Run Confined Space Pre-Entry Permit — Free

Permit & Entry Authorization

Current confined space permit is completed and posted at the entry point critical (required)

Confirm the permit is active for this entry, fully completed, and available at the worksite for review by the entry team.

Yes No N/A

Space identification matches the permit and entry location critical (required)

Verify the confined space name/ID, location, and scope match the work area being entered.

Yes No N/A

Entry supervisor has authorized entry and is present or immediately available critical (required)

Confirm the entry supervisor has reviewed conditions and authorized the entry in accordance with the permit.

Yes No N/A

Permit conditions and limitations have been reviewed with the entry team critical (required)

Confirm the team understands hazards, acceptable entry conditions, communication methods, and stop-work criteria.

Yes No N/A

Entry duration and re-entry conditions are defined

Verify the permit specifies the time limits, monitoring frequency, and conditions requiring evacuation or re-evaluation.

Yes No N/A

Atmospheric Testing

Atmospheric testing performed before entry by a trained person using calibrated equipment critical (required)

Verify testing was completed before entry and the instrument is within calibration/functional check requirements.

Yes No N/A

Oxygen concentration is within acceptable range critical (required)

Record measured oxygen concentration and confirm it is within the acceptable entry range established by the permit.

Flammable gas/vapor concentration is below the permit limit critical (required)

Record the measured percentage of the lower explosive limit (LEL) and confirm it is below the permit threshold.

Toxic atmospheric contaminants are below applicable exposure limits critical (required)

Record readings for known or suspected toxic hazards and confirm they are below the permit or exposure limit criteria.

Yes No N/A

Initial and continuous monitoring requirements are defined critical (required)

Verify the permit specifies whether continuous monitoring is required and identifies the monitoring frequency or trigger points.

Yes No N/A

Isolation & Energy Control

All energy sources have been isolated and locked/tagged out as required critical (required)

Confirm electrical, mechanical, hydraulic, pneumatic, chemical, thermal, and gravity hazards have been controlled before entry.

Yes No N/A

Pipes, lines, and ducts connected to the space are isolated or blanked critical (required)

Verify process lines, vents, and transfer lines are isolated to prevent introduction of hazardous materials.

Yes No N/A

Stored energy has been relieved or restrained critical (required)

Confirm pressure, tension, rotation, spring energy, or other stored energy has been dissipated or secured.

Yes No N/A

Moving parts, agitators, or internal mechanisms are secured against activation critical (required)

Verify internal equipment cannot start, rotate, or shift during entry.

Yes No N/A

Isolation points are verified and documented on the permit

Confirm the permit or supporting documentation identifies each isolation point and verification method used.

Yes No N/A

Ventilation & Entry Conditions

Forced-air ventilation is operating where required critical (required)

Verify ventilation equipment is in place, functioning, and directed to maintain acceptable atmospheric conditions.

Yes No N/A

Ventilation air intake is located in a clean source area critical (required)

Confirm the air supply is not drawing contaminants from exhausts, process vents, vehicle traffic, or other hazardous sources.

Yes No N/A

Air movement reaches the occupied zone of the confined space critical (required)

Verify the ventilation setup effectively reaches the area where entrants will work, not just the opening.

Yes No N/A

Atmospheric conditions remain within acceptable limits after ventilation start-up critical (required)

Record post-ventilation readings and confirm the space remains within permit limits before entry.

Yes No N/A

Ventilation equipment is protected from interruption during entry

Confirm power source, ducting, and equipment placement will not be easily disconnected or damaged during the job.

Yes No N/A

Communication & Rescue Readiness

Reliable communication method is established between entrants and attendant critical (required)

Confirm the team has a working method to maintain continuous or periodic communication as required by the permit.

Yes No N/A

Attendant is assigned and positioned to monitor the entry continuously critical (required)

Verify the attendant is dedicated to the entry, understands duties, and is not assigned conflicting tasks.

Yes No N/A

Rescue service is available and notified as required critical (required)

Confirm rescue personnel or service has been identified, contacted, and can respond within the required timeframe.

Yes No N/A

Rescue equipment is on site and ready for immediate use critical (required)

Verify retrieval systems, harnesses, lifelines, breathing apparatus, or other required rescue equipment are staged and functional.

Yes No N/A

Emergency procedures and evacuation triggers are understood by the team critical (required)

Confirm the team knows when to evacuate, who initiates rescue, and how to summon emergency response.

Yes No N/A

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Confined Space Pre-Entry Permit

Permit & Entry Authorization

Atmospheric Testing

Isolation & Energy Control

Ventilation & Entry Conditions

Communication & Rescue Readiness

Get your results