Template

Sewer Confined Spaces Audit Checklist

by James Sorraghan, from the Community

10+

This sewer confined spaces audit checklist helps utility and construction teams verify safe entry and work practices in sewer structures. It covers pre-entry gas detection, acceptable peak gas levels, permits and entry forms, three-person qualified teams, training records, harnesses and safety lines for chambers deeper than 2 meters, availability of self-rescue breathing sets, good-order safety equipment compliant with standards, and reliable communication between surface crews, below-ground teams, and the water agency. It also prompts radio or telephone availability, continuous communication, and equal staffing above and below ground to support rescue readiness and regulatory compliance.

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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

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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
Confined Space Entry Audit Checklist
This confined space entry audit checklist helps water and wastewater utility teams verify safe setup and execution of confined space work. It covers site setup and barricading, required equipment such as harnesses, tripods, breathing apparatus, and gas detectors, pre entry gas checks, isolations, permits, training and minimum crew requirements, continuous gas monitoring, communications, and hot work controls. Use it to document completion steps, corrective actions, and signatures from the responsible officer, auditor, and contractor representative to strengthen compliance and safety.
by James Pither, from the Community
Downloads: 30+
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Template
Confined Spaces Plan And Rescue Arrangements
This confined spaces plan and rescue arrangements checklist helps teams prepare for safe entry and recovery in warehouse and industrial environments. It guides users to confirm current training, complete pre-entry requirements, apply and verify LOTO for a zero-energy state, and stage rescue equipment such as an evacuation chair and first aid kit. The form captures work details, SCADA location and WO numbers, defines communication methods, and selects the applicable rescue approach including self-rescue, external, or entry rescue. It records required PPE, time in and out, and signatures from entrants, supervisors, and the rescue plan author to ensure accountability and compliance.
by Thomas Bearder, from the Community
Downloads: 0
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Template
LLS HSEQ Field Audit Checklist (Full)
A comprehensive HSEQ field audit checklist for utilities crews working on water and sewer assets. Covers crew verification and competencies, PPE, pre-starts and SWMS/JSEA, chemical and compressed gas safety, electrical safety and tagging, environmental controls and spill response, detailed traffic management requirements, quality and work practice checks for water mains, fittings, services and meters, sewer activity hygiene and public health safeguards, excavation planning and controls, vehicle and mobile plant compliance, confined space entry permits and rescue planning, and asbestos cement pipework controls. Includes completion sign-off for audit leaders and team members.
by Keith Baker, from the Community
Downloads: 20+
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Template
Confined Space Inspection Checklist
Use this confined space inspection checklist to manage safe entry and work in confined spaces. Verify permits and clearances, gas monitoring results, isolations, housekeeping, ventilation, and SWMS. Check signage, safe access, communications, standby personnel, rescue procedures and equipment, PPE, and low-voltage lighting. Capture photos, record findings, and sign off to document compliance and readiness before entry.
by Evan Downie, from the Community
Downloads: 10+
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Sewer Confined Spaces Audit Checklist

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