Entry Into Enclosed
Spaces Checklist
Vessel: . Date:
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Item
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Comment
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- Location to be entered.
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- Reason.
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- Entry and exit points.
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- Method of ventilation.
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- Oxygen meter reading.
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%
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- names of persons to be entered:
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-
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-
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-
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- Date / time of Entry
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- Communication
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- Breathing apparatus ready near location.
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- Head of department notified.
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- Safety line & light ready for use.
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Responsible officer
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Chief officer
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Master
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Name:
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Name:
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Name:
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Signature:
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Signature:
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Signature:
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