CONFINED SPACE ENTRY PROGRAM
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1 CONFINED SPACE ENTRY PROGRAM Prepared by: Occupational Health and Safety Reviewed by: Joint Health and Safety Committees Approved by: Chief Human Resources Officer May 2015
2 Confined Space Entry Program Mohawk College TABLE OF CONTENTS 1. PURPOSE SCOPE DEFINITIONS REFERENCES ROLES AND RESPONSIBILITIES FACILITIES MANAGEMENT CONTRACTORS OCCUPATIONAL HEALTH AND SAFETY DEPARTMENT ATTENDANT ENTRY SUPERVISOR(S) ENTRANT(S) SPECIFIC PROGRAM ELEMENTS IDENTIFYING CONFINED SPACES/RESTRICTED SPACES AND INITIAL ASSESSMENT PRE-ENTRY HAZARD ASSESSMENT REVIEW AND VERIFICATION ENTRY PLANS AND PERMITS ON-SITE RESCUE PROCEDURES AND EQUIPMENT PREVENTING UNAUTHORIZED ENTRY ATMOSPHERIC TESTING TRAINING MULTIPLE EMPLOYER ENTRIES AND CONTRACTORS PERFORMING CONFINED SPACE WORK APPENDIX A - CONFINED SPACE INVENTORY APPENDIX B - HAZARD ASSESSMENTS APPENDIX C - PLAN/PERMITS APPENDIX D - RESCUE PROCEDURES APPENDIX E - COORDINATION DOCUMENT... 29
3 Confined Space Entry Program Mohawk College 1. PURPOSE To describe the methods by which Mohawk College ( Mohawk ) intends to identify, assess and control hazards in confined spaces in accordance with Ontario regulatory requirements. Refer to Appendix A for the Confined Space Inventory. 2. SCOPE This Program applies to all Mohawk employees and contractors who manage or coordinate confined space entries, and those employees and contractors who enter confined spaces or conduct related work. Mohawk College employees will not enter confined spaces or perform related work with respect to confined spaces. Mohawk College will hire contractors that are qualified with adequate training, knowledge and experience to perform all aspects of confined space work and related work with confined spaces. Only the Occupational Health and Safety Department may approve deviations from the requirements of this Program. 3. DEFINITIONS Acceptable atmospheric levels means that, the atmospheric concentration of any explosive or flammable gas or vapour is less than, o 25 per cent (%) of its lower explosive limit for inspection work with no source of ignition, o 10% of its lower explosive limit for cold work, o 5% of its lower explosive limit and less than 23% oxygen for hot work, the oxygen content of the atmosphere is at least 19.5% but not more than 23% by volume, the exposure to atmospheric contaminants does not exceed any applicable limit set out in Regulation 833 of the Revised Regulations of Ontario, 1990 (Control of Exposure to Biological or Chemical Agents) or Ontario Regulation 490/09 (Designated Substances). May 2015 Page 1 of 30
4 Confined Space Entry Program Mohawk College Atmospheric hazard means: the accumulation of flammable, combustible or explosive agents, an oxygen content in the atmosphere that is less than 19.5% or more than 23% by volume, or the accumulation of atmospheric contaminants, including gases, vapours, fumes, dusts or mists, that could, o result in acute health effects that pose an immediate threat to life, or o interfere with a person s ability to escape unaided from a confined space Attendant means an individual assigned to ensure the safety of all entrants working in a confined space. The attendant performs all duties outlined under the responsibilities section and will be identified on the CSE permit Confined space is defined as a fully or partially enclosed space, that is not both designed and constructed for continuous human occupancy, and in which atmospheric hazards may occur because of its construction, location or contents or because of work that is done in it. Confined Space Entry Plan/Permit means a document reviewed and completed prior to all confined space entries to ensure controls are in place for all the hazards that have been identified. This includes entry equipment requirements, atmospheric testing requirements, rescue protocols, and all required preparation information. Refer to Appendix C and D for Confined Space Entry Permits/Plans and Rescue Procedures respectively. Coordination Document means a document prepared by the Lead Employer that is used to ensure that employer duties are performed in a way to protect the health and safety of all workers who perform work in the confined space when workers of more than one employer perform work in the same confined space. Refer to Appendix E for a sample coordination document. Entrant means an individual authorized and assigned to enter a confined space for the purpose of performing work or rescue. The Entrant performs all duties outlined in the responsibilities section and will be identified on the Confined Space Entry Permit/Plan. Entry Supervisor means an individual authorized because of their knowledge, training and experience in supervising and monitoring confined spaces. The Entry Supervisor creates and terminates all confined space entry permits and performs all duties outlined in the responsibilities section. This individual may be an Entrant or Attendant. May 2015 Page 2 of 30
