Before entering a confined space, evaluate the area and complete a Confined Space Checklist Form and Entry Document . A sample form addressing OSHA requirements is included after this section.

To complete the form, determine the following information:

• Identity and location of the confined space
• Purpose for entering the area
• Known and potential hazards
• Required isolation methods (e.g., lockout/tagout)
• Environmental conditions of the confined space
• Atmospheric readings to verify that acceptable environmental conditions are met and maintained
• Rescue services, procedures, and equipment that may be necessary in case of an emergency
• Communication procedures to be used
• Personal protective equipment to be used
• Any additional information relating to the specific circumstances of the confined space
• Names of the following: Person authorizing entry
• Supervisor
• Authorized entrants
• Authorized attendants

IMPORTANT!
If you intend to perform hotwork within the confined space, you must note this on the form.