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Confined space evaluation form - OSEH - University of Michigan - oseh umich 2026

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The document is a Confined Space Evaluation Form used to assess whether a space qualifies as a confined space based on specific criteria. It includes a series of yes/no questions to determine the characteristics of the space, potential hazards, and necessary permits for entry. The form outlines procedures for evaluating safety risks, classifying permits (General, Hazardous, or Hot Work), and ensuring compliance with safety protocols before allowing entry into confined spaces.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'SPACE LOCATION' and 'SPACE DESCRIPTION' fields at the top of the form. This information is crucial for identifying the specific area being evaluated.
Answer the three initial questions regarding the characteristics of a confined space. Mark 'YES' or 'NO' based on your assessment.
Proceed to questions A through E, which assess potential hazards. For each question, indicate 'YES' or 'NO', and provide details about any specified hazards in the provided spaces.
Based on your answers, classify whether a permit is required and specify its type (General, Hazardous, or Hot Work) as instructed.
Complete the sections for entry supervisor details, authorized entrants, and any required equipment. Ensure all signatures are obtained where necessary.

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How long is a confined space certificate good for?

OSHA does have two annual requirements attached to confined spaces: employers are required to review the permit program annually, and employee rescue personnel need to perform practice rescues at least once every 12 months. Industry leaders recommend that you refresh Confined Space Training every one or two years.

How to find confined space?

Here are some practical steps and questions to ask when determining if youre dealing with a confined space: Is the space substantially or totally enclosed? Is there a chance of one or more specified risks? Will the planned work introduce one or more of the specified risks?

What form is required for confined spaces?

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.

Does the confined space cert expire?

The certificate for this Confined Space Training Class is valid for 1 year. This is in line with industry standards. If you are approaching the expiration date of your current certificate it is recommended that you complete a new course and earn a new certificate of completion before that expiration date.

How to determine a confined space?

A confined space is an enclosed or partly enclosed space that has other features that combine to make it potentially dangerous to work in. For example, its hard to get in and out of, and it may have low oxygen levels, or contain harmful fumes. It may store something that could crush or suffocate, like sand or grain.

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