Form #3 Confined Space Entry Permit - Timberlink Australia 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'Location of work' and 'Description of work' sections. This provides essential context for the permit.
  3. In the 'Isolation' section, indicate whether the space has been isolated from various hazards by selecting 'Yes' or 'No' for each item listed.
  4. Test the atmosphere in the confined space and record results under the 'Atmosphere' section. Ensure oxygen levels are above 20.9% before proceeding.
  5. List any chemical agents that will be taken into the confined space in the designated area, ensuring compliance with safety regulations.
  6. Complete the 'Job Safety Analysis' section by confirming if an analysis has been done and listing identified risks.
  7. Fill out personal protective equipment requirements, marking each type as required or not.
  8. Ensure all emergency response procedures are noted, including first aid notifications and equipment readiness.
  9. Finally, complete the authority to enter section by signing and dating where indicated, ensuring all personnel understand safety measures.

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IF HOT WORK WILL BE REQUIRED IN CONJUNCTION WITH THE CONFINED SPACE ENTRY TASK, BOTH PERMITS (GSA FORM 1755 AND GSA FORM 3625) ARE REQUIRED.
The entry permit process guides the supervisor and workers through a systematic evaluation of the space to be entered. The permit should be used to establish appropriate conditions. Before each entry into a confined space, an entry permit will be completed by Environmental Health Safety (EHS).
The Level 1 Award in Confined Space Entry is a certification course designed to provide participants with the foundational knowledge and skills required to safely enter and work in confined spaces. It covers essential topics such as hazard identification, risk assessment, entry procedures, and emergency response.
NC3 Classification Working without an attached rescue line and includes working away from the point of entry. A high risk confined space exists when there is a specified hazard that cannot be controlled or eliminated.
Class III; confined spaces where an atmosphere free of dangerous air contamination, oxygen deficiency, or oxygen enrichment cannot be verified.
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A confined space will be considered Level 3 if all identified hazards are controlled, the potential for change is unlikely and all of the following apply: a) Oxygen concentration is between 19.5% and 23.0% by volume. b) Concentration of explosive gases is less than 1% of LEL.
Below are some examples of permit-required confined spaces: Utility tunnels and underground vaults. Storage tanks and vessels containing hazardous substances. Grain bins and silos. Septic tanks and pits with an oxygen-deficient atmosphere and toxic gases within them.

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