5 Confined Space Entry Program Mohawk College Hazard Assessment means an evaluation process conducted on each space to determine its associated hazards, precautions required for entry, and classification under this confined space program. Refer to Appendix B for Hazard Assessments. Lead Employer means an employer who contracts for the services of one or more other employers or independent contractors in relation to one or more confined spaces that are located the lead employer s own workplace, or in another employer s workplace. Qualified means, for the purposes of this Program, acceptable evidence of experience in the recognition, evaluation and control of confined space hazards, and includes: Certified Industrial Hygienist (CIH), Registered Occupational Hygienist (ROH), Certified Safety Professional (CSP), Canadian Registered Safety Professional (CRSP) Professional Engineer (P. Eng.), or Other combination of education, training and experience acceptable to Mohawk. Related work means: Work that is performed near a confined space in direct support of work inside the confined space (e.g. attendants; persons conducting gas testing). Restricted space, for the purposes of this Program, means: A space that is fully or partially enclosed, and that is not both designed and constructed for continuous human occupancy and that is not classified as a confined space. A restricted space may become a confined space if an atmospheric hazard(s) may be generated by the work conducted in the space. 4. REFERENCES Ontario Confined Spaces Regulation (O. Reg. 632/05) Ontario Ministry of Labour, Confined Spaces Guideline (July 2011) Occupational Health and Safety Act (OHSA), R.S.O Health and Safety Policy CS May 2015 Page 3 of 30
6 Confined Space Entry Program Mohawk College 5. ROLES AND RESPONSIBILITIES 5.1 Facilities Management Ensure that resources and support are provided to successfully implement this Program Ensure hazard assessments and entry plans have been completed prior to permitting entry into a confined space Ensure that each entrance to a confined space is: Adequately secured against unauthorized entry; or Has been provided with adequate barricades, adequate warning signs regarding unauthorized entry, or both; Ensure that adequately trained and qualified workers or contractors perform work in confined spaces, or perform related work with respect to confined spaces Ensure contractors are provided with a copy of the confined space program, hazard assessment, confined space entry plan/permit and coordination document as required Ensure contractors work in accordance with O. Reg. 632/05 and Mohawk College s Confined Space Entry program, or with one the contractor provides that provides equal or greater protection for the workers Ensure that an Entry Supervisor is in place to oversee all confined space entries Ensure copies of closed Confined Space permits are retained for inspection purposes and copies forwarded to Occupational Health and Safety Ensure the Occupational Health and Safety Department is notified of confined space entries prior to the entry being performed Ensure the coordination of contractors that enter confined spaces or perform related work at Mohawk. 5.2 Contractors Work in accordance with O. Reg. 632/05 and Mohawk College s Confined Space Entry program, or one that provides equal or greater protection Ensure all workers working in a confined space or performing related work with respect to a confined space have adequate training to perform the work safely Provide their own entry and rescue equipment Prepare and complete a Coordination Document as required. May 2015 Page 4 of 30
7 Confined Space Entry Program Mohawk College Provide copies of closed Confined Space permits to Mohawk College Notify their Mohawk College contact person of any problems or concerns regarding the confined space entry program. 5.3 Occupational Health and Safety Department Coordinate the development of the Confined Space Program, including assisting with the identification, hazard assessment and designation of all confined spaces at Mohawk College facilities Ensure that the workplace is assessed for confined spaces by a suitably qualified person and who has adequate knowledge, training and experience in confined spaces Ensure a written inventory of confined spaces is prepared and maintained Maintain a written record of the qualifications of the person who conducted the Assessments Ensure that the Entry Plans are reviewed as often as is necessary to ensure that the plans and permits remain accurate and adequate Ensure that the following records are retained: Hazard Assessments Plans Records of Training Entry Permits (including air testing results) Rescue Equipment Inspection Records Co-ordination Documents for at least the longer of the following periods: one year after the document was created; or the period that is necessary to ensure that at least the two most recent records that relate to a specific confined space Ensure that all Mohawk employees authorizing or contracting services for work in confined spaces receive adequate training in consultation with the JHSC Obtain copies of closed Confined Space Entry permits from Facilities Management. May 2015 Page 5 of 30
