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ENVIRONMENTALHEALTHANDSAFETYRev.JAS 1 2 / 14/2016
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1.0 POLICY........................................................................................................................................................3
2.0 PURPOSE/SCOPE.....................................................................................................................................32.1 PURPOSE.......................................................................................................................................................................32.2 SCOPE............................................................................................................................................................................3
3.0 DEFINITIONS............................................................................................................................................3
4.0 REFERENCES.............................................................................................................................................4
5.0 RESPONSIBILITIES..................................................................................................................................55.1 ENVIRONMENTALHEALTHANDSAFETY.................................................................................................................55.2 FACILITIESSERVICES..................................................................................................................................................55.3 POLICEDEPARTMENT................................................................................................................................................55.4 COMMUNICATIONSERVICES(INFORMATIONTECHNOLOGY)..............................................................................55.5 CONFINEDSPACEENTRYSUPERVISOR....................................................................................................................55.6 CONFINEDSPACEENTRANT(S)................................................................................................................................65.7 ENTRYATTENDANT....................................................................................................................................................6
6.0 CONFINEDSPACESONCAMPUS..........................................................................................................6
7.0 CONFINEDSPACEENTRYPROCEDURES..........................................................................................67.1 SPACEEVALUATION....................................................................................................................................................67.2 RECLASSIFICATIONTONON-PERMITCONFINEDSPACE.......................................................................................77.3 RECLASSIFICATIONTOALTERNATEENTRY............................................................................................................77.4 ALTERNATEENTRYPROCEDURES............................................................................................................................77.5 PERMITREQUIREDENTRYPROCEDURES................................................................................................................8
8.0 HAZARDCONTROL.................................................................................................................................98.1 MONITORINGCONFINEDSPACEAIRQUALITY.......................................................................................................98.2 VENTILATINGACONFINEDSPACE.........................................................................................................................10
9.0 EMERGENCYRESCUEFROMPERMITREQUIREDCONFINEDSPACES..................................10
10.0 TRAINING................................................................................................................................................11
11.0 CONTRACTORS......................................................................................................................................11
12.0 REVISIONRECORD................................................................................................................................11
13.0 CONFINEDSPACEENTRYPERMITANDRECORDSHEET.........................................................12
14.0 APPENDIXACONFINEDSPACEENTRYDECISIONFLOWCHART........................................................14
15.0 APPENDIXBCONTRACTORNOTIFICATION.................................................................................15
16.0 INVENTORYANDMAPSOFCONFINEDSPACES...........................................................................16
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1.0 Policy
ItisthepolicyofCSUChannelIslandsthatentryintoaconfinedspacewillbedoneinaccordancewithOSHAstandardsandotherregulatoryguidelines. Noindividualshallenteraconfinedspacewithout followingtheConfinedSpaceEntryProgram.
2.0 Purpose/Scope
2.1 Purpose ToestablishaclearandconsistentprocedureforconfinedspaceentryontheCSUChannelIslandscampus.
2.2 Scope TherequirementsofthisdocumentapplytoallCSUChannelIslandsemployeesandemployeesofauxiliaryorganizations.
3.0 Definitions
• AlternateEntryProcedure: Aprocedurethatmaybeusedtoenteraconfinedspaceiftheonlyhazardpresentinthespaceisatmosphericinnatureand:
§ Theatmospherichazardcanbecontrolledbymechanicalventilationalone;and
§ Thepermitspacewillnotbecomeimmediatelydangeroustolifeandhealth(IDLH)ifthemechanicalventilationshouldfail.
• Attendant: AnindividualstationedoutsideoneormorepermitrequiredconfinedspaceswhomonitorstheauthorizedentrantsandwhoperformsallAttendant'sdutiesasassignedinthisprogram.
• AuthorizedEntrant: ACSUChannelIslandsemployeewhoisauthorizedbythecampustoenterapermit requiredconfinedspace.
• ConfinedSpace: Aconfinedspacemeansaspacethat:
1. Islargeenoughandsoconfiguredthatanemployeecanbodilyenterandperformwork;and
2. Haslimitedorrestrictedmeansforentryorexit(forexample,manholes,vaults,andpitsarespacesthatmayhavelimitedmeansofentryorexit);and
3. Isnotdesignedforcontinuousemployeeoccupancy.• EntryPermit: Thewrittendocumentthatallowsandcontrolsentryintoapermitrequired
confinedspace.
