Use this RHC Confined Space Assessment Form to determine if an area meets confined space criteria and classify it as Class A, B, or C. Document potential hazards such as oxygen deficiency/enrichment, explosive gases or dust, hydrogen sulfide, carbon monoxide, engulfment, entrapment, electrical, moving parts, slips, falls, heat or cold, noise, and chemicals. Capture location details, descriptions, media, and control measures for non-IDLH risks. The checklist guides top entry decisions and when contractor entry is required, and helps set controls before work begins. Designed for facilities and maintenance teams to improve safety and compliance.
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