8 Confined Space Entry Program Mohawk College Ensure that the following records are retained: Hazard Assessments Plans Records of Training Entry Permits (including air testing results) Rescue Equipment Inspection Records Co-ordination Documents for at least the longer of the following periods: one year after the document was created; or the period that is necessary to ensure that at least the two most recent records that relate to a specific confined space Review and update this Program in consultation with the Joint Health and Safety Committee as required. 5.4 Attendant For each confined space entry, an attendant shall be assigned and shall: Be stationed outside and near the entrance to the confined space (if there is more than on entry point, the one that provides the best communication with the entrant shall be used); Be in constant communication with all workers inside the space (using the means of communication described in the relevant plan); Be provided with a device for summoning immediate on-site rescue response; Never enter the confined space at any time unless relieved by another qualified Attendant; Continuously monitor the safety of the entrant(s) inside the confined space at all times Not perform duties that may interfere with the primary duty of monitoring and protecting the entrant(s) Prevent entry of unauthorized individuals during confined space work Provide assistance (from outside the space) to the entrant(s) Order the evacuation of the confined space if: A condition, which is not allowed on the permit, is observed. The entrant exhibits or reports unusual health symptoms. May 2015 Page 6 of 30
9 Confined Space Entry Program Mohawk College A situation outside the space is detected which could endanger those working inside the space (such as activation of an emergency evacuation alarm) An uncontrolled hazard is detected inside the space. The Attendant cannot effectively and safely perform all required duties. 5.5 Entry Supervisor(s) Ensure that a written hazard assessment on the space to be entered has been conducted Ensure that all workers, before entering or performing related work in a confined space, are adequately trained Review the entry plans prior to all entries and as often as necessary to ensure that the plans and permits remain accurate and adequate Ensure that no worker enters a confined space unless an adequate on-site rescue procedure has been developed and is ready for immediate implementation Ensure a coordination document is prepared by the lead employer where workers of more than one employer (e.g. contractors) will perform work in the same confined space or related work with respect to the same confined space. A copy of the coordination document must be provided to each employer involved in the entry and to the Joint Health and Safety Committee (JHSC) or Health and Safety Representative of each employer involved in the entry. (Refer to Appendix D for a sample Coordination Document) Ensure that every worker who enters a confined space or conducts related work follows the plan Ensure that the appropriate acceptable atmospheric level is noted on the permit to facilitate proper interpretation of air testing results Sign the permit to verify that the requirements of the relevant plan have been met Ensure that air testing is conducted with calibrated instruments that are in good working order and are appropriate for the hazards identified in the relevant assessment. May 2015 Page 7 of 30
