Template

Ventia Confined Space Risk Assessment & Permit

by Kurtis Carlyle, from the Community

20+

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.

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With SafetyCulture you can

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
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
Confined Space Risk Assessment and Entry Permit
Confined Space Risk Assessment and Entry Permit
by Christopher Cole, from the Community
Downloads: 80+
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Template
Confined Space Risk Assessment & Confined Space Permit - Industry Vetted
This checklist was developed by our Industry Expert Partners to facilitate thorough confined space risk assessment and permit issuance. It covers PPE, identification/classification, atmospheric testing, entry procedures, emergency rescue, ventilation, and essential training/documentation. It also includes a dedicated Confined Space Entry Permit section for hazard assessment, personnel authorization, emergency planning, and permit closeout.
by SafetyCulture
Downloads: 1,000+
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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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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

Confined Space Risk Assessment and Entry Permit

by Christopher Cole, from the Community

80+

Get

Confined Space Risk Assessment & Confined Space Permit - Industry Vetted

Template

Confined Space Risk Assessment & Confined Space Permit - Industry Vetted

This checklist was developed by our Industry Expert Partners to facilitate thorough confined space risk assessment and permit issuance. It covers PPE, identification/classification, atmospheric testing, entry procedures, emergency rescue, ventilation, and essential training/documentation. It also includes a dedicated Confined Space Entry Permit section for hazard assessment, personnel authorization, emergency planning, and permit closeout.

by SafetyCulture

1,000+

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

Ventia Confined Space Risk Assessment & Permit

About author

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