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Run: Utility Vault and Manhole Atmospheric Pre-Entry Test

Record pre-entry atmospheric readings for utility vaults and manholes before anyone enters. This template captures oxygen, LEL, carbon monoxide, hydrogen sul...

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Inspection Details

Record the vault/manhole ID, address, utility type, and exact access point.
Record the name and role of the person performing the atmospheric test.

Test Equipment and Calibration

Confirm the instrument was bump-tested per site procedure and is within the current calibration interval before use.
Record the serial number or asset ID of the gas monitor used for the test.
Document whether a pump, probe, or diffusion method was used and the approximate probe length or sampling setup.

Atmospheric Readings

Enter the top-of-space readings for oxygen, LEL, carbon monoxide, and hydrogen sulfide.
Enter the middle-of-space readings for oxygen, LEL, carbon monoxide, and hydrogen sulfide.
Enter the bottom-of-space readings for oxygen, LEL, carbon monoxide, and hydrogen sulfide.
Confirm oxygen concentration is within the site-accepted safe range for entry.
Confirm combustible gas concentration is below the site-accepted entry limit.
Confirm carbon monoxide is below the site-accepted exposure limit for entry.
Confirm hydrogen sulfide is below the site-accepted exposure limit for entry.

Ventilation and Re-Test

Confirm forced air ventilation or other control measures are operating when required by the entry procedure.
Confirm the atmosphere was re-tested after ventilation, weather change, equipment change, or any condition that could affect readings.

Entry Authorization and Sign-Off

Confirm the space was authorized for entry only after acceptable atmospheric readings were verified.
Document any out-of-range readings, ventilation actions, retesting, or entry delays.

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