10 Confined Space Entry Program Mohawk College 5.6 Entrant(s) Review the Hazard Assessment and Confined Space Entry Permit/Plan prior to entering and performing work in a confined space Implement the precautions identified on the Confined Space Entry Permit/Plan prior to entry. This includes safety equipment and rescue protocols outlined in the entry specific Plan Sign the permit to confirm they understand the hazards and the control equipment needed to safely complete work in the confined space Properly wear all required personal protective equipment and utilize continuous air monitoring unless noted otherwise in the entry specific guidelines and Confined Space Entry Permit/Plan Maintain communication with the Attendant as necessary to enable the Attendant to monitor the status of the Entrant(s) and enable the Attendant to alert the Entrant(s) of the need to evacuate the space Alert the Attendant whenever: The Entrant experiences any unusual health symptoms. The Entrant detects a condition that is not allowed by the permit. A gas monitor/evacuation alarm is activated Inform the Entry Supervisor, Mohawk College confined space contractor contact person or Occupational Health and Safety Department of any problems encountered with the confined space program and permit system. 6. SPECIFIC PROGRAM ELEMENTS 6.1 Identifying Confined Spaces/Restricted Spaces and Initial Assessment A survey of the workplace shall be completed by a qualified person to identify all potential confined spaces. Identification of spaces was conducted at Mohawk s Fennell and Stoney Creek campuses by a qualified person from Pinchin Ltd Each potential confined space shall be included in a Confined Space Inventory (see Appendix A) and identified as a confined space or restricted space. May 2015 Page 8 of 30
11 Confined Space Entry Program Mohawk College Hazard Assessments shall be conducted by a person with adequate knowledge, training, and experience for all potential confined spaces. This may be done initially (typically in conjunction with the identification) or prior to the first entry. Initial assessments were conducted at Mohawk s Fennell and Stoney Creek campuses by a qualified person from Pinchin Ltd., in consultation with the Occupational Health and Safety Consultant and assistance from Facilities Management staff. These assessments are provided in Appendix B The assessment of each confined space shall consider: the hazards that may exist due to the design, construction, location or use of contents of the space; and the hazards that may develop while work is done inside the confined space (e.g. welding, cleaning, etc.). Additional or associated hazards include: o Oxygen deficiency or enrichment o Flammable, combustible or explosive atmospheres. o Toxic atmospheres o Engulfment o Mechanical, electrical or hydraulic hazards o Temperature extremes o Noise o Access/egress The Hazard Assessment document (either a new one or the reviewed and verified original) shall be signed and dated by the person conducting the assessment. Once completed, the document shall be forwarded to the Occupational Health and Safety Department If two or more confined spaces are of similar construction and present the same hazards, their assessments may be recorded in a single document, but each confined space shall be identified on the assessment document Each confined or restricted space shall be clearly identified A copy of the Hazard Assessment, and record of qualifications of the person who conducted the assessment, shall be provided, on request, to the JHSC, H&S Representative, or to any worker who performs work to which the hazard assessment relates (if the workplace has no JHSC or H&S Representative). May 2015 Page 9 of 30
12 Confined Space Entry Program Mohawk College 6.2 Pre-Entry Hazard Assessment Review and Verification Before each entry in to a confined space or restricted space, the Entry Supervisor shall ensure that a written Hazard Assessment has been conducted on the space to be entered The space specific Hazard Assessment (Appendix B) shall be reviewed by the Entry Supervisor, prior to entry into the space, to verify whether there are any changes to the hazards identified. This will verify the existing Hazard Assessment is valid for the work to be performed or determine the need for a new assessment to be conducted (refer to pg. 3 of the specific Hazard Assessment) If an assessment has not been previously conducted on the space, one shall be conducted by a qualified person prior to entry into the confined space. 6.3 Entry Plans and Permits Before any worker enters a confined space, Facilities Management shall ensure that an entry plan (including necessary procedures) and permit have been developed and implemented by a competent person to control the actual and potential hazards identified in the associated Hazard Assessment Entry plans and permits shall be reviewed by Occupational Health and Safety as often as necessary, to ensure they remain accurate and adequate Entry Plans and Permits may be combined into one document. A general Plan/Permit for the identified pits (see below) includes all information required by O. Reg. 632/05 and is provided in Appendix C If two or more confined spaces are of similar construction and present the same hazards, one plan/permit can be developed for the group of spaces identified on the Hazard Assessment document A separate entry permit is required before each confined space entry The Entry Supervisor shall ensure that every worker who enters a confined space or conducts related work follows the plan The Entry Supervisor shall ensure that the appropriate acceptable atmospheric levels are noted on the permit to facilitate proper interpretation of air testing results The Entry Supervisor shall sign the permit to verify the requirements of the relevant plan have been met. May 2015 Page 10 of 30
