Confined space entry form 2026

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  1. Click ‘Get Form’ to open the confined space entry form in the editor.
  2. Begin by entering the exact location of the confined space in the designated field. This ensures clarity on where the work will take place.
  3. Fill in the date and time for when entry is scheduled to begin. Accurate timing is crucial for safety protocols.
  4. Indicate whether a specific Standard Operating Procedure (SOP) is available by selecting 'Yes' or 'No'. If 'Yes', refer to that SOP while completing this form.
  5. Describe the task to be performed within the confined space, ensuring all details are clear and concise.
  6. List any special hazards associated with this confined space by circling or writing them in. Include necessary hazard controls as well.
  7. If applicable, indicate if Hot Work will be performed and whether Lockout/Tagout procedures are required, ensuring compliance with safety standards.
  8. Document atmospheric testing equipment details and results, including calibration status and acceptable limits for toxic gases.
  9. Record authorized entrants and attendants, followed by obtaining signatures from the Lead Worker at completion of tasks.

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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 supervisor is responsible forthe checklist and ensuring it is filled out correctly. Once Work is completed thepermit should be closed out. It is import to note that prior to entering a confinedspace a four gas meter with a current annual calibration should be used to testthe atmospheric conditions.
Risk Assessment: Before entering a confined space, a thorough risk assessment must be conducted to identify potential hazards and determine the necessary precautions. This step is crucial, as it forms the foundation of a comprehensive safety plan, ensuring that all risks are understood and mitigated before work begins.
Confined Space Assessment / Information Sheet. Instructions: The purpose of this form is to identify the hazards and characteristics of a space to determine if it is a confined space, and if so, if it is a non-permit required space or a permit-required confined space.
Before entering a confined space, the Confined Space Safety Checklist and Entry Permit - form E-618 must be completed and signed by all team members.

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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. SPECIAL NOTICE 2: CONFINED SPACE ENTRY IS PROHIBITED IF TEST DATA INDICATES AN UNSAFE OR UNHEALTHFUL CONDITIONS IS PRESENT IN ANY FORM OR QUANTITY.
OSHA uses the term permit-required confined space (permit space) to describe a confined space that has one or more of the following characteristics: contains or has the potential to contain a hazardous atmosphere; contains material that has the potential to engulf an entrant; has walls that converge inward or floors

confined space entry permit template