Site and construction · SI-03

Confined Space Entry Permit

A free printable confined space permit — isolation, testing, ventilation, communication, attendant and the rescue arrangements, all recorded before entry.

First page of the Confined Space Entry Permit — Force the rescue arrangements to be written down and in place before anybody enters, alongside the isolation and testing for this specific space.
Download Free · no sign-up

2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Force the rescue arrangements to be written down and in place before anybody enters, alongside the isolation and testing for this specific space.

Who it is for

Water and drainage contractors, farms with slurry stores and silos, breweries, tank and vessel work, and premises with pits, chambers or voids.

How to use it

  1. Establish first whether the entry can be avoided altogether.
  2. Record the actual test readings and the times they were taken.
  3. Say how often testing will be repeated, and do it.
  4. Post an attendant outside for the whole entry, named on the permit.
  5. Have rescue arrangements that have been rehearsed — not a phone number.

What is on the sheet

The layout is fixed at a size that fits both A4 and US Letter, so the A4 and Letter files are visually identical and print at full size on either. Rows are set at a height that an adult can actually write a date and a few words into with a pen — most printable tables are built in a word processor and never tested with one.

Questions

Why are no gas limits or entry times printed?

Because they must come from a competent assessment of the particular space and the work being done, and a printed figure is exactly what somebody would rely on instead. This is a recording form, not a procedure.

Is this enough to work safely in a confined space?

No. Confined space work needs trained people, tested equipment and workable rescue arrangements, and in many places it is specifically regulated. Would-be rescuers make up a large share of the people killed in these spaces. If you are not sure you are competent to plan this, do not enter.

Related sheets

Permit to Work

Put a controlled job in writing: what is being done, what has to be true before it starts, who is covered and when it was handed back.

SI-01 2 pages

Risk Assessment Form

Record a risk assessment you have carried out yourself, in a layout that captures the part people forget: who is doing the further action, by when, and when it gets reviewed.

IN-02 2 pages