13 Confined Space Entry Program Mohawk College The permit shall be closed at the end of each shift, unless a competent person verifies (in writing on the entry permit and at the beginning of the next shift) that the permit and work conditions continue to comply with the requirements of the relevant plan. 6.4 On-Site Rescue Procedures and Equipment The Entry Supervisor shall ensure that no worker enters a confined space unless an adequate written on-site rescue procedure (including equipment) has been developed and is ready for immediate implementation, in accordance with the relevant plan. A nonentry Rescue Plan/Procedure for the identified pits is provided in Appendix D Rescue equipment shall be inspected by a person with adequate knowledge, training and experience as often as is necessary to ensure it is in good working order. A written record of the inspection shall be maintained at the site where it is normally stored and on the applicable permit The Entry Supervisor shall ensure that no worker enters a confined space until an adequate number of persons trained in the rescue procedures are available on-site, for immediate implementation of the rescue procedures. The person(s) must be trained in: The on-site rescue procedures, First aid and cardio-pulmonary resuscitation, and The use of the rescue equipment required by the relevant plan. 6.5 Preventing Unauthorized Entry If there is the possibility of unauthorized entry into a confined space, the Entry Supervisor shall ensure that each entrance to the space shall be: adequately secured against unauthorized entry; or has been provided with adequate barricades, adequate warning signs regarding unauthorized entry, or both. 6.6 Atmospheric Testing Atmospheric testing must be performed before anyone enters the space, and at adequate intervals, during each confined space entry to ensure that acceptable atmospheric contaminant levels are maintained in the confined space Atmospheric testing shall be conducted, in accordance with the relevant plan, by a person with adequate knowledge, training and experience The Entry Supervisor shall ensure that the testing is done in a manner that does not endanger the tester. May 2015 Page 11 of 30
14 Confined Space Entry Program Mohawk College Re-testing of a space during a permit period shall also be performed, before any worker re-enters the space, anytime the space has been both unoccupied and unattended (e.g. lunch breaks) The Entry Supervisor shall ensure that air testing is conducted with adequately maintained and calibrated instruments that are in good working order, and are appropriate for the hazards identified in the relevant assessment Air testing must be performed for the following gases, in the following sequence and recorded on the permit. Oxygen content (must be between 19.5% - 23%) Flammable and combustible gases and vapours: o Less than 25% for inspection work with no source of ignition. o Less than 10% for cold work. o Less than 5% LEL and less than 23% Oxygen for hot work. Other toxic materials: Hydrogen sulphide (H 2 S: must be below 10 ppm) The results of all sampling shall be recorded on the Confined Space Entry Plan/Permit. 6.7 Training Occupational Health and Safety Department shall ensure that all Mohawk College employees that authorize or contract services for work in confined spaces receive adequate General training. Training will include, but not necessarily be limited to: Regulatory requirements and the contents of this Program Recognition of hazards associated with confined spaces If Mohawk College employees are required to enter a confined space or conduct related work with respect to a confined space, they shall receive the above general training and: Plan-specific training, in accordance with the relevant plan, to work safely and properly General and Plan-Specific Training may be combined into one training program The training program(s) shall be developed in consultation with the JHSC as applicable. May 2015 Page 12 of 30
15 Confined Space Entry Program Mohawk College Required training records shall be retained by Occupational Health and Safety. 6.8 Multiple Employer Entries and Contractors Performing Confined Space Work Mohawk College must ensure contractors work in accordance with O. Reg. 632/05 and this Confined Space Entry program, or the contractor s program if it provides equal or greater protection If employees from more than one employer participate in a confined space entry (e.g. enter the space or conduct related work) the employer who takes on the role of Lead Employer must prepare and completes a Coordination Document. A Coordination Document template is provided in Appendix E Copies of the Coordination Document must be provided to each employer involved in the planned entry and the JHSC or H&S Representative of each employer involved in the entry. May 2015 Page 13 of 30
