Template

CSPT Confined Spaces Program Annual Review Checklist

by Safety Office, from the Community

This CSPT annual review checklist supports installation-level confined spaces programs in accordance with DAFMAN 91-203 and applicable OSHA standards. It guides Occupational Safety, Bioenvironmental Engineering, and Fire Emergency Services in verifying program governance, consolidated inventories and maps, Master Entry Plans, and permit records. The checklist also covers annual meetings, training requirements (including CPR and atmospheric testing), rescue readiness, and documentation updates to ensure compliance and continuous improvement across all confined spaces on base.

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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 Spaces Checklist
This confined spaces checklist aligns with AFI 91-203 and helps organizations manage safe entry into permit-required spaces. It covers program requirements, roles and responsibilities, training, atmospheric monitoring, PPE, permits, IDLH controls, signage, hot work, rescue preparedness, documentation, and contractor coordination. Use it to verify that entry supervisors, attendants, and entrants meet qualifications, that monitoring and rescue equipment are maintained, and that emergency procedures and site-specific training are in place before any confined space work.
by Trevor McMartin, from the Community
Downloads: 100+
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Template
121 ARW Confined Space Program Assessment FY23
This biannual safety program assessment template helps the 121 ARW evaluate confined space program compliance against AFI 91-202 and DAFMAN 91-203. It covers MAJCOM oversight, roles for safety, fire and bioenvironmental teams, and unit responsibilities including inventories and written programs. The Master Entry Plan section addresses acceptable entry conditions, PPE, continuous atmospheric monitoring, controls, authorized chemicals, communications, and rescue planning. Training requirements include train the trainer, equipment calibration and documentation. The checklist also captures mishap trends, findings with risk assessment codes, and formal out brief and reporting steps.
by Andrew Megimose, from the Community
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Template
Fall Protection Program Annual Review
Conduct an annual review of your fall protection program in line with DAFMAN 91-203 Chapter 13. This checklist guides unit commanders and safety teams through policy verification, training and designation of competent persons, fall hazard surveys, documented rescue procedures, PFAS pre-use and quarterly inspections, incident reporting, and coordination with Occupational Safety to ensure effective compliance.
by Safety Office, from the Community
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Template
Internal Confined Space Program Audit
Use this internal confined space program audit checklist to evaluate OSHA 1910.146 compliance across your site. The template covers training requirements, written program and permits, atmospheric testing and calibration, equipment and retrieval systems, roles of entrants, attendants, and entry supervisors, communication, PPE, rescue planning and timeliness, posting and retention of permits, and annual program reviews. Ideal for EHS teams in construction and industrial environments to standardize audits and document corrective actions.
by Aaron Barkley, from the Community
Downloads: 10+
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CSPT Confined Spaces Program Annual Review Checklist

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Confined Spaces Checklist

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