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Confined space risk assessment template

Confined space risk assessment template

Identify and evaluate risks in confined spaces with this comprehensive assessment template. It provides a structured approach to assessing potential hazards and implementing control measures. Use this template to ensure safety and compliance with industry regulations.

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Confined space risk assessment template

Identify and evaluate risks in confined spaces with this comprehensive assessment template. It provides a structured approach to assessing potential hazards and implementing control measures. Use this template to ensure safety and compliance with industry regulations.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Protect your team from the invisible dangers of confined spaces with our comprehensive confined space risk assessment template. This tool walks you through the critical process of identifying atmospheric hazards, physical risks, and emergency protocols specific to tanks, silos, pipelines, and other restricted areas.

Unlike generic safety forms, this template focuses on the unique challenges of confined space work—from oxygen deficiency and toxic gas detection to rescue planning and ventilation requirements. When maintaining underground utility chambers or cleaning industrial vessels, you’ll document all hazards and control measures in a format that satisfies regulatory requirements while keeping workers safe from the dangers that cause numerous workplace fatalities each year.

Related categories

  • Health and safety management templates
  • General templates
  • Safety templates

Created by

Author Name Inioluwa Ademuwagun
Preview of the template
Confined Space Identification
Location of confined space
Description of confined space
Hazard Identification
Atmospheric hazards (e.g. oxygen deficiency, flammable gases)
Physical hazards (e.g. falls, entrapment, engulfment)
Mechanical hazards (e.g. moving parts, high pressure)
Electrical hazards
Other hazards
Risk Assessment
Probability of hazard occurring
Severity of potential injury
Overall risk level
Control Measures
Elimination of hazard
Engineering controls
Administrative controls
Personal protective equipment

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Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

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Frequently asked questions

What specific hazards should I include in a confined space risk assessment template?

Focus on atmospheric hazards (oxygen deficiency, toxic gases, flammable atmospheres), physical risks (engulfment, entrapment, moving parts), environmental conditions (heat/cold, noise), and access/egress limitations. Don’t forget to assess communication challenges and rescue difficulties specific to your confined space’s configuration and location.

How do I determine if my space qualifies as a “confined space” for risk assessment purposes?

A space qualifies as “confined” if it’s large enough for a worker to enter, has limited entry/exit means, and isn’t designed for continuous occupancy. Examples include tanks, silos, pits, and vessels. The risk assessment becomes “permit-required” if the space contains hazards like harmful atmospheres, engulfment dangers, or hazardous configurations.

How can I use this template to develop effective emergency procedures?

Use the template’s emergency planning section to document communication systems, rescue equipment locations, and evacuation procedures. Detail specific rescue scenarios based on identified hazards, assign clear roles to team members, and ensure rescue equipment is appropriate for the space’s configuration. Practice these procedures regularly with all involved personnel.

Author
Inioluwa Ademuwagun
Inioluwa is a freelance content writer with a passion for words and everything marketing. She has worked closely with B2B SaaS and e-commerce brands creating product-led content. She loves to read fiction and would describe herself as an introverted nerd who desires to travel around the world. She currently doing that with her words till she can with her eyes
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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