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TITLE: Confined Space Entry Procedure Revision 2 7/26/2005 ...

TITLE: Confined Space Entry Procedure Revision 2 7/26/2005 ...

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CONFINED SPACE ENTRY PERMITI. ENTRY DESCRIPTION(Complete Prior to <strong>Entry</strong>)<strong>Confined</strong> <strong>Space</strong> Location /Number:Purpose of <strong>Entry</strong>:Date Permit Issued_________Time of <strong>Entry</strong>: (in) (out) Permit ExpiresAny equipment in need of repairs must be reported to the supervisor who will take proper steps to have repairs madeimmediately.II. ENTRY TEAM MEMBERSName (list below) Time In Time outAttendant xxxxxxxx xxxxxxxxEntrantEntrantEntrantEntrantIII. ATMOSPHERIC TESTINGHas unit been calibrated within last month Yes/No Battery checked? Yes/NoLocation inspace% O2 % LEL CO ppm Other Initials of TesterPrior to <strong>Entry</strong>*

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