16 APPENDIX A - CONFINED SPACE INVENTORY May 2015 Page 14 of 30
17 Fennell Campus (135 Fennell Ave. W, Hamilton, ON) 1. Pump Room, B101 Oil Interceptor Pit CONFINED SPACE INVENTORY 2. Outdoor, A-Wing Ramp, Receiving Dock and Cafeteria Courtyard Storm Sump Pit 3. Outdoor, J-Wing, North of Exit 56 Water Pit for Standpipe 4. Outdoor, A-Wing, Sidewalk at NW End 3 Sanitary Manhole Pits 5. Outdoor, (1) H-Wing, East of Flagpoles, (2) Grassy Area, East of Residence, (3) Driveway under DBARC Catwalk BELL Telecom Cable Pits 6. Outdoor, (1) H-Wing, West of Flagpoles, (2) Northeast Side of Residence, (3) DBARC next to Doghouse Water Meter Pits 7(1) Outdoor, (1) I-Wing, road opposite G-Wing, (2) Grassy Area East of Residence Cable Vaults, 7(2) Outdoor, Governors Rd. (South side opposite P4 Booth) Cable Vaults 8. Outdoor, (1) Driveway under DBARC Catwalk, (2) E-Wing Ramp next to Dust Collector and extending throughout campus Electrical (13,800 Volts) Pull Point Pits 9. Outdoor, (1) Driveway under DBARC and (2) E-Wing Ramp, Top of Hill Heating and Chilled Water Service Pit 10. Outdoor Receiving Ramp High Voltage and Data Pit 11. Outdoor, DBARC Sidewalk Grey Water Tank 12. Outdoor, E-Wing Ramp, Top of Hill Storm Sump Pit 13. H-Wing Mechanical Room, H008 Storm and Sanitary Sump Pits 14. Rooms (1) C079, (2) C02, (3) C01, (4) E012, (5) i131b, (6) A015B (Washroom), (7) C039, (8) G018 Sprinkler Room, Rooms (9) F003a, (10) B105B, (11) i134a, (12) B103A, SE corner, (13) B105, NE corner and (14) B105 SE corner Storm and Sanitary Sump Pits with Equipment Outside/at Top 15. Room C105T Storm and Sanitary Sump Pits 16. Room H008 Storm, Settling and Sanitary Sump Pits 17. C-Wing Food Court Elevator Room Elevator Sump Pit 18(1) Room B104C Cooling Tower Storage and Settling Chamber 18(2) Room B104C Storm sump pit and overflow holding tank 29 Room B104 Boilers - (Restricted) Stoney Creek Campus (481 Barton St., Stoney Creek, ON) 19. Room B-118 Elevator Sump Pit 20. Room 119b (Auto Shop) Oil/Grease Pit 21. Room 119b (Auto Shop) Storm Sump Pit 22. Room B120 Truck Shop (Northwest Corner) Storm Sump Pit 23. Outdoor, Parking Lot Outside of Receiving Storm Sewer Manhole 24. Outdoor, Leaside Driveway, South of CTTC Water Valve Shut-Off Pit 25. Room B113 Auto Shop Run-Off Pit Sump Brantford Campus (411 Elgin St., Brantford, ON) 26. Revoked formerly owned property 27. Revoked formerly owned property All Campuses 28. Outdoor Catch Basins May 2015 Page 15 of 30
18 APPENDIX B - HAZARD ASSESSMENTS (Contact OH&S or Facilities Management for Specific Hazard Assessments) May 2015 Page 16 of 30
19 HAZARD ASSESSMENT Date: Client: Mohawk College Pinchin File Number: Assessor: Client s Knowledgeable Person: Area/Department: Fennell Campus - B101 Pump Room Does this assessment apply to the other spaces of similar construction and same hazards? Space Identifier: Oil Interceptor Pit If so, identify all spaces to which this assessment applies: SPACE CHARACTERIZATION Description of Space (attach photos): Below grade holding pit Is this space entered? Yes No (If no, STOP here) Likely not. Pumped out from the outside. Entry is possible. Designed for continuous human occupancy? Yes No (If yes, STOP here ) Function: Oil interceptor Size, Configuration: 8' interior diameter; 10' deep Indoor/Outdoor: Indoor Above/Below Grade: Below Entry Points: 2' diameter manhole Access: Ladder rungs Supply Lines: Oils Mechanical Equipment: No Ventilation: Natural/general Adjacent Operations: N/A Contents of the Space (review MSDS if applicable): Oil residue, organics, sludge Atmospheric Hazards (identify): Oxygen Enrichment Oxygen Depletion : From microbiological activity, decaying organics Flammable Combustible Explosive : Methane production from microbiological activity/sludge Toxics : Hydrogen sulphide and other sulphur based by products from microbiological activity/sludge Atmospheric hazards can be eliminated prior to entry? Yes No (If yes, STOP here) May 2015 Page 17 of 30
