Template

Clarence Valley Council Confined Space Entry Permit

by Doug McKenzie, from the Community

10+

Streamline confined space safety with this Clarence Valley Council permit template. Capture work details, validity times, required precautions, hazard isolation, atmospheric testing and continuous monitoring, safety equipment, PPE, standby and competent person sign-offs, and job close-out. Suitable for water, sewer, stormwater and pump station work across utilities, construction, and maintenance teams. Adapt to your procedures and regulations.

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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

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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
QUARRY REVIEW CHECKLIST
Clarence Valley Council
by Clarence Valley Council, from the Community
Downloads: 50+
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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
Ventia Confined Space Risk Assessment & Permit
Use this Ventia checklist to determine if a work area is a confined space, conduct atmospheric testing, and document risk controls. The template covers hazard identification, PPE and isolation requirements, continuous gas monitoring, entry logs, permit issue and acceptance, and close-out. It also includes an emergency rescue plan with roles, equipment, and communication procedures to help teams meet safety obligations on construction, utilities, and maintenance sites.
by Kurtis Carlyle, from the Community
Downloads: 20+
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Template
Confined Space Permit
Use this confined space permit to plan and authorize entry into tanks, pits, vessels, and other confined spaces. The form captures permit identifiers, work scope, location, start and finish times, isolation and lockout verification, atmospheric testing requirements and results, ventilation, PPE, communication, standby and rescue arrangements, and continuous monitoring. It includes approvals, issue, acceptance, clearance, and closure sections, plus a gas test record for oxygen, flammable gases, CO, H2S, and dust or fibers. Suitable for construction, facilities, utilities, manufacturing, and mining operations.
by Stephen Dawson, from the Community
Downloads: 0
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QUARRY REVIEW CHECKLIST

Clarence Valley Council

by Clarence Valley Council, from the Community

50+

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

Ventia Confined Space Risk Assessment & Permit

Use this Ventia checklist to determine if a work area is a confined space, conduct atmospheric testing, and document risk controls. The template covers hazard identification, PPE and isolation requirements, continuous gas monitoring, entry logs, permit issue and acceptance, and close-out. It also includes an emergency rescue plan with roles, equipment, and communication procedures to help teams meet safety obligations on construction, utilities, and maintenance sites.

by Kurtis Carlyle, from the Community

20+

Get

Template

Confined Space Permit

Use this confined space permit to plan and authorize entry into tanks, pits, vessels, and other confined spaces. The form captures permit identifiers, work scope, location, start and finish times, isolation and lockout verification, atmospheric testing requirements and results, ventilation, PPE, communication, standby and rescue arrangements, and continuous monitoring. It includes approvals, issue, acceptance, clearance, and closure sections, plus a gas test record for oxygen, flammable gases, CO, H2S, and dust or fibers. Suitable for construction, facilities, utilities, manufacturing, and mining operations.

by Stephen Dawson, from the Community

Get

Clarence Valley Council Confined Space Entry Permit

About author

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QUARRY REVIEW CHECKLIST

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