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Confined Spaces Audit

Permit-Required Confined Space Entry per 8 CCR 5157

⚠️ LIFESAVING RULE: Never enter a confined space without authorization, atmospheric testing, and a rescue plan in place.

⚠️ DANGER: Confined spaces can contain deadly atmospheres. Test before entry. Continuous monitoring required. Rescue plan must be in place.

📋 Audit Information
🏗️ Space Information
✅ Audit Checklist

Mark each item as Compliant, Non-Compliant, or N/A

Permit & Personnel
Valid confined space entry permit posted at entry
✓
✗
N/A
Permit completed with all required information
✓
✗
N/A
Entry supervisor identified and on-site
✓
✗
N/A
Authorized entrants identified on permit
✓
✗
N/A
Attendant stationed at entry point
✓
✗
N/A
All entrants signed onto permit
✓
✗
N/A
Atmospheric Testing
Pre-entry atmospheric testing completed
✓
✗
N/A
Oxygen level within acceptable range (19.5-23.5%)
✓
✗
N/A
LEL below 10% of lower explosive limit
✓
✗
N/A
H2S below acceptable limit
✓
✗
N/A
Other toxic gases tested as required
✓
✗
N/A
Continuous atmospheric monitoring in place
✓
✗
N/A
Isolation & Hazard Control
All energy sources isolated (LOTO)
✓
✗
N/A
Mechanical hazards secured
✓
✗
N/A
Lines blanked/blinded as required
✓
✗
N/A
Space cleaned/purged if needed
✓
✗
N/A
Ventilation provided and adequate
✓
✗
N/A
Engulfment hazards controlled
✓
✗
N/A
Rescue Preparedness
Rescue plan established and documented
✓
✗
N/A
Rescue team identified and available
✓
✗
N/A
Non-entry rescue equipment available
✓
✗
N/A
Retrieval system in place (tripod/winch)
✓
✗
N/A
Emergency services notified if required
✓
✗
N/A
Equipment & PPE
Calibrated gas monitor in use
✓
✗
N/A
Retrieval harness worn by entrants
✓
✗
N/A
Communication equipment functional
✓
✗
N/A
Lighting adequate for work
✓
✗
N/A
Respiratory protection available if needed
✓
✗
N/A
Additional PPE appropriate for hazards
✓
✗
N/A
Training & Documentation
Entrants trained in confined space entry
✓
✗
N/A
Attendant trained in duties and response
✓
✗
N/A
Entry supervisor trained and competent
✓
✗
N/A
Training documentation current and verified
✓
✗
N/A
Pre-entry briefing conducted
✓
✗
N/A
📊 Overall Audit Result
✓ Compliant
Coaching Provided
✗ Non-Compliant
📝 Observations & Coaching
Photos (take a picture or pick from your library, as many as you need)
Photos and PDFs, 15MB max each. Attachments lock when the form is submitted.
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