Scribd
Upload
267 views4 pages

Enclosed Space Entry Check List

This document is an enclosed space entry permit that must be completed before anyone enters an enclosed space on a ship. It consists of 5 sections that must be checked off to ensure the space is safe for entry. Section 1 requires checks of ventilation, isolation of hazards, cleaning, atmosphere testing and rescue equipment. Section 2 confirms the entrant's understanding of safety procedures. Section 3 checks breathing apparatus. Section 4 logs entrants. Section 5 confirms job completion and space securement. The permit aims to systematically ensure all hazards are addressed before and during enclosed space entry.

Uploaded by

Varun Ganesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
267 views4 pages

Enclosed Space Entry Check List

This document is an enclosed space entry permit that must be completed before anyone enters an enclosed space on a ship. It consists of 5 sections that must be checked off to ensure the space is safe for entry. Section 1 requires checks of ventilation, isolation of hazards, cleaning, atmosphere testing and rescue equipment. Section 2 confirms the entrant's understanding of safety procedures. Section 3 checks breathing apparatus. Section 4 logs entrants. Section 5 confirms job completion and space securement. The permit aims to systematically ensure all hazards are addressed before and during enclosed space entry.

Uploaded by

Varun Ganesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

EXAMPLE OF AN ENCLOSED SPACE ENTRY PERMIT

This permit relates to entry into any enclosed space and should be completed by the master
or responsible person and by any persons entering the space, e.g. competent person and
attendant.

GENERAL
Location/name of enclosed space

Reason for entry .................................................................................................................


This permit is valid from: hrs Date ...............
to: hrs ...............Date
(See Note 1)

SECTION 1 – PRE-ENTRY PREPARATION


(To be checked by the master or nominated responsible person)

Yes No

Has the space been thoroughly ventilated by mechanical means?............ ............

Has the space been segregated by blanking off or


isolating all connecting pipelines or valves and electrical
power/equipment?............ ............

Has the space been cleaned where necessary?............ ............

Has the space been tested and found safe for entry? (See note 2)............ ............

Pre-entry atmosphere test readings:

- oxygen ................... % vol (21%) * By:

- hydrocarbon ......... % LFL (less than 1%)


- toxic gases ............. ppm (less than 50% OEL of the specific gas) Time:
(See note 3)

Have arrangements been made for frequent atmosphere checks to


be made while the space is occupied and after work breaks? ............ ............

Have arrangements been made for the space to be continuously


ventilated throughout the period of occupation and during work breaks?............ ............

Are access and illumination adequate? ............ ............

* Note that national requirements may determine the safe atmosphere range.
Yes No

Is rescue and resuscitation equipment available for immediate use


by the entrance to the space? " "

Has an attendant been designated to be in constant


attendance at the entrance to the space? " "

Has the officer of the watch (bridge, engine-room, cargo control


room) been advised of the planned entry? " "

Has a system of communication between all parties been tested


and emergency signals agreed? " "

Are emergency and evacuation procedures established and


understood by all personnel involved with the enclosed space entry? " "

Is all equipment used in good working condition and inspected prior


to entry? " "

Are personnel properly clothed and equipped? " "

SECTION 2 – PRE-ENTRY CHECKS


(To be checked by each person entering the space)

Yes No

I have received instructions or permission from the master or


nominated responsible person to enter the enclosed space " "

Section 1 of this permit has been satisfactorily completed by the


master or nominated responsible person " "

I have agreed and understand the communication procedures " "

I have agreed upon a reporting interval of .............. minutes " "

Emergency and evacuation procedures have been agreed and are


understood " "

I am aware that the space must be vacated immediately in the event


of ventilation failure or if atmosphere tests show a change from
agreed safe criteria " "
SECTION 3 – BREATHING APPARATUS AND OTHER EQUIPMENT
(To be checked jointly by the master or nominated responsible
person and the person who is to enter the space)

Yes No
Those entering the space are familiar with any breathing
apparatus to be used ............ ............

The breathing apparatus has been tested as follows:

- gauge and capacity of air supply ............ ............


- low pressure audible alarm if fitted ............ ............
- face mask – under positive pressure and not leaking ............ ............

The means of communication has been tested and emergency


signals agreed ............ ............

All personnel entering the space have been provided with


rescue harnesses and, where practicable, lifelines ............ ............

Signed upon completion of sections 1, 2 and 3 by:

Master or nominated responsible person ................... Date .................. Time

Attendant .................................................................... Date .................. Time

Person entering the space .......................................... Date .................. Time

SECTION 4 – PERSONNEL ENTRY


(To be completed by the responsible person supervising entry)

Names ..........................................

Time in ......................................... Time out .............................


SECTION 5 – COMPLETION OF JOB
(To be completed by the responsible person supervising entry)

Job completed Date Time ...................... ......................

• Space secured against entry Date Time ........................................


• The officer of the watch has been
duly informed Date Time .............................................

Signed upon completion of sections 4 and 5 by:

Responsible person supervising entry .................... Date ................... Time ...............

THIS PERMIT IS RENDERED INVALID SHOULD VENTILATION OF THE


SPACE STOP OR IF ANY OF THE CONDITIONS NOTED IN THE CHECKLIST
CHANGE
Notes:

1 The permit should contain a clear indication as to its maximum period of validity.

2 In order to obtain a representative cross-section of the space's atmosphere, samples


should be taken from several levels and through as many openings as possible.
Ventilation should be stopped for about 10 minutes before the pre-entry atmosphere
tests are taken.

3 Tests for specific toxic contaminants, such as benzene or hydrogen sulphide, should
be undertaken depending on the nature of the previous contents of the space.

___________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy