Checklist for Enclosed Space Entry

Section 1 – PRE-ENTRY PREPARATIONSYesNo
1*Has  a formal  risk assessment been prepared and  discussed by the personnel entering the space ?
2*Pre-entry atmosphere test readings ( using portable monitors )                             Tested  By :-

 

Oxygen………..……………………% vol (21%),                                                   Time : –

 

Hydrocarbon………………………%LFL (less than 1%),

 

Toxic Gases(CO/H2S/Benzene)……..………………….ppm(less than 50 % TLV-TWA of the specific gas)

 

3*Have arrangements been made to repeat atmosphere testing of the space during occupancy and during breaks?
4*Are access and illumination adequate?
5*Have arrangements been made to continue ventilation of the space during occupancy and during breaks?
6*Is rescue and resuscitation equipment available for immediate use by the entrance to the space?
7*Has an attendant been designated to be in constant attendance at the entrance to the space ?
8*Has the Officer of the Watch (Bridge, ECR, CCR) been advised of the planned entry?
9*Has a system of communication between all parties been tested and emergency signals agreed?
10*Is a record maintained for the personnel entering/exiting the space?
11*Are Lock Out tags/notices in place where applicable?
12*Are Plant isolation referred to where applicable?
13*Are portable lights and other equipment available and an approved /certified type?
14*Are personnel entering the space equipped with personal monitors?
ADDITIONAL  CHECKS TO BE CONDUCTED FOR SPACES/TANKS OTHER THAN PUMPROOM
1.Has the space been cleaned, where necessary?
2Has the space been tested at different levels and locations, using portable monitors?
3Has the space been positively segregated by blanking off or isolating all connecting pipelines or valves and electrical power/equipment ?
Section 2 – PRE-ENTRY CHECKS

To be recorded by the person authorized  as LEADER of team entering the space

YESN/A
1.I have checked Section 1 of this permit and confirm it has been completed fully?  
2.I am aware that the space must be vacated immediately in the event of ventilation failure or if atmosphere tests change from agreed safe criteria?  
3.I have agreed upon the procedure for communication?  
4.I have agreed upon a reporting interval of ……………..minutes
5.I have agreed and understood the emergency and evacuation procedures 
6.I understand the work to be carried out. We have discussed and agreed the safety measures and I’m satisfied it is safe to commence workName/Rank /Signature of team leader entering space
SECTION 3 :  AUTHORISATION
I am satisfied that all appropriate safety measures are in place and that the work can be conducted safely.Chief Officer
Work Authorised By:Master / Chief Engineer
SECTION 4 : PERMIT CLOSURE/CANCELLATION
Equipment /system has been de-isolated and returned to the “in-service condition”
All notices and tags removed
The work area and equipment is in a safe condition
 Work Completed                         Permit is time ExpiredWork suspended
Permit Closed By:

(Chief Officer/Chief Engineer/Master)

Signature :Date :

Time:

  1. Gas samples should be taken using portable gas instruments, from several depths and through as many openings as possible in order to get a good cross section representation of the compartment’s atmosphere. Ventilation should be stopped for about 10 minutes before pre entry atmosphere tests are taken.
  2. Only those entries marked * need to be completed for pump room entry.
  3. Chief Officer is authorised to sign/close the permit, ONLY for routine pump room entry/inspection.
  4. Copy of the permit is to be displayed on site.
  5. TLV-TWA for various gases – CO – 25 PPM,  H2S- 5 PPM, BENZENE – 1 PPM

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From Marine Enclyopedia to MARINE GYAAN ACADEMY in Lucknow - Preparing YOUTH to become SEAFARERS ( for IMU-CET and various courses) From Marine Enclyopedia to MARINE GYAAN ACADEMY in Lucknow - Preparing YOUTH to become SEAFARERS ( for IMU-CET and various courses) From Marine Enclyopedia to MARINE GYAAN ACADEMY in Lucknow - Preparing YOUTH to become SEAFARERS ( for IMU-CET and various courses) From Marine Enclyopedia to MARINE GYAAN ACADEMY in Lucknow - Preparing YOUTH to become SEAFARERS ( for IMU-CET and various courses)