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Work Management System - Atmospheric Test Record (Supplement)
Work Management System - Atmospheric Test Record (Supplement)
Permit Number:
CSE Class 1
Limits
CSE Class 2
Limits
19.5 to 23.5%
16% to 19.5%
or > 23.5%
Pre-Start
Test
Result
Result
Result
Result
Result
Result
Result
Result
Result
Result
Result
Result
Result
Result
Date
Time
Oxygen (O2)
Lower Explosive Limit (LEL)
Flammability General Work
1% of LEL (HC)
0% of LEL
0% of LEL
< 5 ppm
< 25 ppm
Benzene
Other
Authorized Gas Tester (AGT) Initials:
CSE Class 1
Limits
CSE Class 2
Limits
19.5 to 23.5%
16% to 19.5%
or > 23.5%
Date
Time
Oxygen (O2)
Lower Explosive Limit (LEL)
Flammability General Work
1% of LEL (HC)
0% of LEL
0% of LEL
< 5 ppm
< 25 ppm
Benzene
Other
Authorized Gas Tester (AGT) Initials:
Sign: