Safety Management - Port of Seattle

DIVISION 0 - BIDDING REQUIREMENTS, CONTRACT FORMS AND CONDITIONS OF THECONTRACTDocument 00860 - Safety ManagementAPPENDIX BCONTRACTOR CONFINED SPACE ENTRY PROGRAM CERTIFICATEI hereby certify that the attached Confined Space Entry Program meets or exceeds the requirements ofWISHA standards WAC 296-809 and the Port Of Seattle’s Confined Space Entry Program.My employees will utilize the Port of Seattle’s Confined Space Entry Permit. They will complete allother sections of the permit that are appropriate for the confined space being entered.My employees will be informed that they must coordinate their confined space entry procedures withother Contractors and POS employees working in or around the confined space. If entering into aPermit Required Confined Space, we will first contact the Port of Seattle Fire Department, notifyingthem of the specific location and activity to be performed.My employees, who will be acting as authorized entrants, attendants, entry supervisors, and air testershave been trained in accordance with the WISHA procedures and will be made aware of all of thePOS procedures for entering confined spaces.After the confined space entry project is complete my employees will contact the Port of Seattle FireDepartment and advise them that operations have ceased. They will make the TCI and ConstructionSafety aware of any new hazards confronted or created during entry operations.A copy of finalized permit with all attachments will be provided to the TCI at the end of each project.Contractor’s Name: _______________________________________________________Contractor’s Signature: _____________________________________________________Company Name: ______________________________________ Date: ______________Port of Seattle TCI: _______________________________________________Date: ____________________________________Rev. 10/31/06 00860-28 STIA