Confined Spaces Entry Program
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INTRODUCTION
This plan is designed to comply with Washington Administrative Code (WAC) 296-62 Part M. It is the responsibility of all employees to become familiar with this plan prior to entering any confined space and to complete the pre-entry requirements. This document, by itself, will not prevent injuries or accidents but is a plan of entry into confined spaces as defined in WAC 296-62-14501. It is the responsibility of every member to enforce the intentions of this plan. A copy of this plan shall, without exception, be kept and made available on each and every job site.
PRE-JOB MEETING
All information contained on the confined space entry work permit shall be communicated in a pre-job meeting to make certain that all employees are aware of the existing hazards.
PRE-JOB EQUIPMENT INSPECTION
Prior to commencement of work on the project, all safety devises shall be inspected or calibrated to insure the proper installation or intended use. Check the items being inspected and note the date.
RESPIRATOR USERS MUST HAVE CURRENT INDIVIDUAL FIT TESTS PRIOR TO USE.
HOW TO USE THE CONFINED SPACE ENTRY PLAN
In conjunction with the pre-job meeting, the confined space entry form is to be completed prior to any work being done on any project.
HOW TO FILL OUT CONFINED SPACE ENTRY PERMIT
SITE DESCRIPTIONS
Provide specific information on the obstacles or dangers associated with entry into each confined space. Enter the observed problems, which may be associated with toxicity, flammability, oxygen deficiency/excess, mechanical, electrical, corrosive or temperature hazard.
HAZARDS
All confined spaces may be a HAZARD. Specific hazards are listed on the pre-job entry permit prior to entering any confined space. Any hazard that is not listed, that exists at the work site, shall be addressed on the reverse side of the form.
METHOD OF PROTECTION
Select the appropriate means of protection for the hazards listed above.
SEATTLE UNIVERSITY EMPLOYEES DO NOT ENTER CONFINED SPACES WITH OXYGEN DEFICIENCIES OR TOXIC ATMOSPHERES IN EXCESS OF STANDARDS.
EMERGENCY INFORMATION
THIS IS THE MOST IMPORTANT INFORMATION ON THE FORM. Prior to starting any project, it is imperative that each employee is made aware of the information contained on the entry permit.
CONFINED SPACE ENTRY WORK PERMIT
DATE_________________________
SITE LOCATION___________________________________________________
SHOP____________________________________________________________
MONITOR (Person used as observer)________________________________
PRE-JOB EQUIPMENT INSPECTION:
ROPES________EXTENSION CORDS________LIGHTS________LADDERS________
RESPIRATORS (require current individual fit test)________________________________
PROTECTIVE CLOTHING___________________________________________________
FIRE EXTINGUISHER_______________________________________________________
SITE DESCRIPTION:
VAULT_________TANK________VESSEL_______DUCT_______SEWER_______
TUBE_________PIPELINE____PIT__________
TRENCH (more than 4 ft. in depth) ___________________________
HAZARDS:
OVERHEAD OBSTACLES___________________________________________
TRIPPING OBSTACLES___________________________________________
TOXIC ATMOSPHERES____________________________________________
FLAMMABLE ATMOSPHERES_______________________________________
OXYGEN DEFICIENCY OR EXCESS_________________________________
MECHANICAL (Lock Out procedures required for electrical or steam valve work)_________________________________________________
*Entry into a confined space above Permissible Exposure Limits, having flammable atmospheres, or oxygen deficient/excess are prohibited without consent of Supervisor.
HAZARDS COMMUNICATED TO ENTRY CREW______________________________
METHOD OF PROTECTION:
ATMOSPHERIC CONDITIONS_______________________________________
RESPIRATION REQUIRED_________________________________________
LIGHTS_________TEMPERATURE____________HARD HATS______________
MONITOR (detection meter used) ___________________________________
OVER HEAD PROTECTION_____________________________________________
CONTROL ZONE_____________________WARNING SIGNS___________________
LOCK OUT EMPLOYED________________________________________________
EMERGENCY INFORMATION:
NEAREST PHONE____________EMERGENCY MEDICAL NUMBER 296- 5911
LOCATION OF FIRST AID KIT_______________________________________
TRAINED FIRST AID PERSONNEL_____________________________________
ALWAYS REPORT ANY INJURY TO LEAD WORKER OR SHOP SUPERVISOR
CARE AND REMOVAL OF INJURED PERSONNEL
Any situation that is beyond the training provided through first aid education, immediately contact Public Safety at 296 -5911 for proper care and instructions.
DO NOT attempt to move or rescue an injured worker without consulting an Emergency Response Person first. Less severe injuries may be treated on site as required. Injuries requiring medical attention after on site first aid shall be transported immediately.