Page 62 - Confined Space Training - Student Manual 2021

Skill Block #4: Safe Use of Special Equipment and Tools
☐ ___________ Tripod
☐ ___________ Davit Arm
☐ ___________ Lifeline
☐ ___________ Communications
☐ ___________ Lighting and Electrical
☐ ___________ Spark Proof Equipment and Tools
☐ ___________ Fire Extinguisher
☐ ___________ Tool Bag/Bucket

SAFE WORK PRACTICE SCORE: ____________

Skill Block #6: Atmospheric Monitoring
☐ ___________ Gas Meter Calibration and Logged
☐ ___________ Bump Test
☐ ___________ Acceptable Oxygen Levels
☐ ___________ Acceptable Hydrogen Sulfide Level
☐ ___________ Acceptable Carbon Monoxide Level
☐ ___________ Acceptable Flammable Gas Level
☐ ___________ Monitoring Documentation
☐ ___________ Initial Air Monitoring Procedure
☐ ___________ Entrant Re-Entry Procedure

SAFE WORK PRACTICE SCORE: ____________

Skill Block #7 Permit Termination
☐ ___________ Post Entry Briefing
☐ ___________ Equipment Inspection
☐ ___________ Personnel Accountability
☐ ___________ Work Site Clean-Up
☐ ___________ Permit Cancellation

SAFE WORK PRACTICE SCORE: ____________

Total Safe Work Practice Score: _________ Comments: _______________________________

Participant Signature: _________________________________ Date: ____________________

Confined Space Training for Entrants, Attendants & Supervisors 62