20 WORK CONDUCTED IN THE SPACE 1. Purpose of Entry: Maintenance, Cleaning, Inspection Who conducts work in this space? Employer? Single Contractor? Multiple Employers? Type of Work Conducted: Inspection: Cold Work: Hand tools only Relevant Historic Air Sampling Data Available (attach): Hot Work: Atmospheric Hazards (identify): Oxygen Enrichment Oxygen Depletion : Flammable Combustible Explosive : Toxics (likely to result in acute health effects that pose an immediate threat to life, or interfere with a person s ability to escape unaided from the space?) : Can the work be engineered out? Yes No (If yes, STOP here) NON-ATMOSPHERIC HAZARDS Access/Egress Restrictions: Adjacent Operations: Vehicle Traffic: Corrosion: Potential Drowning: Drain as much liquid as possible Electrical: Entanglement: Falling: Fall protection required Falling Objects: From above Insects/Vermin: Potential Ladder Condition: Inspect condition Materials Movement: Microbiologicals: Potential Moving Equipment: Noise: Physical Obstruction: Slip/Trip Hazards: Slippery/uneven surfaces Stored Energy: Supply Lines Discharges: Oils Visibility Poor: Require artificial lighting Temperature: Work Space Limited: CONCLUSIONS Meets the definition of a confined space. Could be a confined space under specific conditions of use (e.g. Restricted Space)? [During:] Does not meet the definition of a confined space and is not expected to become a confined space based on the work activities assessed. May 2015 Page 18 of 30
21 Re-Assessment for today s work Are there any changes to this (above) original Hazard Assessment (e.g. atmospheric and/or non atmospheric hazards) for work to be conducted today? Yes No (If yes, complete new assessment); (If no, sign below); Re-Assessor (person with adequate knowledge, training and experience): Date: If deemed confined, ensure the appropriate Plan/Permit for this type of space is also available. May 2015 Page 19 of 30
22 APPENDIX C - PLAN/PERMITS May 2015 Page 20 of 30
23 Confined Space Entry Plan/Permit for Below Grade Pits (e.g. Sump, Storm, Sanitary, Cable, Hydro, Water Valve, Catch Basins) Specific Space Identifier Entry into this space is not allowed until this permit is completed and authorized. Hazard Assessment Reviewed or Conducted Immediately Prior to Entry? Yes (attach document) Purpose of Entry: Type of Work to be Conducted: Are Multiple Employers Involved? No Yes if yes, refer to Coordination Document Date of Entry: Permit Period: From: To: SUMMARY OF POTENTIAL HAZARDS AND CONTROL MEASURES (see attached Hazard Assessment) POTENTIAL HAZARD CONTROL MEASURE Atmospheric Hazards Oxygen Deficiency (sanitary/sludge; microbiological) Continuous gas monitoring; Continuous ventilation Flammables/Combustibles Methane Toxics Hydrogen Sulfide (sanitary/sludge) Continuous gas monitoring; Continuous ventilation Continuous gas monitoring; Continuous ventilation Restricted Access/Egress Falling Falling Objects Drowning Poor Lighting Supply Line Discharges Electrical (e.g. pumps, motors) Slip/Trip Hazard Outdoor Temperature Insects; Vermin, Microbiologicals Vehicle Traffic Non-Atmospheric Hazards Use a ladder or retrieval system to enter/exit. Use retrieval system or other fall arrest system. Keep the area around top entrance clear. Clean up debris as much as reasonably practicable. Entrants must wear hard hat. Drain the pit of liquid, if applicable (as much as possible), prior to entry. Provide artificial lighting. Isolate (e.g. disconnect, block, blank) Isolate (e.g. lockout / tagout) Keep area around entrances clear. Clean up debris as much as reasonably practicable. Entrant must wear suitable foot wear. Wear appropriate clothing during summer and winter months. Keep hydrated. Wear protective clothing and gloves. Wear any NIOSH-approved particulate respirator. Wash/shower after entry (practice good personal hygiene). Barricade the area (e.g. traffic cones/tape) around the space if potential for vehicle traffic present. May 2015 Page 21 of 30
24 ENTRY PROCEDURES (update as necessary to ensure all hazards identified in the Assessment are adequately controlled) DO NOT ENTER THE SPACE UNTIL ALL OF THE FOLLOWING ARE COMPLETE. General Complete? All entry team members have received plan-specific safe entry/confined space training and understand their specific duties? Written on-site rescue procedures have been prepared and communicated? Refer to separate written Rescue Procedures that apply to this space (attach) Adequate number of rescue personnel (qualified in first aid/cpr) ready for immediate implementation? Hot work involved? No Yes - Hot work procedures and permit required Preparation of the Space Drain the pit/chamber as much as possible. Control any traffic around the space with cones/barricades/tape etc. Open entry hatch(s) and allow natural air into space and provide continuous ventilation. Set up rescue equipment (see attached procedure) and ventilation at top opening of pit/chamber. Close off and isolate supply lines, if applicable. Shut down and isolate electrical, if applicable. Ensure the work area is free of clutter, debris, etc. Provide artificial (explosion proof) lighting. Adequate barricades and/or signage against unauthorized entry in-place? Entry and Rescue