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Confined Space

Name:____________________________ Department:___________________ 
Badge Number:_____________
Across
Authorized entrants who enter a permit space must wear a
Trained and knowledgeable of the hazards of Confined Spaces, aware of behavioral effects of potential exposure. They must maintain a continuous count of the entrants, remain outside the space until relieved, communicate with the entrants in order to monitor their status and when necessary, order the exit of all entrants
Any condition not allowed by permit during entry operations
Are required to know the space hazards including information on the mode of exposure, signs or symptoms and consequences; verify emergency plans and specified entry conditions such as permits, tests, procedures, and equipment before allowing entry; terminate entry and cancel permits when entry operations are completed or if a new condition exists; verify that rescue services are available and that the means of summoning them are operable; take appropriate measures to remove unauthorized entrants; and ensure that entry operations remain consistent with the entry permit and that acceptable entry conditions are maintained
A space large enough for an employee to enter fully and perform assigned work;Is not designed for continuous occupancy by employees; Has limited or restricted means of entry or exit.
Down
Assessment of the workplace to determine if there are any Permit Required Confined Spaces. Inform affected associates through signs and attendants to prevent unauthorized entry to the space
Hole depth exceeding 4 feet, Inadequate shoring, No competent person to Permit the Excavation or Confined Space, Improperly trained or no rescue personnel, No defined Rescue plan
Trained and knowledgeable in the hazard they are facing, and are able to recognize effects of potential exposures and understand the consequences of exposures to the hazards. They must know how to use the equipment needed to be in the space, must be able to communicate with attendants, and alert Attendants when a warning symptom or other hazardous condition arises and exit as quickly as possible
These services may be supplied by on-site or off-site personnel. On-site teams must have the proper equipment and must be fully trained on Confined Space Rescue. Rescue services must have received the same training as the Authorized Entrants plus training in use of personal protective and rescue equipment and first aid training, including CPR