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    Confined Space Entry Permit Rev 1

    Uploaded by

    Samsudin Ahmad
    This document is a confined space entry permit that outlines safety requirements for work inside a confined space. It requires atmospheric testing to check oxygen levels and for toxins before entry is approved. Emergency equipment like respirators and communication methods must be in place. The permit lists the supervisor and crew entering, the work location, dates and times of entry and expiration. Sign off from authorized and competent persons is needed to issue and cancel the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Confined Space Entry Permit Rev 1

    Uploaded by

    Samsudin Ahmad
    275 views2 pages
    This document is a confined space entry permit that outlines safety requirements for work inside a confined space. It requires atmospheric testing to check oxygen levels and for toxins before entry is approved. Emergency equipment like respirators and communication methods must be in place. The permit lists the supervisor and crew entering, the work location, dates and times of entry and expiration. Sign off from authorized and competent persons is needed to issue and cancel the permit.

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    confined space permit

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    This document is a confined space entry permit that outlines safety requirements for work inside a confined space. It requires atmospheric testing to check oxygen levels and for toxins before entry is approved. Emergency equipment like respirators and communication methods must be in place. The permit lists the supervisor and crew entering, the work location, dates and times of entry and expiration. Sign off from authorized and competent persons is needed to issue and cancel the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    275 views2 pages

    Confined Space Entry Permit Rev 1

    Uploaded by

    Samsudin Ahmad
    This document is a confined space entry permit that outlines safety requirements for work inside a confined space. It requires atmospheric testing to check oxygen levels and for toxins before entry is approved. Emergency equipment like respirators and communication methods must be in place. The permit lists the supervisor and crew entering, the work location, dates and times of entry and expiration. Sign off from authorized and competent persons is needed to issue and cancel the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    CSEP No :____________

    Confined Space Entry Permit (CSEP)


    Purpose of Entry:_____________________________________________ Person in Charge of Work:______________________________________ Supervisor in charge of crew No of crew

    PTW No :____________

    Location Work Site: __________________________________________________________________________ Date/Time:___________________ Expiration:___________________ Contact No.

    Special Requirements Can this Space be impacted on from other work areas nearby? Is signage and/or barriers required to delineate work site? Is atmosphere testing Required? Ventilation type Natural Negative Positive

    Yes

    No Hazardous Material Used? Emergency Rescue Equipment? Exit route defined? Fire Extinguishers

    Yes

    No

    Rescuers for Emergency Exit required? Communication Method Verbal Radio


    PABX

    Protective Clothing Respirator

    Hand signal Others Lighting

    Isolation required /Carried Out? De-Energize / Close/Stop/Open

    Atmosphere Testing Tests to be taken % of Oxygen % of L.F.L. Carbon Monoxide Toxics Organic Dust/Vapor Range 19.% 21.5% Any % Over 10 <50 ppm Initial Reading Date Time Remarks
    OK / NO/NA

    Name & Signature of Authorised Gas Tester (AGT) :_______________________________________


    ISSUE

    Authorised Person Signature/Name

    Competent Person Signature/Name

    Date:_____________

    Time:_______

    Date:________________

    Time:_____________

    CANCELLATION

    Competent Person Signature/Name

    Authorised Person Signature/Name

    Date:___________

    Time:_________

    Date:___________

    Time:_________

    EXTENSION OF PERMIT (for longer than one shift) Extension is not granted Approval is granted for permit extension as below: Date Night Shift SSCE Sign. Day Shift SSCE Sign. Eve Shift SSCE Sign.

    THIS WORK PERMIT MUST BE DISPLAYED AT THE DESIGNATED AREA WHILE WORK IS BEING CARRIED OUT INSIDE THE VESSEL. Flammable Gas Monitoring Result: (Permit shall be revoked if > 10% LEL & O2 19.5 / 23.5%) Date/ Time % LEL O2 Date/ Time % LEL O2 Date/ Time % LEL O2

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