• EntrySupervisor: Thepersonresponsiblefordeterminingifacceptableentryconditionsarepresentatapermitspacewhereentryisplanned,forauthorizingentryandoverseeingentryoperations,andforterminatingentryasrequiredbythisprogram.
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• HazardousAtmosphere: Anatmospherethatmayexposeemployeestotheriskofdeath,incapacitation, impairmentofabilitytoself-rescue,oracuteillnessresultingfromthefollowing:
1. Flammablegas,vapor,ormistinexcessof10percentofitslowerflammablelimit(LFL);
2. AirbornecombustibledustataconcentrationthatmeetsorexceedsitsLFL;3. (note:thisconditionmaybeapproximatedasaconditioninwhichthedustobscures
visionatadistanceof5feetorless)4. Atmosphericoxygenconcentrationbelow19.5percentorabove23.5percent;5. Atmosphericconcentrationofanysubstancethatcouldresultinanexposure
greaterthanthePermissibleExposureLevel(PEL).6. Anyotheratmosphericconcentrationthatisimmediatelydangeroustolifeand
health(IDLH).• ImmediatelyDangeroustoLifeorHealth(IDLH): Anyconditionthatposesanimmediate
ordelayedthreattolifeorthatwouldcauseirreversibleadversehealtheffectsorthatwouldinterferewithanindividual'sabilitytoescapeunaidedfromaconfinedspace.
• LowerFlammableLimit(LFL): Theminimumvaporconcentrationofaflammableliquidinair,belowwhichflamepropagationdoesnotoccuroncontactwithanignitionsource.
• Non-PermitConfinedSpace: Aconfinedspacethatdoesnotcontainor,withrespecttoatmospherichazards,havethepotentialtocontainanyhazardcapableofcausingdeathorseriousphysicalharm.
• OxygenDeficientAtmosphere: Anatmospherecontaininglessthan19.5percentoxygenbyvolume.
• OxygenEnrichedAtmosphere: Anatmospherecontainingmorethan23.5percentoxygenbyvolume.
• PermitRequiredConfinedSpace: Aconfinedspacethathasoneormoreofthefollowingcharacteristics:
1. Containsorhasapotentialtocontainahazardousatmosphere;2. Containsamaterialthathasthepotentialforengulfinganentrant;3. Hasaninternalconfigurationsuchthatanentrantcouldbetrappedorasphyxiated
byinwardlyconvergingwallsorbyafloorwhichslopesdownwardandtaperstoasmallercross-section;or
4. Containsanyotherrecognizedserioussafetyorhealthhazard.
• Testing: Theprocessbywhichhazardsthatmayconfrontentrantsofapermitspaceareidentifiedandevaluated.
• Ventilation: Aprocessusedtocontroltheatmospherichazardsofconfinedspacesbyreplacingunsafeairwithclean,breathableair.
4.0 References• CaliforniaCodeofRegulations,Title8,Section5156-5159• CodeofFederalRegulationsTitle29Part1910.146
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5.0 Responsibilities
5.1 Environmental Health and Safety 1. EstablishandupdatethewrittenConfinedSpaceEntryProgram.2. Providetrainingasnecessary.3. Reviewrecordsofconfinedspaceentryoperations.4. Provideconsultationtodepartmentsthatenterconfinedspaces.
5.2 Facilities Services 1. Ensurethatallemployeeswhoareinvolvedwithaconfinedspaceentry(including
AuthorizedEntrant,EntryAttendant,andEntrySupervisor),havereceivedtrainingasspecifiedinthisplan.
2. Provideandmaintainequipmentthatisneededforconfinedspaceentryincluding(butnotlimitedto):atmospherictestingequipment,protectivebarriers,ventilationdevices,andcommunications/rescueequipment.
3. EnsurethatallconfinedspaceentriesinvolvingFacilitiesServicesemployeesareconductedaccordingtothisprocedure.
4. Maintainrecordsofallconfinedspaceentries.5. Maintaininventoryofconfinedspaces.6. Postconfinedspacesasappropriateandpreventunauthorizedentry.
