confined space work permit

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Why ehs4safety Careers E-Book Blog Our Partners Case Study

Electronic Aerospace Chemical Automotive Cement Shipbuilding Oil and Gas Mining Industry Construction Industry

Permit To Work Loto System Risk Assessment Near Miss Change Management Sustainability & ESG Incident Management Visitor Management Audit Inspection Headcount Emergency Preparedness Safety Training Tracker

AI PPE Detection AI Security Fall Detection System Form Recognizer Forklift Collision Avoidance

Contact Us

Confined Space Permit

(For Company Use Only)

Permit Details

Company Name

Permit No

Department / Section

Date Issued

Valid From

Valid To (Max 8 hours)

1. Work Details

Exact Location of Work

Nature of Work

Cleaning Inspection Repair / Maintenance Cold Work Hot Work Other:

Job Description

Equipment / Tools Used

2. Personnel

Permit Requester (Employee/Contractor)

Work Operator(s)

Supervisor Responsible

Confined Space Attendant

3. Mandatory Safety Checks (To be Verified Before Work Starts)

Atmospheric monitoring initiated and continuous LOTO (Lockout/Tagout) applied and verified Proper ventilation established Rescue plan and equipment in place Communication method with attendant verified Emergency services notified/on standby Appropriate PPE provided and used Work area barricaded and signages posted Confined space attendant briefed and present

4. Gas Test Results

Oxygen Level (%)

LEL (Explosive Gas) (%)

Toxic Gas (Type/Reading) ppm

Test Done By

Date/Time

5. Authorization

Permit Issuer Name

Signature

Date

Area In-Charge Name

Signature

Date

Work Operator Name

Signature

Date

6. Closure of Permit

Completion Time

Date

Area inspected after completion

Safe Unsafe

Confined Space Entry Log completed

Yes No

Permit Closed By Name

Signature

Date

Ensuring compliance, enhancing safety, and promoting a safer workplace through cutting-edge professional EHS safety software solutions.

Our Company:

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Careers
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Blog
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Solutions:

Permit To Work
Loto System
Risk Assessment
Near Miss
Change Management
Sustainability And ESG
Incident Management
Visitor Management
Audit Inspection
Headcount
Emergency Preparedness
Safety Training Tracker

Contact Us:

Asia-Pacific/Europe:
+91-9663588196
+91-7406578806
Middle East/Dubai/UAE:
+971 50 116 7484

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