Confined space/permit space evaluation survey - Ship Shape Consulting
Form Template
Some questions asked in this checklist include;
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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.
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