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CONFINED SPACE ENTRY CHECKLIST
VESSEL/EQUIPMENT NO: DATE:
SL NO REQUIREMENT YES N/A
1 Confined space entry instructions/procedures provided? 2 Area barricaded and has warning signs posted? 3 Electrical Sources isolated? 4 Process piping or equipment isolated? 5 Hydraulic/pneumatic sourse of energy isolated? 6 LOTO procedure followed? 7 Neccessary permit available? 8 Atmosphere tested for % Oxygen? 9 Atmosphere tested for % LEL? 10 Atmosphere tested for Hydrogen Sulphide(H2S)? 11 Purged, Flushed or Vented? 12 Continuous gas test performed? 13 Mechanical ventilation provided? 14 Appropriate PPE's provided and used? 15 Full body harness provided and used by each entrant? 16 Appropriate lighting provided? 17 Rescue system in stand by 18 Fire Extinguishers available 19 Standby men continuously available during the confined space entry 20 Standby men has necessarry PPE? 21 Entry log sheet available and updated