5.3 Police Department 1. Dispatchtrainedofficerstoprovideimmediatemedicalassistanceintheeventof
aninjury.2. Summonexternalresourcesforconfinedspacerescueormedicalassistanceas
needed.
5.4 Communication Services (Information Technology) 1. Ensurethatallemployeeswhoareinvolvedwithaconfinedspaceentry(including
AuthorizedEntrant,EntryAttendant,andEntrySupervisor)havereceivedtraining.2. EnsurethatallconfinedspaceentriesinvolvingCommunicationsServices
employeesareconductedaccordingtothisprocedure.
5.5 Confined Space Entry Supervisor 1. Ensurethatallpersonsinvolvedinaconfinedspaceentryareproperlytrainedand
followtheproceduresoutlinedinthisplan.2. Evaluateandclassifytheconfinedspacepriorto.Thesupervisorisresponsiblefor
verifyingthesafetyofthespace.3. Confirmthatrescueresourcesareavailable.4. CompletetheConfinedSpaceEntryPermit.5. Ensurethatcanceledpermitsareproperlyfiled.
Note: TheEntrySupervisordoesnotneedtobepresentduringtheentireconfinedspaceentryoperation.
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5.6 Confined Space Entrant(s) 1. Knowthehazardsinthespace2. Knowthesignsandsymptomsofexposuretohazardspresent.3. Musthavecompletedtraining4. MuststayinconstantcontactwiththeAttendant(i.e.sight,voice,orradio)duringa
PermitRequiredConfinedSpaceentry.5. Mustevacuateimmediatelywhenbecomeawareofaproblemororderedtodoso
byattendant.6. UsetheappropriatesafetyequipmentasspecifiedontheEntryPermit.
5.7 Entry Attendant 1. Knowthehazardsinthespace2. Musthavecompletedtraining3. ObtainandinstalltherequiredsafetyequipmentforPermitRequiredConfined
Spaceentries.4. Monitorpedestrianbarrierstoprotectentrant(s)fromexternalhazards.5. Monitortheatmospherewithintheconfinedspaceduringtheentireentry
operation.6. Mustnotenterspace;mustremaininpositionuntilrelievedbyanothertrained
Attendant.7. Ensurethatalllockout/tagoutmeasures(ifimplemented)remaininplace.8. Responsiblefororderinganevacuationifasituationdevelopsthatcouldendanger
theEntrant9. Inanemergency,mustcallforhelpandperformnon-entryrescue.
6.0 ConfinedSpacesonCampus1. EH&SandFacilitiesServiceswilljointlydeterminewhichtypesofspacesorspecific
spacesareclassifiedas"ConfinedSpaces". Further,spaceswhicharenormallyexpectedtobe"PermitRequiredConfinedSpaces"willbeidentified. Alist andmapsofthesespacescanbefoundinAppendixC.
2. Theonlyindividualsauthorizedtodowngradetheentryrequirementsforaparticularspacearedesignated"EntrySupervisors".
7.0 ConfinedSpaceEntryProcedures
7.1 Space Evaluation
Note: RefertoAppendixAforConfinedSpaceEntryDecisionFlowChart
1. AllPermitRequiredConfinedSpacesaretobeevaluatedbyanEntrySupervisorpriortoauthorizinganentry(refertoAppendixAforalistofthesespacesoncampus).
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2. Theprimarypurposeoftheevaluationwillbetodetermineif:
a) thespacecanbereclassifiedtoa"Non-PermitConfinedSpace"b) theentrywillbevia"AlternateEntryProcedures"orc) theentrywillbevia"PermitRequiredEntryProcedures"
7.2 Reclassification to Non-Permit Confined Space
Tobereclassifiedasa"Non-PermitConfinedSpace,"thefollowingconditionsmustexist:
a) Thespaceposesnoactualorpotentialatmospherichazardb) Allhazardswithinthespaceareeliminatedwithoutentry
7.3 Reclassification to Alternate Entry
Tobereclassifiedasan"AlternateEntry"space,thefollowingconditionsmustexist:
a) Theonlyhazardinthespaceisthepotentialforahazardousatmosphere;andb) Thepotentialhazardcanbeeliminatedthroughtheuseofcontinuousforced
ventilation;andc) Previousandcurrentatmosphericmonitoringdata(gastests)must
demonstratethat(a)and(b)aretrue(i.e.therehasneverbeenarecordofanatmospherichazardduringanentry).
