>Results of the Shock Hazard Analysis:</td><td></td></tr><tr><td>4)</td><td>Determination of Shock Protection Boundaries:</td><td></td></tr><tr><td>5)</td><td>Results of the Flash Hazard Analysis:</td><td></td></tr><tr><td>6)</td><td>Determination of the Flash Protection Boundary:</td><td></td></tr><tr><td>7)</td><td>Necessary personal protective equipment to safely perform the assigned task:</td><td></td></tr><tr><td>8)</td><td>Means employed to restrict the access of unqualified persons from the work area:</td><td></td></tr><tr><td>9)</td><td>Evidence of completion of a Job Briefing including discussion of any job-specific hazards:</td><td></td></tr></table> 10) Do you agree the above described work can be done safely? Yes "No (If no, return to requester) Electrically Qualified Person(s) Date Electrically Qualified Person(s) Date ## PART III: APPROVAL(s) TO PERFORM THE WORK WHILE ELECTRICALLY ENERGIZED: Manufacturing Manager Maintenance/Engineering Manager Safety Manager Electrically Knowledgeable Person General Manager Date Note: Once the work is complete, foreword this form to the site Safety Department for review and retention. -1-

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