Confined Space Entry Permit
A confined space entry permit: hazard identification, isolation, atmospheric testing before and during entry, ventilation, rescue plan, and the entrant and attendant log — mobile, with photos. Free to start.
Use this template with your own crew
Start a free trial, open it in the builder, and send it to a technician today. No card required.
Start free trial →30 days free · no card · cancel yourself any time. No seat minimum.
Would rather ask a person first? Email us — a human answers.
What happens when it's submitted
- File the permit with the site recordEmails a branded PDF
- Escalate evacuationsFlags for review · Notifies the office
- Flag untested detectorsFlags for review · Notifies the office
Confined Space Entry Permit, on a phone and as a PDF
Both panels are drawn from this template's actual fields, so they change when the form does. Sample values shown; branding and layout are yours to change in the PDF designer.
What's on the form
All of this is customizable to your process. Delete the fields you don't need, add the ones you do — and every lookup is powered by your customer list and your own data.
Space & permit
- Site / customerRequiredcustomer lookup
- Site addressaccount field
- Permit numberRequiredtext
- DateRequireddate
- Valid fromRequiredtime
- Valid toRequiredtime
- Entry supervisorRequiredemployee lookup
- Space identificationRequiredtext
- Space typeRequireddropdown
- Location stampGPS stamp
- Work to be performedRequiredtextarea
- Photo of the space and entry pointRequiredphoto
Hazards & isolation
- Hazards identified in this spaceRequiredcheckbox
- Hazard detailtextarea
- Isolate before you testinstructions
- Lines blinded, blanked, or misalignedRequireddropdown
- All energy sources locked and taggedRequireddropdown
- Associated lockout / tagout recordtext
- Space drained, purged, cleaned or inertedRequireddropdown
- VentilationRequireddropdown
- Lighting and equipment rated for the spaceRequiredtoggle
- Entry and exit route unobstructedRequiredtoggle
Atmospheric testing
- Test, then keep testinginstructions
- Gas detector serial / IDRequiredtext
- Detector bump tested and calibration in dateRequiredtoggle
- Acceptable ranges per our programmeRequiredtextarea
- Atmospheric test logrepeating section
- Continuous monitoring in place during entryRequiredtoggle
Rescue & personnel
- Rescue arrangementsRequireddropdown
- Do not rely on calling 911instructions
- Retrieval harness and line in placeRequireddropdown
- Rescue contact and numberRequiredtext
- Communication method with the entrantRequireddropdown
- AttendantRequiredtext
- Attendant remains outside for the whole entryRequiredtoggle
- Entrantsrepeating section
Authorization & close-out
- Entry supervisor signatureRequiredsignature
- Attendant signatureRequiredsignature
- Entrant signatureRequiredsignature
- Close-out
- All entrants and equipment out of the spaceRequiredtoggle
- Space closed, isolations removed and equipment returned to serviceRequiredtoggle
- Emergency evacuation or rescue occurredRequiredtoggle
- What happenedConditionaltextarea
- Permit cancelled atRequiredtime
- Close-out signatureRequiredsignature
Use this template with your own crew
Start a free trial, open it in the builder, and send it to a technician today. No card required.
Start free trial →30 days free · no card · cancel yourself any time. No seat minimum.
Would rather ask a person first? Email us — a human answers.