Suffocation or lack of oxygen due to the presence of lethal gases is a common cause of incidents when working in confined spaces. For occupational safety instruction, use this template for confined spaces to remind employees to test and monitor oxygen levels, flammability and toxicity before and during entry. Document the issues, hazards and physical symptoms detected to take the necessary action.
Workers who operate in confined spaces experience incidents caused by asphyxiation or lack of oxygen due to the presence of lethal gases while performing their work.
Examine, understand and follow employer’s procedures before accessing permit-required confined spaces and need to know how and when to exit.
Do not enter permission-required confined spaces without being trained and without having permission to access.
Sustain contact at all times with a qualified attendant either visuall, via phone, or by two-way radio. This monitoring system allows the attendant and entry supervisor to tell you to evacuate and to alert properly trained rescue staff to rescue entrants when required.
Before your entrance, identify any physical dangers.
Before and during entry, test, and monitor for oxygen content, flammability, toxicity or explosive dangers as required.
Use employer’s fall protection gear, rescue, air-monitoring, airing, lighting, and communication equipment according to entering procedures.
Follow up questions
Is there someone who doesn't comprehend the employer’s procedures?
Are there any questions or comments regarding communication protocols?
Is there someone with any health symptoms?
Was any physical danger detected?
Do you have any questions or comments regarding these safety measures?
Name and signature of the authorised Person:
I, the undersigned, completely understood the above information.
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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