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CITY OF ST. ANTHONY <br /> CONFINED SPACE ENTRY CHECKLIST <br /> Listed below are examples of the types of confined spaces City employees are exposed to <br /> classified by the type of hazard they represent. Hazard classification definitions are <br /> shown on the attached policy. To use the checklist, read down from the confined space <br /> listing to determine which safety procedures are applicable. If the type of confined <br /> space to be entered is not listed below, consult supervisor before entering. <br /> ITEM CLASS I CLASS II CLASS III <br /> 1+ <br /> +J 3 <br /> 4+ W <br /> rl W •rl VI <br /> U 0 H.a <br /> •r, a to <br /> „ 4J >4vn 4J r-4 o <br /> 44 u x ,10 A • P0Cn -- <br /> o .a 3 14 U 00) c Cn w 0 <br /> I I 3 W W O +J <br /> r+ <br /> H14 3ti 1 r-4C: En o C 0 3 C £ <br /> rl O t0 c0 -4 O •O •ri O <br /> W •ri H $4 H F aJ H W •r+ lr • H •rl W -W <br /> aJ W W W rq W 3 aJ E W N W +J 7 ri <br /> C0 0 3 4J 4J G 3 aJ N O H N N 0 3 N r-i � <br /> H a l m 0 0W C0 W W aJ aJ O 0 W a W +j M ro <br /> Arn X H 3ti cnIn 3 E (n :X M; .] HEnCn > :>, <br /> 1. Atmospheric Testing X X X X X X X X X X <br /> 2. Continuous Monitoring X X X X X X X X X X <br /> 3. Trained Personnel X X X X X X X X X X <br /> • 4. Preparation: <br /> Purge & Ventilate X X X X X X X <br /> Isolate/Lockout/Tag X X X X <br /> 5. Procedures: <br /> Initial Plan X X X X X X X X X X <br /> Standby X X X X X X X <br /> Communications/ <br /> Observatior X X X X X X X <br /> Rescue X <br /> 6. Safety Equipment & <br /> Clothing <br /> Head/Hearing.Protection X X X X X X X X X <br /> Hand Protection/ X X <br /> 'Worker Wearing Monitor <br /> Foot Protection X <br /> Body Protection X <br /> • Respiratory Protection X X X X X X X <br /> Eye and Face X X X X X X X <br /> Life Lines, Harness X X X X X X X <br /> 7. Rescue Equipment X <br /> 8. Entry Log X X X X X X X X X X <br />