Val Construction Confined Space
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  • Confined Space Permit

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  • Assessment of the Potential Confined Space

    Answer these questions to establish the type of confined space
  • NOT A CONFINED SPACE

    No permits are required. You do not have to submit this form.

    Be mindful of hazards and completed a hazard assessment.

  • RESTRICTED SPACE

    No confined space permit is required at this time.

    But if conditions change you may need to review and submit again. 

  • CONFINED SPACE

    Continue on to assess the hazard level of the confined space. 

  • Level 3 Confined Space

    1. Confined Space Hazard Assessment
    2. Valid Confined Space Entry Permit
    3. Evacuation Procedure
    4. Valid Rescue Plan
    5. Qualified confined space monitor may be required *

     

    *If hazard assessment determines a confined space monitor is NOT required at the point of entry, a competent worker must be designated to maointian communication with the other workers within the confiend space, and an entry log MUST still be maintained.

  • Level 2 Confined Space

    1. Confined Space Hazard Assessment
    2. Valid Confined Space Entry Permit
    3. Evacuation Procedure
    4. Valid Rescue Plan
    5. Qualified confined space monitor at all times
  • Level 1 Confined Space

    1. Confined Space Hazard Assessment
    2. Supplied breathing air (must be available and worn)
    3. All entrants and monitors trained in pre-inspection and use of supplied air breathing equipment
    4. Qualified confined space monitor in attendance at all times
    5. Valid Confined Space Entry Permit
    6. Evacuation Procedure
    7. Specific Rescue Plan (reviewed and approved by H&S manager)
    8. Qualified confined space monitor at all times

     

    ANY TIME A LEVEL 1 ENTRANCE IS LEFT UNATTENDED THE ENTRANCE MUST BE BARRICADED PHYSICALLY WITH A DANGER DO NO ENTER SIGN HUNG.

     

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  • Confined Space Rescue Plan

  • Format: (000) 000-0000.
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  • Should be Empty: