confine space entry checklist

                                                     confine space entry checklist

CONFINED SPACES
Contract Name and Number:	Contractor/Subcontractor:
Government QA/ET:	Location:
Contractor Inspector:	Date:
		Yes	No	N/A
1.  Has a competent person for confined space, assigned in writing, evaluated the potential for permit-required confined spaces (PRCSs) using the procedures and decision logic chart of Figure 6-1?  (06.I.01a & b)
2. Does the assigned competent person meet the definition of “ Competent person for confined space” in Appendix Q? (06.1.01a)
3.  Is a list of confined spaces (permit-required and non permit required) maintained on site?  (06.I.01c)
4.  Have all permit-required confined spaces (PRCS) been identified with a sign?  (06.I.01d)
5.  Are confined spaces reevaluated at least annually or whenever they or their characteristics change in a way that could lead to reclassification as a PRCS?  (06.I.01e)
6.  Have all employees with potential entry into a PRCS been notified of the existence, location, and hazards of the space?  (06.I.02)
7.  Do the entrants, attendants, entry supervisors, and contractors fully understand their duties?  (06.I.03)
8.  Is there a written PRCS program?  (06.I.05)
9.  Has the contractor developed and implemented a system for preparation, issuance, use, and cancellation of PRCS entry permits?  (06.I.06a)
10.  Have plans and procedures been developed and implemented for summoning rescue and emergency services?  (06.I.05b)
11.  Has the contractor developed and implemented procedures to coordinate entry operations when more than one work crew are authorized entry?  (06.I.05d)
12.  Have all employees been instructed not to enter PRCSs without the proper permit and without following the procedures and practices outlined in the permit?  (06.I.07)
13.  Have employees required to enter PRCSs or act as an attendant or entry supervisor been trained to acquire the understanding, knowledge, and skills necessary for the safe performance of their assigned responsibilities and duties?  (06.I.07b)
14.  Has each member of the on-site rescue team/emergency practiced making PRCS rescues at least once every 12 months?  (06.I.08b)
15.  Has the off-site rescue/emergency service been informed of the hazards they may confront and been provided access to all permit spaces from which rescue may be necessary?  (06.I.9 a & b)
16.  Are retrieval systems or methods used whenever an authorized entrant enters a PRCS, unless the retrieval equipment would increase the overall risk of entry or would not contribute to the rescue of the entrant?  (06.I.10)
17. Are MSDS or similar written information kept at worksite made available to the medical facility treating exposed entrants? (06.I.10d)
Comments: