CONFINED SPACE ENTRY CHECK LIST

S/N ITEM YES NO Remarks

Have you seen and understand client confined space

1
entry procedure?
Is the procedure acceptable and comply with GL Confined
2
Space Entry Standard?
Do you know the potential hazards of this confined space
3
entry?
4 Was the media stored known to you?
5 Any work in the vicinity known to you for assessment?
Has the space been isolated from other systems and
6
equipment?
Confined space atmosphere tested by client competent
7
person?
Is the test equipment used, calibrated with valid
8
certificate?
9 Is oxygen level between 20.8% (+/-0.2%)?
The level of flammable gas is less than <1% of its lower
10
explosive limits LEL?
11 Has the space been adequately ventilated before entry?
12 Will ventilation be continued during entry?
13 Will the atmosphere be monitored while work is going on?
14 Are you carrying your personal monitoring device?
Is the air intake located in an area free of combustible
15
dusts, vapours and toxic substances/discharges?
Is safe means of access/egress & lighting provided and
16
identified?
Is another person accompanying you into the confined
17
space?
Will there be a standby person on the entrance in constant
18 visual or auditory communication with the person on the
inside?
Has the standby team/person been trained for
19
emergencies?
20 Is rescue plan and equipment available on site?
Has a confined space entry permit or equivalent been
21
approved and issued?
Have you physically looked at the approved permit or
22
equivalent?
23 Is the permit within its validity?
24 Are you satisfied with the approved permit?