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
  • 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

Wholesale Food Warehouses: Receiving,...

The Wholesale Food Warehouses: Receiving, Transportation, and Delivery Procedures Worksheet mobile app provides a way to d...

App Name

Claim for Damage - Motorola Solutions

This mobile app is a claim form for Claimants to report and claim damage from a shipping company. There are three basic se...

App Name

Sustainable Supply Chain Logistics Gu...

If you work in supply chain management, this app can help you streamline your processes and transition to digital document...

App Name

Housekeeping Audit Check Sheet for Wa...

The Housekeeping Audit Check Sheet for Warehouse mobile app is intended to be used weekly by warehouse staff for inventory...

App Name

C-TPAT Refrigerated Container Inspect...

The C-TPAT Refrigerated Container Inspection Process mobile app covers refrigerated container inspection process, seal aff...

App Name

CBP Form 7507 - General Declaration A...

The General Declaration Forms Agriculture, Customs, Immigration and Public Health mobile app can be used instead of the ha...

App Name

Pesticide Refiller Checklist for Port...

"This pocket guide and checklist for Environmental Protection Agency pesticide container rules goes everywhere you need it...

App Name

CBP Form 5297 – Power of Attorney

Use the CBP Form 5297 – Power of Attorney mobile app to replace the paper version of this form. Use a smartphone or tablet...

More Information