Template

Confined Space Fatal Risk Critical Control Checklist

by Peggy Enslinger, from the Community

10+

Ensure critical controls are in place for confined space work in mining operations. This checklist guides supervisors and crews through prework requirements, worker competency, confined space permits, atmospheric testing and monitoring, energy isolation and lockout, and emergency response planning. Verify spotter attendance, communication, entry/exit control, gas testing, documentation, and rescue readiness. Mark each control as Controlled, At Risk, or N/A and pause work until protections are effective.

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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 Critical Control Checklist
Use this confined space critical control checklist to plan and verify safe entry. It guides teams through permits, hazard assessment, atmospheric testing for oxygen, H2S, CO and LEL, energy isolation, standby sentry and communications, and rescue planning. Align work with competency requirements and ensure continuous monitoring, supervision, and effective emergency response before and during confined space tasks.
by Thomas Harrison, from the Community
Downloads: 50+
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Template
Fatal Risk Critical Control Verification - Confined Space
This confined space critical control verification checklist helps supervisors and teams confirm that life-saving controls are in place before and during entry. It covers worker competency and authorization, permit completion, attendant presence and entry/exit registers, barricading and signage, communication, risk assessment and controls, atmospheric testing and continuous monitoring, energy isolation and lockout, and emergency response with rescue plan and equipment. Use it to stop work when controls are ineffective and reassess risks to prevent serious incidents in mining and other high-risk operations. Includes sign-off and document reference KIB-MIN-FOR-0031.
by Gerald Visagie, from the Community
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Template
Critical Control Inspection: Working in a Confined Space
Use this confined space critical control inspection template to assess worker competency and training, confirm permits and procedures, check PPE and respiratory protection, and verify safe atmospheric conditions before entry. Ensure hazardous energy sources are isolated, tools and equipment are intrinsically safe, and risks of engulfment are controlled. Review emergency and rescue plans, equipment readiness, and team competencies. Maintain a trained standby person, clear communication, and posted warning signage to monitor work continuously and prevent unauthorised entry.
by Thomas Harrison, from the Community
Downloads: 20+
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Template
Confined Space Assessment
This confined space assessment checklist helps teams classify spaces, identify hazards, and verify permit-required entry controls. Review atmospheric, engulfment, and configuration hazards; specify monitoring, ventilation, PPE, retrieval, and communication needs; confirm rescue arrangements; and document SDS review, isolation, testing, and hot work permits. Capture comments and signatures to ensure compliance and safer confined space operations.
by Ralpat98 User, from the Community
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Confined Space Fatal Risk Critical Control Checklist

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Confined Space Critical Control Checklist

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