Template

Confined Space Assessment Checklist

by Matt Skeldon, from the Community

Use this confined space assessment checklist to evaluate and control risks before entry. The template covers space identification and classification, atmospheric testing, ventilation selection, lockout tagout, entry equipment and PPE, communication, and rescue planning. Built around AS 2865 2009 and South Australia WHS Regulations 2012, it helps teams document conditions, photos, hazards, and controls for safer work across construction and maintenance environments.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
FSA Confined Space Assessment Checklist
Use this FSA Confined Space Assessment to evaluate confined spaces in line with SA WHS Regulations 2012 and AS 2865-2009. The checklist guides you to identify space type and hazards, document entry provisions, perform atmospheric testing and ventilation, confirm lockout-tagout, and select required PPE and equipment such as gas detectors, tripods, winches, and harnesses. Record signage, access and entry types, communication methods, and rescue planning. Verify controls before issuing permits and capture photos for documentation to support safe entry and work.
by Matthew Skeldon, from the Community
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Template
Confined Space Identification and Risk Assessment
Use this confined space identification and risk assessment checklist to classify a space and evaluate hazards before entry. The template guides you through OSHA-based criteria, entry and atmosphere risks, potential contaminants, oxygen deficiency, lighting and electrical hazards, communication requirements, entanglement risks, and PPE needs. Document emergency procedures, equipment, and rescue plans, then record the assessment team and obtain signatures. Ideal for construction, maintenance, utilities, and industrial operations to standardize confined space safety.
by Darren Mogg, from the Community
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Template
Confined Space Assessment
This confined space assessment checklist helps teams classify spaces, identify hazards, and verify permit-required entry controls. Review atmospheric, engulfment, and configuration hazards; specify monitoring, ventilation, PPE, retrieval, and communication needs; confirm rescue arrangements; and document SDS review, isolation, testing, and hot work permits. Capture comments and signatures to ensure compliance and safer confined space operations.
by Ralpat98 User, from the Community
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Template
Confined Space Pre-Entry Checklist
Use this Confined Space Pre-Entry Checklist to prepare for safe entry and support your permit to work process. It covers inductions and CSE training, risk assessment and safe work instructions, energy isolation checks, atmospheric testing and continuous monitoring, hot work controls, access and lighting, rescue planning and on-site rescuers, communications, respiratory and fall protection, ventilation, barricading, and emergency procedures. Includes PPE requirements and space for site-specific hazards.
by Stephen Crawshaw, from the Community
Downloads: 30+
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FSA Confined Space Assessment Checklist

Use this FSA Confined Space Assessment to evaluate confined spaces in line with SA WHS Regulations 2012 and AS 2865-2009. The checklist guides you to identify space type and hazards, document entry provisions, perform atmospheric testing and ventilation, confirm lockout-tagout, and select required PPE and equipment such as gas detectors, tripods, winches, and harnesses. Record signage, access and entry types, communication methods, and rescue planning. Verify controls before issuing permits and capture photos for documentation to support safe entry and work.

by Matthew Skeldon, from the Community

Get

Template

Confined Space Identification and Risk Assessment

Use this confined space identification and risk assessment checklist to classify a space and evaluate hazards before entry. The template guides you through OSHA-based criteria, entry and atmosphere risks, potential contaminants, oxygen deficiency, lighting and electrical hazards, communication requirements, entanglement risks, and PPE needs. Document emergency procedures, equipment, and rescue plans, then record the assessment team and obtain signatures. Ideal for construction, maintenance, utilities, and industrial operations to standardize confined space safety.

by Darren Mogg, from the Community

Get

Template

Confined Space Assessment

This confined space assessment checklist helps teams classify spaces, identify hazards, and verify permit-required entry controls. Review atmospheric, engulfment, and configuration hazards; specify monitoring, ventilation, PPE, retrieval, and communication needs; confirm rescue arrangements; and document SDS review, isolation, testing, and hot work permits. Capture comments and signatures to ensure compliance and safer confined space operations.

by Ralpat98 User, from the Community

Get

Template

Confined Space Pre-Entry Checklist

Use this Confined Space Pre-Entry Checklist to prepare for safe entry and support your permit to work process. It covers inductions and CSE training, risk assessment and safe work instructions, energy isolation checks, atmospheric testing and continuous monitoring, hot work controls, access and lighting, rescue planning and on-site rescuers, communications, respiratory and fall protection, ventilation, barricading, and emergency procedures. Includes PPE requirements and space for site-specific hazards.

by Stephen Crawshaw, from the Community

30+

Get

Confined Space Assessment Checklist

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