Get Form 3625

Filling out the Form 3625 online is a crucial process for ensuring safety during confined space work. This guide provides a clear, step-by-step approach to assist users in completing the form accurately and effectively.

Follow the steps to complete the Form 3625 online efficiently.

1. Use the 'Get Form' button to access the form digitally and open it in your browser.
2. Enter the name of the emergency contact in bold letters, along with their telephone number, ensuring accuracy for quick access.
3. Specify the exact location of the confined space being entered, providing sufficient detail for identification.
4. Clearly describe the purpose of entering the confined space, stating the necessity to ensure all precautions are recognized.
5. Input the date and time for when entry into the confined space will occur. Be mindful that if the entry does not occur within four hours of the scheduled time, a new permit will be needed.
6. Record the expected completion date and time for the work. If this time is exceeded, the entrant is required to exit, and if extending beyond two hours, a new permit is necessary.
7. List the name of the supervisor responsible for overseeing the work in the confined space, ensuring they are available during the activity.
8. Provide the telephone number of the supervisor listed in the previous step for immediate communication.
9. Document the names of all entrants authorized to enter the confined space. If there are multiple entrants, list each name distinctly.
10. Enter the name of the attendant who will monitor the activity from outside the confined space.
11. Specify the name of the individual conducting the confined space tests, and attach any necessary documentation if this person is a contractor.
12. Indicate if welding or hot work is required by selecting 'Yes' or 'No.' If 'Yes,' ensure to attach the GSA Form 1755.
13. List the specific tests performed for safety, including oxygen levels and other necessary parameters, to confirm compliance with permissible entry limits.
14. Provide details about the instruments used for testing, including each instrument's type, identification number, and last calibration date for accuracy.
15. Check 'Yes' or 'No' for each special requirement listed and explain any 'No' answers in the remarks section.
16. Detail any additional special requirements related to personal protective equipment or safety measures to prepare adequately for entry.
17. Outline the communication procedures that will be maintained between the entrant and the attendant during the confined space operation.
18. Use the designated space for any additional comments or necessary remarks related to the confined space entry.
19. Ensure the entrant and attendant sign and date the form, verifying their understanding of the requirements and safety protocols.
20. The supervisor must also sign and date their authorization ensuring all fields are completed, with no blanks remaining.
21. Once completed, save any changes made to the form. Users may then download, print, or share the form as necessary.

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