ࡱ> tws bjbj ;vrrzA@@86,blF.$t &#`"III^8IIII`ٲ( (I0FI##I#Ih>Il0Y^F#@ `: Complete All Sections of this Form Confined Space Identification Number:Entry Date:Site Location and Description: Purpose of Entry:Expected Duration (cannot exceed one 8-hour shift):Authorized Duration (no more than one 8-hour shift):Person in Charge of Work:Entry Supervisor:Authorized Entrant (s):Attendant (s):Preparations and EquipmentN/AYesInitialsPreparations and EquipmentN/AYesInitialsLockout/Tagout G.F.C.I. EquipmentLines (s) Broken-Capped-BlankedNon-sparking ToolsPurge-Flush and VentFire ExtinguisherVentilationProtective clothingSecure Area (Post and Flag)LifelineHot Work PermitFull-body Harness Respiratory ProtectionTripod/Rescue EquipmentAir MonitorFall ProtectionExplosion-proof LightingCommunications EquipmentAtmosphere MonitoringPre-Entry TestDuring Entry OperationsTest(s) to be takenAcceptable RangeTimeReadingTimeReadingTimeReadingTimeReadingPercent of Oxygen ( O2)19.5% to 23.5%Lower Explosive Limit ( LEL) Below 10%Carbon Monoxide (CO) Below 35 ppmHydrogen Sulfide (H2S) Below 10 ppmInstrument Used: Remark on the overall condition of the confined space: Required Pre-Entry Hazard Elimination Measures TakenCircle OneAll slip and trip hazards eliminatedYesN/AAtmospheric testing (oxygen, flammable vapors/gases and toxic concentrations) conducted and documented aboveAccess opening obstruction hazards eliminatedSharp edges removed or guardedPhysical barriers or barricades installedForced ventilation can eliminate atmospheric hazardsContents of the space removedChemical, utility, and outlet lines isolatedLockout/ Tag-out, and tryout procedures implementedPermit Entry Authorization I certify that all existing hazards have been eliminated and all above conditions have been satisfied. 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