• Iftheaboveconditionsaretrue(a,b,andc),andthegastest(s)indicatethattheatmosphereisnon-hazardous,isthenthespacemaybeenteredusingthe"AlternateentryProcedures"below.
• Ifthepotentialforatmospherichazardcannotbeeliminatedwithventilation,thespacemustbeenteredusingthe"PermitRequiredEntryProcedures"
7.4 Alternate Entry Procedures
1. EntrySupervisorshallensurethatspacehasbeenclassified.
2. Ifanentrancecovermustberemoved,theopeningshallbepromptlyguardedbyrailing, temporarycover,orothertemporarybarrierthatwillpreventanaccidentalfallthroughtheopening,andwillprotecteachemployeeworkinginthespacefromforeignobjectsenteringthespace.
3. Allhazardoussourcesofenergyshallbelockedand/ortaggedout.
4. Ensurethattheairhasbeentestedforhazardousaircontaminantsandthatthetestswerenegative.
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a. Note:thisshouldhavebeencompletedpriortoreclassifyingspaceas"AlternateEntry"). Logthetestresultsonthe"ConfinedSpaceEntryPermitandRecordSheet"(onlypre-entryreadingsneedtobeentered). Thegasdetectorshouldbeusedduringtheentireentryprocedure. Testforthefollowingcontaminants,intheorderlisted:
b. Oxygencontent;
c. Flammablegasesandvapors;and
d. Potentialtoxicaircontaminants.
5. EntrySupervisorshallfilloutthe"ConfinedSpaceEntryPermitandRecordSheet"(AppendixC).
6. Setupadequateventilationforthespacethatwillbeentered. Ensurethatthesupplyairistakenfromacleansourceandthattheventilationisallowedtooperateforatleast5minutespriortoenteringthespace. Iftheventilationceasestooperate,allEntrantsmustleavethespace immediately.
7. TheEntrantshallimmediatelyevacuatetheconfinedspaceifhe/shebecomesawareofapreviouslyunrecognizedhazard. Ifthisoccurs,theEntrancePermitshallbecanceled,andthespacemustbereevaluatedbyanEntrySupervisorpriortore-entry.
Note: 1. TheEntrySupervisormayactasanentrantduring"AlternateEntryProcedure"entries.
8. AnattendantorStandbypersonisstillnecessaryfor"AlternateEntryProcedure"entries.
9. Whentheconfinedspaceentryhasconcluded,thecompletedRecordSheetshallbefiledandkeptonfileforaminimumofone(1)year.
7.5 Permit Required Entry procedures 1. Asaminimum,anEntrySupervisor,EntryAttendantandEntrantshallbe
designatedtoparticipateineachPermitRequiredConfinedSpaceEntry. Note:TheEntrySupervisormayactastheEntryAttendantaswell.
2. Acquire,inspectandsetupandsafetyequipmentrequiredbythepermitincludingblowers,fullbodyharness,rescuetripod,andtrafficcontrolsystems.
3. TheEntrysupervisorshallestablishappropriaterescueproceduresspecifictothespaceentryandshalllisttheseproceduresonthepermit.
4. Allhazardoussourcesofenergyshallbelockedand/ortaggedout.
5. Ifanentrancecovermustberemoved,theopeningshallbepromptlyguardedbyrailing,temporarycover,orothertemporarybarrierthatwillpreventanaccidentalfallthroughtheopening,andwillprotecteachemployeeworkinginthespacefromforeignobjectsenteringthespace.
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6. TesttheairforhazardouscontaminantsandentertheresultsontheConfinedSpaceEntryPermitandRecordSheet.Continuouslysampleandrecordresultsthroughouttheentire entryprocedure.
7. TheEntrySupervisorshallcompleteandsigntheConfinedSpaceEntryPermit(allsections)andRecordpriortospaceentry. Thepermitconditions,entryprecautions,andrescueproceduresshallbereviewedwiththeAttendantandEntrantpriortoentry.
