by Requirements for an entry permit
Test results
Tester’s initials or signature
Name and signature of supervisor who authorized entry
Name of permit space to be entered
Authorized entrants
Purpose of entry
Known space hazards
Measures to be taken to isolate the space and control space hazards
Names and telephone numbers of rescue and emergency services
Data and authorized duration of entry
Acceptable entry conditions
Communication procedures and equipment to maintain contact during entry
Additional permits for hot work that have been issued to authorize work in the permit space
Special equipment and procedures, including personal protective equipment and alarm system
Any other information to ensure employee safety
Test results Tester’s initials or signature Name and signature of supervisor who authorized entry Name of permit space to be entered Authorized entrants Purpose of entry Known space hazards Measures to be taken to isolate the space and control space hazards Names and telephone numbers of rescue and emergency services Data and authorized duration of entry Acceptable entry conditions Communication procedures and equipment to maintain contact during entry Additional permits for hot work that have been issued to authorize work in the permit space Special equipment and procedures, including personal protective equipment and alarm system Any other information to ensure employee safety
