Use this confined space work permit template to plan and control safe entry. Capture site details, list trained entrants, verify gas meter calibration, and record atmospheric test results for oxygen, lower explosive limit, hydrogen sulfide, and carbon monoxide or carbon dioxide. Identify hazards such as combustible gases, electrical, mechanical, chemical, temperature, engulfment, entrapment, and flooding, then document controls. Specify PPE, communications, ventilation, and lighting. Assign a hole watch, hold a pre entry briefing, authorize entry with signatures, and set permit expiry. This template is a starting point only and does not replace professional advice.
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