HAZARDOUS ATMOSPHERES VENTILATION | INFORMATION/TRAINING | ||||
____Flammability | ____Attendant | ||||
____Oxygen content | ____Entrants | ||||
____Combustible dust, visual | ____Supervisor | ||||
____Toxic gas measurement | ____Contractors | ||||
____Exhaust | ____Nearby workers | ||||
____Air Supply | ____Rescue team | ||||
____Inert atmosphere | ____Signs, posting | ||||
Physical Hazards | Personal Protective Equipment | ||||
____Electrical | ____Respirator | ____Life line, lanyard | |||
____Mechanical | ____Glasses/goggles | ____Retrieval line, harness, wristlet | |||
____Tripping hazards | ____Hard hat | ____Communication system(s) | |||
____Caustics or acids | ____Gloves | ____Lighting | |||
____Temperature extremes | ____Clothing | ____Attendant | |||
____High pressure | ____Hearing protection | ____Buddy system | |||
____Animals, insects, plants | ____Face shield | ____Secure all materials | |||
____ Limited/obstructed entry points | ____Other (specify) | ||||
Isolation | |||||
___Lockout/tagout | ___Blinding/blanking* | ___Disconnect | |||
___Barricades | |||||
___Rescue service contacted | |||||
Completed By: ________________________________ Date/Time Completed: _______________________
Location Completed for: ________________________________________________________________________
[*] Blind blanking means inserting a solid barrier across the open end of a pipe leading into or out of a confined space, and securing the barrier so that nothing leaks into the confined space.