Her 18 year old son Matthew died in a ship confined space on Dec. 1, 2005.
“ So sad. One of the faults of the company is that it had no rescue plan in place. Well with my son, the only plan the company had was to call 911. This was deemed a good plan by OSHA. This is not a good plan for workers. Time is crucial. A trained rescue team needs to be close to the workers working in confined spaces.”
“ I ask you to conduct a review of your rescue provisions. Are contractors used for entry or rescue? Is there practice? Can they get the workers out in time?”
The following permit has been designed to assist in protecting persons entering confined spaces. It shall be completed before any employee enters a space designated as a "Permit-Required Confined Space". Only individuals that have received Confined Space Training shall be authorized to complete this permit. All questions that are not applicable to the entry are to be answered as "N/A". This section is to be completed by the confined space entry supervisor.
IDENTIFICATION Location_________________________________________________________________________ Date: Expiration Date: Time: am pm
Note: This Permit is valid for one entry team during a single entry. Maximum duration of the permit will be 8 hours . All copies shall remain at the job site until work has been completed. Description of Space: _______________________________________________________________________________ Reason for entry: (e.g., welding, cleaning, etc.)__________________________________________________________
AUTHORIZED PERSONNEL (list)
Entrants Attendants Contractors
What type of communication equipment will be used to maintain contact with entrants? ( ) radio ( ) phone ( ) visual contact ( ) other ____________ What type of communication equipment will be available to contact emergency services? ( ) radio ( ) phone Is respiratory protective equipment required for this job? ( )Yes ( )No If yes, has each member of the entry team completed respirator training, physicals and fit testing?
( )Yes ( )No If yes, what type? ( ) SCBA ( ) supplied air ( ) PAPR ( ) full face ( ) half mask cartridge used: _______ Is personal protective clothing required for this job? ( )Yes ( )No If yes, What type? ( ) coveralls ( ) splash suit ( ) leather gloves ( ) chemical gloves ( ) goggles ( ) face shield ( ) ear plugs ( ) ear muffs ( ) hard hat ( ) welding hood ( ) welding gloves ( ) welding jacket ( ) safety boots ( ) chemical boots ( ) other_______ What types of hazardous energy may be present? ( ) electrical ( ) mechanical ( ) hydraulic ( )chemical ( )pneumatic ( ) thermal How will these hazards be eliminated or controlled? ___________________________________________________
What other hazards may the worker be exposed to? ___________________________________________________
Supervisor's Name (Print)_______________ Signature________________________ Date_____________
This section is to be completed by the attendant. ATMOSPHERIC TESTING
Type of gas monitor____________________ Date of last calibration ________________________________
Oxygen (between 19.5% and 23.5%) ____ Flammables/combustibles (less than 10% of L.E.L.) ____
Chemical Name ______ (Is the MSDS present?) __________ PEL #1 ____ #2 ____ #3 ____ #4 _____
THIS PERMIT MUST BE POSTED NEAR THE ENTRANCE OF THE SPACE DURING ENTRY THIS ENTRY MUST BE REGISTERED WITH THE SAFETY DIRECTOR PRIOR TO ENTRY Check List(Initial the appropriate box) All warning/caution signs, barricades, etc. are posted and in place. _____
Hazardous energy has been locked and tagged. _______
An emergency escape plan has been developed. _______
Safety life lines and retrieval system are secured and in place, _______
Space has been properly ventilated. ______
Required personal protective equipment is available and in use. ______
Job Safety Analysis Blank form - Copy for use at the workplace Date and signoff Who will make sure it happens? What can be done to make the job safe? What could harm someone? Break the job down into steps Number Completion Persons responsible Risk control Hazard Work activity Item