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Safety Checklist For Working In Confined Space
SAFETY CHECKLIST FOR WORKING IN A CONFINED SPACE ENVIRONMENT
Safety Questionnaire
1.Are all lines to a confined space, containing inert, toxic, flammable, or corrosive materials valved off and blanked or disconnected and separated before entry?

WSH ( Confined Space) Regulations    

Yes  

No   

2.Are all impellers, agitators, or other moving parts and equipment inside confined spaces locked-out if they present a hazard?

WSH ( Confined Space) Regulations    

Yes  

No   

3.Is either natural or mechanical ventilation provided prior to confined space entry?

WSH ( Confined Space) Regulations    

Yes  

No   

4.Are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substances and explosive concentrations in the confined space before entry?

WSH ( Confined Space) Regulations    

Yes  

No   

5.Is adequate illumination provided for the work to be performed in the confined space?

WSH ( Confined Space) Regulations    

Yes  

No   

6.Is the atmosphere inside the confined space frequently tested or continuously monitored during conduct of work? Is there an assigned safety standby employee outside of the confined space? When required, whose sole responsibility is to watch the work in progress, sound an alarm if necessary, and render assistance.

WSH ( Confined Space) Regulations    

Yes  

No   

7.Is the standby employee appropriately trained and equipped to handle an emergency?

WSH ( Confined Space) Regulations    

Yes  

No   

8.Is the standby employee or other employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any question as to the cause of an emergency?

WSH ( Confined Space) Regulations    

Yes  

No   

9.Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable.

WSH ( Confined Space) Regulations    

Yes  

No   

10.Is all portable electrical equipment used inside confined spaces either grounded and insulated, or equipped with ground fault protection?

WSH ( Confined Space) Regulations    

Yes  

No   

11.Before gas welding or burning is started in a confined space, are hoses checked for leaks, compressed gas bottles forbidden inside of the confined space, torches lighted only outside of the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is to be taken into the confined space?

WSH ( Confined Space) Regulations    

Yes  

No   

12.If employees will be using oxygen-consuming equipment-such as salamanders, torches, and furnaces, in a confined space-is sufficient air provided to assure combustion without reducing the oxygen concentration of the atmosphere below 19.5 percent by volume?

WSH ( Confined Space) Regulations    

Yes  

No   

13.Whenever combustion-type equipment is used in a confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?

WSH ( Confined Space) Regulations    

Yes  

No   

14.Is each confined space checked for decaying vegetation or animal matter which may produce methane?

WSH ( Confined Space) Regulations    

Yes  

No   

15.Is the confined space checked for possible industrial waste which could contain toxic properties?

WSH ( Confined Space) Regulations    

Yes  

No   

16.If the confined space is below the ground and near areas where motor vehicles will be operating, is it possible for vehicle exhaust or carbon monoxide to enter the space?

WSH ( Confined Space) Regulations    

Yes  

No   

17.Is there a team of trained personnel for confined space rescue work?

WSH ( Confined Space) Regulations    

Yes  

No   

18.Are all impellers, agitators, or other moving parts and equipment inside confined spaces locked-out if they present a hazard?

WSH ( Confined Space) Regulations    

Yes  

No   

19.Is either natural or mechanical ventilation provided prior to confined space entry?

WSH ( Confined Space) Regulations    

Yes  

No   

20.Are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substances and explosive concentrations in the confined space before entry?

WSH ( Confined Space) Regulations    

Yes  

No   

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21.Is adequate illumination provided for the work to be performed in the confined space?

WSH ( Confined Space) Regulations    

Yes  

No   

22.Is the atmosphere inside the confined space frequently tested or continuously monitored during conduct of work? Is there an assigned safety standby employee outside of the confined space? When required, whose sole responsibility is to watch the work in progress, sound an alarm if necessary, and render assistance

WSH ( Confined Space) Regulations    

Yes  

No   

23.Is the standby employee appropriately trained and equipped to handle an emergency?

WSH ( Confined Space) Regulations    

Yes  

No   

24.Is the standby employee or other employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any question as to the cause of an emergency?

WSH ( Confined Space) Regulations    

Yes  

No   

25.Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable

WSH ( Confined Space) Regulations    

Yes  

No   

26.Is all portable electrical equipment used inside confined spaces either grounded and insulated, or equipped with ground fault protection?

WSH ( Confined Space) Regulations    

Yes  

No   

27.Before gas welding or burning is started in a confined space, are hoses checked for leaks, compressed gas bottles forbidden inside of the confined space, torches lighted only outside of the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is to be taken into the confined space?

WSH ( Confined Space) Regulations    

Yes  

No   

28.If employees will be using oxygen-consuming equipment-such as salamanders, torches, and furnaces, in a confined space-is sufficient air provided to assure combustion without reducing the oxygen concentration of the atmosphere below 19.5 percent by volume?

WSH ( Confined Space) Regulations    

Yes  

No   

29.Whenever combustion-type equipment is used in a confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?

WSH ( Confined Space) Regulations    

Yes  

No   

30.Is each confined space checked for decaying vegetation or animal matter which may produce methane?

WSH ( Confined Space) Regulations    

Yes  

No   

31.Is the confined space checked for possible industrial waste which could contain toxic properties?

WSH ( Confined Space) Regulations    

Yes  

No   

32.If the confined space is below the ground and near areas where motor vehicles will be operating, is it possible for vehicle exhaust or carbon monoxide to enter the space?

WSH ( Confined Space) Regulations    

Yes  

No