Template

Confined Space Pre-Entry Checklist

by Stephen Crawshaw, from the Community

30+

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.

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Digitize any process, procedure or policy

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
HAK ANS Confined Space Entry Audit
This Confined Space Entry Audit checklist helps teams plan and verify safe entries. It covers pre-entry planning and permits, task hazard analysis, energy isolation and LOTO, line breaking and blinding, atmospheric monitoring before and during entry, signage and entry controls, communication, continuous ventilation, intrinsically safe lighting, hot work precautions, rescue services and retrieval systems, and accurate permit documentation. Designed for mining and heavy industry, it supports compliance and reduces risk by standardizing inspections and records.
by Thadius Eby, from the Community
Downloads: 20+
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Template
Confined Space Permit to Work
This Confined Space Permit to Work template supports safe entry and maintenance in tanks, boilers, and process equipment. It guides teams through hazard identification, isolation and lockout/tagout, ventilation and temperature checks, gas testing and continuous monitoring, PPE requirements and intrinsically safe tools, standby and rescue arrangements, communication checks, and hot work controls. It includes sections for atmospheric tests, rescue plans, authorisation and acceptance, permit expiry, and hand-back and cancellation, helping organisations standardise confined space procedures and compliance.
by Richard Smith, from the Community
Downloads: 10+
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Template
Pre-Task Confined Space Checklist and Permit
Use this pre-task confined space checklist and permit to conduct a thorough pre-entry review for permit-required confined spaces. Confirm job scope, hazards and risk assessment, isolation and lockout, ventilation and lighting, signage and access, communications methods, and atmospheric monitoring with calibration and logging. Select required equipment and PPE, and complete emergency and rescue planning details. Includes team briefing plus entrant and supervisor sign-off to verify training, conditions, and authorization before work begins.
by WPN Facilities, from the Community
Downloads: 10+
Get
Template
Confined Space Risk Assessment and Entry Permit
Confined Space Risk Assessment and Entry Permit
by Christopher Cole, from the Community
Downloads: 80+
Get

HAK ANS Confined Space Entry Audit

This Confined Space Entry Audit checklist helps teams plan and verify safe entries. It covers pre-entry planning and permits, task hazard analysis, energy isolation and LOTO, line breaking and blinding, atmospheric monitoring before and during entry, signage and entry controls, communication, continuous ventilation, intrinsically safe lighting, hot work precautions, rescue services and retrieval systems, and accurate permit documentation. Designed for mining and heavy industry, it supports compliance and reduces risk by standardizing inspections and records.

by Thadius Eby, from the Community

20+

Get

Template

Confined Space Permit to Work

This Confined Space Permit to Work template supports safe entry and maintenance in tanks, boilers, and process equipment. It guides teams through hazard identification, isolation and lockout/tagout, ventilation and temperature checks, gas testing and continuous monitoring, PPE requirements and intrinsically safe tools, standby and rescue arrangements, communication checks, and hot work controls. It includes sections for atmospheric tests, rescue plans, authorisation and acceptance, permit expiry, and hand-back and cancellation, helping organisations standardise confined space procedures and compliance.

by Richard Smith, from the Community

10+

Get

Template

Pre-Task Confined Space Checklist and Permit

Use this pre-task confined space checklist and permit to conduct a thorough pre-entry review for permit-required confined spaces. Confirm job scope, hazards and risk assessment, isolation and lockout, ventilation and lighting, signage and access, communications methods, and atmospheric monitoring with calibration and logging. Select required equipment and PPE, and complete emergency and rescue planning details. Includes team briefing plus entrant and supervisor sign-off to verify training, conditions, and authorization before work begins.

by WPN Facilities, from the Community

10+

Get

Template

Confined Space Risk Assessment and Entry Permit

by Christopher Cole, from the Community

80+

Get

Confined Space Pre-Entry Checklist

About author

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HAK ANS Confined Space Entry Audit

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Pre-Task Confined Space Checklist and Permit

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HAK ANS Confined Space Entry Audit

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