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UNIVERSITY OF WASHINGTON CONFINED SPACE EVALUATION FORM ENVIRONMENTAL HEALTH & SAFETY Your Name Date Job Title Phone Shop Please fill out the following information for the area you would like.

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How to fill out the Confined Space Evaluation online

Completing the Confined Space Evaluation form is a crucial step in ensuring workplace safety. This guide provides detailed instructions on how to efficiently fill out the form while addressing all necessary components.

Follow the steps to successfully complete the Confined Space Evaluation form.

  1. Click ‘Get Form’ button to obtain the evaluation form and open it in your preferred editor.
  2. Begin by filling in your personal information, including your name, date, job title, phone number, and shop in the designated fields.
  3. Proceed to the section where you will fill out details for the area you would like evaluated. This includes the building/area name, room number, location, and key number.
  4. In the 'Confined Space and Permit Required Confined Space' section, indicate whether the space meets the criteria by selecting ‘Yes’ or ‘No’ for size, access/egress, and occupancy.
  5. If you are assessing a Permit Required Confined Space, answer the relevant hazard questions to determine if there are issues such as flammable atmospheres or potential engulfment.
  6. In the 'Current Status' section, indicate if the area is posted as a Confined Space or Permit Required Confined Space by selecting the respective options.
  7. Once you have completed all sections, review your entries for accuracy. Ensure all necessary fields are filled out correctly.
  8. After finishing the evaluation, save your changes, and you may also choose to download, print, or share the completed form as needed.

Take the next step in maintaining safety by completing the Confined Space Evaluation online today.

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Related links form

DA 4162 2003 DA 4651-R 1981 DA 4702-R 1985 DA 4824-R 1979

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required confined space program should be reviewed at least annually, or more frequently if significant changes occur. Factors such as new equipment, altered work processes, or modifications to existing spaces may warrant a review. Regular evaluations ensure that safety protocols remain effective and that any new hazards are addressed. This commitment to regular review enhances the safety of your confined space evaluation.

To obtain a confined space certificate, you need to complete a training course that covers the necessary safety protocols and procedures. After successfully finishing the course, you will receive a certificate that verifies your understanding of confined space safety. Many organizations offer these training programs, and they often include a Confined Space Evaluation component to ensure comprehensive knowledge. This certification demonstrates your commitment to workplace safety.

The responsibility for identifying a confined space typically falls on the employer or designated safety personnel. They must evaluate work areas regularly and ensure that all employees are aware of the hazards associated with confined spaces. Implementing effective training and a systematic Confined Space Evaluation process helps maintain a safe workplace. This proactive approach minimizes risks and ensures compliance with safety regulations.

To complete a confined space permit, begin by filling out all required sections, detailing the specific space and nature of the work. Include information on the hazards identified during the Confined Space Evaluation and the safety measures in place. Finally, ensure that all involved personnel review and sign the permit before entry, confirming everyone's understanding of the hazards and precautions.

The evaluation of a confined space rescue team should include items such as communication devices, personal protective equipment, and rescue equipment. Additionally, ensure that team members are trained and familiar with the specific hazards of the confined space. A well-prepared team is crucial for a successful Confined Space Evaluation and safe rescue operations if needed.

An example of a confined space entry includes accessing a sewer, storage tank, or a pit. These areas often have limited openings and can pose serious health risks if proper evaluation procedures are not followed. A detailed Confined Space Evaluation helps ensure that all safety measures are in place before entry.

OSHA requires employers to develop a written confined space program that includes procedures for evaluating each confined space. Employers must identify hazards, provide training for workers, and implement safety measures, such as atmospheric testing and monitoring. Adhering to these OSHA requirements during a confined space evaluation is essential for protecting employee health and safety.

To assess a confined space, perform a detailed inspection to identify any existing hazards, such as toxic gases or inadequate oxygen levels. Use appropriate monitoring equipment to gather data about the environment within the space. This assessment is a vital component of a confined space evaluation, allowing for informed decisions about entry and necessary safety measures.

The three criteria for a confined space include having limited or restricted means of entry or exit, being large enough for an employee to enter and perform work, and not being designed for continuous occupancy. Understanding these criteria helps organizations determine when a confined space evaluation is necessary. Compliance with these criteria ensures the safety of workers in potentially hazardous environments.

To evaluate a confined space, start by identifying the space and assessing its hazards. Conduct a thorough inspection to determine if the atmosphere is safe for entry, and consider factors such as ventilation and potential sources of contaminants. A comprehensive confined space evaluation is crucial for developing effective safety protocols.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232