Permit Required Confined Space

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Name* This field is required.Please write your name and employee number
First Name
Last Name
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Employee Number
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Branch* This field is required.Please select your branch
ABS/ARS New Braunfels, TX
ARS Erie, KS
Abilene, TX
Aliquippa, PA
Augusta, GA
Castelton, ND
Cedar Rapids, IA
Chanute, KS
Cherryvale, KS
Clara City, MN
Clinton, IA
Coffeyville, KS
David City, NE
Decatur, AL
Decatur, IL
Deerfield, MO
Des Moines, IA
Destrehan, LA
Emporia, KS
Fredonia, KS
Fredonia Shop, KS
Ft. Lawn, SC
Gastonia, NC
Gilman, IL
Goodland, KS
Humboldt, KS
Lincoln, NE
Mankato, MN
Marshall, MN
Morristown, IN
Mexico, MO
Mitchell, SD
TFC
Urbana, IA
Valdosta, GA
West Monroe, LA
Other
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Safety Instructor CR* This field is required.Please Select
Kris Catlin
Pat Roof
Chad Wieland
Harry Foley
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Safety Instructor Please type the name of your safety instructor.
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Meeting Location CR* This field is required.
Dry Grind
Warehouse 2
Warehouse 4
Warehouse 9
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Meeting Location Please type where the Safety Instruction took place.
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You just did the lockout on a confined space that you need to work in. You have an attendant and safety equipment but do NOT see the entry permit. Now what?* This field is required.
Add the precautions to your JHA, test the air, enter the space if safe.
Stop. You know that an entry permit is required before entry. Get help.
As long as you have the space isolated, nothing else is required.
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You are inside a confined space and you can hear the air monitor beeping an alarm: * This field is required.
Get out immediately. The atmosphere may have become unsafe.
Talk it over with the attendant. This is probably just a bad monitor or battery issue.
Continue with the task. The attendant will let you know if it is really a problem.
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You see the confined space supervisor reviewing the space and permit. What should they be doing?* This field is required.
Reviewing safety procedures required for entry and authorizing the permit.
Reviewing the production goals and manpower for task.
Ensuring break times and work stoppage is appropriate.
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You have been trained as an Attendant but have been assigned to a new confined space with new people in a new area.* This field is required.
This is a task you have done many times just stay alert on stay outside space.
Use the same precautions for a space you have worked with in the past.
Talk with your supervisor. All spaces are unique and you must be familiar with the potential hazards and precautions required for each and every space.
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Your crew is setting up to do a task in a confined space. It looks like just a big open space inside. What should you remember?* This field is required.
If the space isn’t connected to anything it is probably safe.
The dangers/risks of confined space work won’t always be obvious. Don’t assume safety, take all the required precautions on the permit.
Confined space hazards should be obvious. Take precautions accordingly.
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Initials* This field is required.Make sure to go to the next screen to submit
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Please Check* This field is required.
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PercentageTo be considered a passing score, you must achieve a 70% or better. If not, review material and try again.
Should be Empty: