Confined Space Entry Audit Template
General Information
Date:
Auditor Name:
Location:
Confined Space Description:
Permit & Authorization
Entry Permit Available:
Yes
No
N/A
Permit Signed:
Yes
No
N/A
Entry Supervisor:
Atmospheric Testing
Atmosphere Tested:
Yes
No
N/A
Results:
Test Equipment Calibration Date:
Safety Precautions
Communication Established:
Yes
No
N/A
Rescue Plan In Place:
Yes
No
N/A
PPE Used:
Comments / Observations
Details:
Signatures
Auditor Signature:
Date: