This PC HS 25 Confined Space Entry Permit template helps teams plan and authorize safe entry into confined spaces. Record project details, location, work scope, permit number, and date. Verify gas testing for oxygen, H2S, explosivity, CO, and other gases with equipment type and calibration dates. Confirm the safe system of work, removal of noxious substances, and full isolation from energy sources. Checklist items cover access control, communications, standby person, first aid, signage and barriers, PPE, intrinsically safe tools, adequate lighting and ventilation, tripod and retrieval gear, and escape breathing apparatus. Document continuous gas monitoring, pre-entry briefing, worker medical fitness and training, and emergency rescue arrangements. Supervisor authorizes before entry and cancels the permit once work is complete and the area is left safe. Permit validity is limited to one day.
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