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Permits to Work

Confined Space Entry Permit Template

A permit to work template for confined space entry. Covers atmospheric testing, standby arrangements, emergency rescue procedures, and authorisation requirements under the Confined Spaces Regulations 1997.

What is included

Confined Space Entry Permit Form

Microsoft Word

A structured permit form to be completed and authorised before any confined space entry. Designed to control the serious risks associated with confined space working and ensure all legal requirements of the Confined Spaces Regulations 1997 are met.

  • Description and location of confined space
  • Atmospheric test results and acceptable ranges
  • Isolation and lock-off confirmation
  • Standby person and communication arrangements
  • Rescue equipment and emergency plan reference
  • Entry operative details and authorisation signatures
  • Permit cancellation and close-out sign-off

Guidance Notes

Concise notes on confined space definition, when a permit is required, how to complete the form correctly, and key duties under the Confined Spaces Regulations 1997 and the Health and Safety at Work etc. Act 1974.

Important

This is a template. It must be reviewed and adapted by a competent person before use on any specific job or site. Suitability for your particular task is your responsibility. See our Disclaimer for full details.

Pricing

£9.99

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Microsoft Word format, fully editable
Guidance notes included
Aligned with the Confined Spaces Regulations 1997
Also available in the Permit to Work Pack