Hot Work PermitIdentify the job, location and proposed method, and consider whether the work can be moved or completed without hot work.Confined Space Entry Permit
Determine whether entry can be avoided and classify the space under the applicable programme.
What it's for
Use this confined space entry permit to keep the working record, its evidence and follow-up together. Determine whether entry can be avoided and classify the space under the applicable programme. Identify all hazards, not only the gases shown on a generic form.
Permit template, entry form or permit to work?
Sites use different names for the same control: a confined space permit template, a confined space entry form template or a confined space permit to work template. Each is a written authorisation, issued for one job and one period, that records the hazards, isolation, atmospheric testing, attendant and rescue arrangements before anyone enters. This free template is a printable PDF for completing by hand at the point of entry. Assess the task first with a risk assessment or a job hazard analysis, and isolate energy under your lockout/tagout procedure.
What you can download
The PDF contains the original blank form, followed by a completed fictional example and a separate instructions page. Print only the blank pages for use at work; keep the example and guide as references. The download is free; enter your email to receive a secure link valid for seven days. Product-news consent is optional.
Completed manufacturing example
This completed review declines an entry request: the space hazards, atmospheric test plan and rescue arrangements have not been verified. No entrant is authorised and no entry occurs.
Not tested is not the same as a safe reading. In this example, missing rescue and hazard-control evidence means the permit is not issued; proposed personnel are not authorised entrants.
When to use this template
This is a documentation example, not an entry procedure. Atmospheric limits, rescue capability and permit rules must come from the applicable law and competent site programme.
Reference guidance: OSHA: permit-required confined spaces.
Continue with Risk Assessment Form, Lockout/Tagout Procedure (LOTO), Incident Report Form.
For shared records, evidence and follow-up, explore Bulk safety. Start a free trial to run it live, no card needed.
How to use it
- Determine whether entry can be avoided and classify the space under the applicable programme. Identify all hazards, not only the gases shown on a generic form.
- A competent team defines isolation, testing, ventilation, communications, personnel and rescue arrangements. Enter approved job-specific atmospheric limits and verify every required control before authorisation.
- The authorised supervisor decides whether entry may proceed. Record entrants, monitoring and changes; suspend or cancel the permit when conditions require it, and retain closure evidence.
Key features
- Comprehensive hazard identification checklist
- Atmospheric testing and monitoring requirements
- Required safety equipment documentation
- Entry supervisor and attendant authorization
- Emergency rescue procedures and contacts
- Continuous monitoring and permit duration tracking
- Completed fictional example and instructions
Ideal for
- Safety managers overseeing permit-required confined spaces
- Facility managers with underground utilities or storage tanks
Common uses
- Recording an entry assessment under the site programme
- Documenting an entry that was declined
- Reviewing isolation, testing and rescue references
Questions, answered.
01
What is a confined space entry permit?
A written authorisation for one entry into a permit-required confined space, for a set period, that records the hazards, controls, atmospheric test results, entrants, attendant, entry supervisor and rescue arrangements. It is suspended or cancelled when the job ends or conditions change.
02
Who signs a confined space entry permit?
Under OSHA's permit-required confined spaces standard (29 CFR 1910.146), the entry supervisor named on the permit signs it to authorise entry. Other jurisdictions and site programmes set their own authorisation rules, so follow the one that applies to you.
03
How long is a confined space permit valid?
Under the OSHA standard, a permit may not last longer than the time needed to complete the task written on it. Many site programmes set a shorter limit, such as one shift.
04
Is there a Word version of this confined space permit template?
No. It is a free printable PDF designed to be completed by hand at the point of entry. Review its fields against your own site programme before use.
Related templates.
Hot Work PermitIdentify the job, location and proposed method, and consider whether the work can be moved or completed without hot work.
Lockout/Tagout Procedure (LOTO)Identify every hazardous energy source and the machine-specific procedure, including stored or residual energy.
Risk Assessment FormObserve the task with the people doing it, identify each hazard and who may be harmed, and use the site's agreed risk-rating definitions.Turn the form into a live workflow.
Bulk connects the same checks, evidence, owners and approvals to the work happening on your floor.