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CAQA ClearFlow Water · Simulated workplace

Confined Space Entry Permit

FormControlled document
CFW-FRM-001
v3.1
Document ownerNetworks Manager
Version3.1
Approved16 February 2026
Next review16 February 2027
StatusCurrent

Purpose. The crew leader completes this permit before any person enters a confined space and closes it when everyone is out.

1.When this permit is required

This permit is required for every entry into a space listed in the confined space register and for any other space that meets the definition in the Confined Space Entry Procedure. One permit covers one space for one shift. A new permit is required if the crew, the work or the conditions change.

2.Completing the permit

The permit holder must be the crew leader on site. Record the space, the work, the hazards identified, the isolation of flows and energy, the ventilation, the gas test readings before entry, the entrants and the standby person, the rescue plan and the communication method. Every entrant and the standby person must sign on.

3.During the entry

Continuous gas monitoring readings must be recorded at least every 30 minutes. If the standby person changes, the new standby person must sign on before the previous one leaves the entry point.

4.Closing the permit

The permit holder must confirm every person and item of equipment is out, the cover is replaced and the isolation is removed, then record the finish time and sign off. Enter the permit in the Permit to Work Register with status Closed.

5.Related documents

Read this permit with the Confined Space Entry Procedure and the Occupational Health and Safety Policy. Gas detector calibration records are held with the equipment register.

6.Complete the form

CFW-FRM-001 v3.1 · CAQA ClearFlow WaterUncontrolled when printed. Simulated document created by CAQA for training and assessment.