8. Priortoentry,theAttendantshallverifythattheentryconditionsareacceptable.
9. TheEntrantmustwearretrievalequipmentduringtheentireentryoperation.
10. TheAttendantwillcontinuouslymonitortheportablegasdetectorandrecordthereadingseveryhour(minimum).
11. Animmediateevacuationofthespaceshallbeorderedifthesafetyequipmentfailsorifthespacebecomes,orhasthepotentialtobecome,immediatelyhazardous.
12. Uponcompletionofthejob,theEntrySupervisorshallcancelthepermit(line12)andensurethatthecompletedpermitisplacedintheproperdepartmentfile.
8.0 HazardControl
8.1 Monitoring Confined Space Air Quality 1. PriortoenteringaPermitRequiredorAlternateEntryconfinedspace,prepare
thegasdetectorbyensuringthedevicehasbeenrecentlycalibrated(checkmanualforfrequency)andisingoodworkingorder.
2. Conducta"bumptest". Breatheintothegasdetectorprobeandlookforadecreaseintheoxygenconcentration-thedetectorshouldalarmduetothelackofoxygen.
3. Sampletheairqualityofthespacebyslightlymovingthelid,orbytestingthespacethroughtheholeinthelid(ifavailable)beforecompletelyopeningthespace.
4. Lowertheprobeslowly,allowingtimefortheinstrumenttodetectatmosphericchangesatdifferentverticalheightswithinthespace.
5. Measureinthefollowingorder:
1. Oxygen2. LEL3. H2S4. CO
RecordtheresultsontheConfinedSpaceEntryPermitRecordSheet.
6. ThegasdetectorshallremainonduringtheentireentryoperationshallberegularlyinspectedbytheAttendant. TheAttendantshallalsorecordthegasreadingsontheRecordSheetataminimumofone(1)hourintervals.
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7. Ceaseentryoperationsandremoveentrypersonnelifthefollowingconcentrationsareexceededatanytime:
• Oxygenreadinglessthan19.5%orgreaterthan22.5%
• Combustiblegasreadinggreaterthan9%LEL
• H2Sreadinggreaterthan9ppm
• COreadinggreaterthan34ppm
8.2 Ventilating a Confined Space 1. Setuponeormoreblowerstoprovideadequateventilationforthespace.
Ventilationmustbeforceddraftdischargeofcleanairintospace(notexhaustofspace).
2. Ensurethattheventilationairsupplyisfromacleansource.3. Allowenoughtimeforblowerstoclearthespacebeforeentering.4. Ensurethattheblowersremainonduringtheentireentryoperation.Iftheblower
fails,theEntrantmustleavethespaceimmediately(Note:thisappliestobothPermitRequiredandAlternateEntryprocedures.)
9.0 EmergencyRescuefromPermitRequiredConfinedSpaces
Historically,manyrescuersarekilledwhileattemptingaconfinedspacerescue. Inlightofthisfact,Emergencyrescueswithinconfinedspacesshouldonlybeattemptedbypersonswhoareproperlytrainedandhavetheproperrescueequipment.
1. AllrescuesattemptedbyCSUChannelIslandspersonnelwillbeNon-EntryRescues(i.e.rescuerwillnotenterthespaceatanytimeduringrescue).
2. RetrievalequipmentisrequiredforallPermitRequiredverticalentriesgreaterthan5ft.Retrievalequipmentshallinclude(butnotbelimitedto)thefollowing:
• Rescueharness(chestorfullbody)• Rescuetripod• Ropeorcable(inspectedfordamage)
3. EntrySupervisorwillnotifythePoliceDepartmentbydialing911inanemergency.
4. Allpersonsinvolvedintherescuemusthavereceivedtrainingandpracticedarescuewithinthelast12months.
5. AtleastonememberoftherescueteammusthavetraininginCPRandFirstAid.
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10.0 Training1. AllCSUChannelIslandsemployeeswhoparticipateinPermitRequiredor
AlternateEntryProceduresincludingEntranceSupervisors,Attendants,andEntrants,mustreceivetrainingintherequirementsofthisprogram.
2. AllCSUChannelIslandsemployeeswhoaredesignatedasrescuepersonnelmustbetrainedinproperrescuetechniquesaswellasCPRandFirstAid.
