Online Induction >> Permit to Work Software >> Confined Space Permit
Published 22/12/2021

Confined Space Permit Template

A confined space permit is required for job tasks that involve an enclosed or partially enclosed work space that is not designed or intended primarily to be occupied by a person or is likely to be a risk to health and safety due to hazards and conditions such as safe oxygen levels contaminants, gases, vapours dusts or other hazardous conditions that may cause injury. Hazards or risks from fire or explosion, harmful concentrations of any contaminants or other dangerous fire risks.

Examples might include: tanks, pits, pipes, containers, ducts, sewers, flues, chimneys, silos, pressure vessels, wet or dry wells.

Risks faced in a confined space might include: loss of consciousness, impairment, injury or even death from asphyxiation from oxygen deficiency or exposure to contaminants. There could also be injury from a fire or explosion.

Confined Space Template

Confined spaces are high risk work environment. With a confined space permit, you might assess the following:

- Location of work
- Description of work
- Isolation requirements (water, gas, chemicals, mechanical, hydraulic, electrical etc)
- Atmosphere conditions (oxygen levels, flammable gas etc)
- Area checks
- PPE checks
- Emergency response checks
- Specific site precautions

These are just a few or many areas you might include in a confined space permit form. Additionally you need to capture the contractors details who is completing the work and have a proper permit to work system process for approval and notification workflows.

QR Code Confined Space Permit to Work Template

Try scanning this QR code for an example Confined Space Permit to Work form

Create your own form and workflows

Try setting up an online confined space management system to issue and confined space work permits: