Medium

Available on

Apple Android Windows

Confined space/permit space evaluation survey - Ship Shape Consulting Mobile App

Some questions asked in this checklist include; Is the space large enough and so configured that an employee can enter and perform assigned work? Is the space not designed for continuous employee occupancy? Does the space contain or have a potential to contain a hazardous atmosphere? Examples: combustible dusts, flammable mixtures, or oxygen deficiency that may expose employees to the risk of death, incapacitation, or acute illness. Does the space contain another serious safety or health hazard? Examples: radiation, noise, electricity, and moving parts of machinery. If any answer is Yes, this is permit space. An entry permit is required for entry.

  • Lendlease
  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Confined space/permit space evaluation survey - Ship Shape Consulting Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date of this survey

  • Ico multiline

    Name/description of this space

  • Ico multiline

    Location of this space

  • Ico textbox

    Person performing this survey

  • Ico statictext

    Use this section to determine if the space is a confined space

  • Ico checkbox

    Is the space large enough and so configured that an employee can enter and perform assigned work?

  • Ico checkbox

    Does the space have restricted means for entry or exit?

  • Ico checkbox

    Is the space not designed for continuous employee occupancy?

  • Ico statictext

    If all three answers are Yes, this is a confined space.

  • Ico statictext

    Use this section to determine if the space is a permit space

  • Ico checkbox

    Does the space contain or have a potential to contain a hazardous atmosphere?

  • Ico checkbox

    Does the space contain a material that has the potential for engulfing an entrant?

  • Ico checkbox

    Does the space have an internal configuration such as inwardly converging walls or a sloping floo...

  • Ico checkbox

    Does the space contain another serious safety or health hazard?

  • Ico statictext

    If any answer is Yes, this is permit space.

  • ...and More!

Related Inspections & Surveys Apps... and they're all free for GoCanvas subscribers!

App Name

CBP Form 300 - Bonded Warehouse Propr...

"The CBP Form 300 - Bonded Warehouse Proprietor's Submission mobile app was designed to simply the warehouse entry process...

App Name

Shippiers Certificate for Dangerous C...

A Multimodal Dangerous Goods Form in electronic format that shippers can fill out straight from a mobile device. Contains ...

App Name

Dispatch Load Tender

This Dispatch Load Tender Mobile App helps users fill out information on dispatch load tender forms right on their iPhone ...

App Name

Sustainable Supply Chain Logistics Gu...

This app is about sustainable supply chain logistics (SCL)—that is, the planning, storage, transportation and reverse logi...

App Name

Letter of Intent-Third Party Authoriz...

The Letter of Intent for Third Party Authorization Release of Cargo mobile app provides a simple way to generate a release...

App Name

Delivery Note (South Africa)

Distributors, retailers and delivery drivers can now use the Delivery Note (South Africa) mobile app with a smartphone or ...

App Name

(SPCC) Requirements: SPCC Applicabili...

Use the (SPCC) Requirements: SPCC Applicability Assessment Worksheet mobile app with your smartphone or tablet to complete...

App Name

Pre-Delivery Vehicle Inspection

The purposes of the Pre-Delivery Vehicle Inspection mobile app are to remove the additional parts used for ensuring the ve...

More Information


Recent Blog Posts