Doc Ref No MCCL/HSED/HSEP 02/12

CONFINED SPECE ENTRY Rev No/Date 00/02.04.2015

CHECK LIST Orginated Date 02.04.2015

Location Date

Inspected By No OF person Involved

# Description YES N/A Remarks

NO

1 WORK PERMIT Confined Space Entry Permit (CSEP) in place ?

All the personnel entering in to the Confined Space are Trained

2 CSE Training
by the HSE Department.

PPE & Fire All the appropriate type of PPE and Fire Extinguisher are in
3 Extinguisher place

4 CAUTION BOARDS Adequate number of Warning Boards are in Place.

Did the Supervisor conducted Tool Box Talk to all the Personnel
5 Tool Box Talk working in the Confined Space Operations and recorded.

STAND BY MAN & Weather or not Supervisor & Stand By Man Trained about
6 SUPERVISOR
Specific duties and responsibilities.
TRAINING

Weather or not Specific tests for Oxygen / H2S /Flammable or

7 GAS TESTING Toxic Gas Testes conducted and recorded.

8 LIGHTING Is the Lighting provided adequately and Intrinsically safe .

Adequate Ventilation or forced ventilation depending on the

9 VENTILATION type of Confined Space are available or not.

10 LOCK OUT &

TAGGING
Checks for Electrical & Mechanical Lock out & Tagging is
Provided or not.

CLEANING
11 /PURGING/DRAINI Weather req or not required type for ensuring safety before
NG/& DE- entry is made or not
PRESSURIZATION

12 ACCESS & EGRESS Proper Access & Egress are in place ,

EMERGENCY &
13 RESCUE Team is available and properly Trained.
Safety officer Signature HSE Manager Signature