11.0 Contractors3. ContractorsthatenterconfinedspacesontheCSUChannelIslandscampusmust
complywiththeConfinedSpaceStandardasdefinedinSection5156-5158ofTitle8oftheCaliforniaCodeofRegulations.
4. CSUChannelIslandswillnotifycontractorsofconfinedspacesandhazardsthereinwhencontractedworkwillrequireentry. AcontractornotificationformcanbefoundinAppendixB.
5. CSUChannelIslandsisnotresponsibleforemployeesofcontractorswhomayenterUniversityconfinedspaces.
12.0 RevisionRecord
Revision
Changes Date
1.0 Format change, added requirement to periodically record atmospheric conditions during alternate entry procedures, specified review of confined space permit
Sep 2014
1.1 - 7.3.8 An Entry Attendant is necessary for Alternate Entry Procedures - “Plant Operations” name changed to “Facilities Services” - Emergency Radio channel reference changed to 911
July 2015
1.2 Format Change and update off-site Emergency Response Team number on CSE permit for VCFD
Sept 2015
1.3 Update maps in appendices and locations of CSE’s on campus Dec 2016
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13.0 ConfinedSpaceEntryPermitandRecordSheet
This is an “ALTERNATE ENTRY PROCEDURE” Confined Space. Complete shaded sections (# 10, 11 and 13). Use section #15 for notes and comments if necessary
Confined Space Entry Permit and Record Sheet
1 . General Information Confined Space Location: Emergency Rescue: Call 911Reason for Permit: Date / Time Issued: Entry Supervisor: Date / Time Permit Expires:
2 . E n tra n ts 3 . A tten d a n ts 4 . Standby Person(s)
5 . Type of Confined Space Entry This is a “PERMIT REQUIRED” Confined Space. Complete all sections below
6 . Confined Space Pre-Entry Check List
This is a “NON-PERMIT REQIURED CONFINED SPACE”. All hazards have been eliminated
CHECKLIST INSTRUCTIONS: The Entry Supervisor shall answer and initial each checklist item as it is completed. The Entry Supervisor shall authorize work to begin by signing below, only after all checklist items have been appropriately addressed. The Entry Supervisor shall cancel the permit by signing below after work is completed, or if conditions arise that are out of compliance with the checklist YES NO N/A Initial A. Have all personnel been appropriately trained and instructed in CSE procedures? B. Have emergency communications and action procedures been identified and explained? C. Have off-site Emergency Services been verified and available by Entry Supervisor? VCFD (805) 384-1500 – Supply: Location, # entrants, hazards, & length of entry. Call CI Dispatch (805) 437-8444 – Supply: Location, # entrants, hazards, & length of entry
D. Have all hazardous sources of energy been locked / tagged out? E. Is a Hot Work Permit required? F. Are air blowers positioned and operating properly? G. Are the air blowers in use sufficient to maintain an atmosphere free from contaminants? H. Is the gas detector within calibration limits and operating properly? I. Is the space and surrounding area free of harmful vapors and gases? J. Has the appropriate fall protection / retrieval equipment been installed and inspected? K. Has the body harness been properly donned and inspected? L. Is a fire extinguisher available? M. Is explosion proof equipment required (i.e. lighting, radios, blowers, etc)? N. Is an appropriately maintained First Aid Kit available? O. Is the entry area secured and marked with barriers? P. Is traffic control equipment in place?
Q. Is other safety equipment necessary (i.e. hard hat, SCBA, etc)?
7 . List of Potential Hazards of the Space 8 . List Safety Equipment Required
9. Method of Attendant / Entrant Communication
1 1 . All concerns associated with this Confined Space Entry have been appropriately addressed. Work is hereby authorized to begin.
