Templates
OSHA Toolbox Talk: Confined Space

OSHA Toolbox Talk: Confined Space

Use this template for occupational safety instruction.

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OSHA Toolbox Talk: Confined Space

Use this template for occupational safety instruction.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
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. 

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Preview of the template
Audit
General Information
Describe the work:
Confined Space Discussion
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?
Completion
Name and signature of the authorised Person:
I, the undersigned, completely understood the above information.
Name and signature of the employee:
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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.