Entry Supervisor’s Signature Date and Time
1 2 . Confined Space work is complete. This permit is hereby cancelled. *Call CI Dispatch & VCFD when done with entry*
10. Method for Contacting Emergency Services Personnel
Entry Supervisor’s Signature Date and Time
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Confined Space Entry Permit and Record Sheet
1 1 . Sampling Results (Permit Spaces Only) Additional Sampling Results attached
Event
Time
Percent Oxygen R ead in g (%O2)
Percent Explosimeter
Reading (% of LFL)
Hydrogen Sulfide Reading
(H2S) PPM)
Carbon Monoxide (CO PPM)
Detectable Odors
Exit Space if > 22.2 % Greater than Greater than Greater than Observed Describe reading are: < 19.5 % 9% of LFL 9 PPM 34 PPM YES / NO If Yes
P re -E n try Readings
Y N
Ventilation Started
Y N
Entry into PR Space
Y N
Te +1 hrs Y N Te +2 hrs Y N Te +3hrs Y N Te +4 hrs Y N Te +5 hrs Y N Te +6 hrs Y N Te +7 hrs Y N Te +8 hrs Y N
Note: Gas detection equipment must be operational during the entire occupancy of a “Permit Required Confined Space” and an “Alternate Entry Procedure Confined Space”.
14. Employee Entry / Exit Log Name Time In Time Out Time In Time Out Time In Time Out
15. Notes and Additional Information Sampling Equipment Manufacturer: Model and Serial Number: Calibration Date:
NOTE: This Permit must be maintained in your Department for no less than one (1) year
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14.0 AppendixAConfinedSpaceEntryDecisionFlowChart
YES
Willthepermitspacebeentered? NO
YES
Canthehazardsbeeliminated? YES
NO
Canthespacebemaintainedinaconditionsafetoenterby
continuousforcedairventilationonly?(i.e.istheonlyhazardatmospheric)
YES
NO
PrepareforentryviapermitproceduresapprovedbytheEntrySupervisor(section7.3)
Verifyacceptableentryconditions(testresultsrecorded,spaceisolated,ifnecessaryrescuer/emergencycommunications NO
available,entrantsproperlyequippedetc.)
YES
Acceptableentryconditionmaintainedthroughoutentry NO
YES
Confined Space Entry Decision Flow Chart
Definition of a Confined Space: Definition of a Permit Required Confined Space: 1. Is a space that is large enough and so
configured so that an employee can enter and perform work; and
2. Has limited or restricted means for entry or exit; and
3. Is not designed for continuous employee occupancy
1. Contains or has a potential to contain a hazardous atmosphere; or
2. Contains a material that has the potential for engulfing an Entrant; or
3. Has an internal configuration such that an Entrant could be trapped or asphyxiated by inwardly converging walls or by a floor which slopes downward and tapers to a smaller cross-section; or
4. Contains any other recognized serious safety or health hazard
NO
Permitnotrequired.Useotherappropriatesafeworkpractices
Entrytaskscompleted. Permitreturnedandcanceled
Preventemployeeentry. Dotasksfromoutsidethepermitspace
Permitspacemaybereclassifiedtoanon-permitrequiredconfinedspace
SpacemaybeenteredusingAlternatedEntryProcedures(section7.2)
Permitnotvaliduntilconditionsmeetpermitspecifications
Emergencyexists(prohibitedcondition).Entrantsmustbeevacuated. Permitisvoid.
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15.0 AppendixBContractorNotification
Confined Space Notification
California State University Channel Islands has areas on campus that are regulated as Permit Required Confined Spaces by Cal/OSHA under Title 8, sect ion 5156-5158 of the California Code of Regulations. Following is a listing of these areas as well as some of the hazard(s) that may be present in the confined spaces:
Confined Space Location
Electrical vaults campus wide
Sewer manholes campus wide oxygen, toxic gases
Storm drain manholes campus wide
oxygen , toxic gases
Communication Vaults campus wide electrical hazards
Sewer Tanks campus wide
Boilers Central plant
Steam vaults campus wide
Hazard(s)
electrical hazards. low oxygen, asbestos
carbon monoxide, low
carbon monoxide, low
low oxygen, asbestos,
toxic gases, low oxygen, drowning, electrocution
lack of oxygen, asbestos, steam, heat, hot water
heat, lack of oxygen, asbestos, toxic gases, steam, hot water
CSU Channel Islands is not responsible for employees of contractors who may enter University confined spaces.
Other hazards may be present in the spaces listed and other spaces may become regulated confined spaces in certain situations.
Contractors that enter confined spaces on the CSU Channel Islands campus must comply with the Confined Space Standard as defined in Section 5156 - 5158 of Title 8 of the California Code of Regulations.
Contractor acknowledgement of notification:
Contractor representative (signature) Date
Print name
Recommended