Equipment Present and Inspected Protective Gloves Safety Glasses/Goggles Protective Clothing/Boots Retrieval System Harness/Lifeline Hard Hat Artificial Lighting Portable Ladder Particulate Respirator Complete? Communication Device (if Attendant/Entrant out of visual/verbal contact) Verification that equipment has been inspected and is in good working order: Name Signature Attendant s Duties Attendant assigned and stationed at entrance to the space. Attendant has method of constant communication with entrant and monitors the safety of Entrant. Attendant has means of summoning rescue response. Monitor the ventilation system. Note: The Attendant shall not enter the space at any time! Confirmed? Entry into the Space Complete? Entrant enters space by climbing down the fixed ladder while attached to retrieval system (lifeline). If there is no fixed ladder in the space, the Entrant will use a portable ladder or be lowered down via the retrieval system (lifeline). Entrant wears retrieval system while in the space. Entrant wears personal air/gas monitor while in the space; OR, a line will be dropped into the space, attached to a continuous reading air monitor which will be monitored by the Attendant outside of the space. Chemical products not permitted inside the space (unless considered in the Hazard Assessment). Authorizations (see below) are completed prior to entry. May 2015 Page 22 of 30
25 Air Testing Notes: Do not enter the space unless acceptable air quality conditions exist. The results of each air sample must be recorded on the table below. Ensure that the entire space is tested by sampling at least at three different elevations. Ensure that the duration (e.g. at least 1 minute) of the sampling is adequate if sampling a long distance between the source and the sensor (e.g. at the bottom of the pit). The space shall be re-tested prior to re-entry, if it has been both unoccupied and unattended. RESULTS OF AIR MONITORING Time and Tester s Initials Measurement Location/Elevation (e.g. Top, Middle, Bottom) Oxygen (%) Acceptable Level 19.5% - 23% Lower Explosion Limit (%) Acceptable Level 5%; 10%; or 25% Toxic ( H 2S) Acceptable Level 10 ppm Toxic ( ) Acceptable Level Test Equipment: Gas Monitor (make/model/serial#) Instrument Calibrated? How/When? I have conducted the air monitoring and verify the results shown in the above table. Name/Signature: Time: Date: Notes: If the gas monitor alarms, the Entrant(s) shall exit the space immediately. The Entrant(s) shall immediately leave the space if he/she experiences any unusual health symptoms or if he/she is instructed by the Attendant to leave the space. If the ventilation system fails, the Attendant will immediately instruct the Entrant to evacuate the space. May 2015 Page 23 of 30
26 AUTHORIZATIONS I have read this plan/permit and understand my responsibilities during this entry procedure. Entrant: at on. (Name/Signature) (Time) (Date) Entrant: at on. (Name/Signature) (Time) (Date) Entrant: at on. (Name/Signature) (Time) (Date) Entrant: at on. (Name/Signature) (Time) (Date) Attendant: at on. (Name/Signature) (Time) (Date) I confirm that the information reported in this permit is correct and that all necessary safety precautions have been taken to make the space safe for entry and to ensure that the space remains free from hazards for the duration of this permit period. Permit Issuer/Entry Supervisor: at on. (Name/Signature) (Time) (Date) Entry/Exit Record (Recorded by Attendant) Entrant (name) Time of Entry/Time of Exit: Entrant (name) Entrant (name) Entrant (name) Entrant (name) Entrant (name) Entrant (name) Entrant (name) Time of Entry/Time of Exit: Time of Entry/Time of Exit: Time of Entry/Time of Exit: Time of Entry/Time of Exit: Time of Entry/Time of Exit: Time of Entry/Time of Exit: Time of Entry/Time of Exit: Exit/Post-Confined Space Entry Work Entrant exits space by climbing up fixed ladder; or portable ladder; or raised via retrieval system and out through hatch opening. Remove life line. Following completion of the work, conditions are restored to normal operating conditions. Complete? Permit Closed at End of Shift? Yes Permit Issuer/Entry Supervisor: at on (Name/Signature) (Time) (Date) No Supervisor (or delegate) to provide written verification that work conditions continue to comply with the requirements of this plan at the beginning of each shift (or a new, separate permit can be opened): Next Shift Verification: at on (Name/Signature) (Time) (Date) When the work is completed, this Permit must be forwarded to Facilities Management in B101 May 2015 Page 24 of 30
27 APPENDIX D - RESCUE PROCEDURES May 2015 Page 26 of 30
28 On-Site Confined Space Rescue Procedures for Below Grade Pits (e.g. Sump, Storm, Sanitary, Cable, Hydro, Water Valve, Catch Basins) Specific Space Identifier: Before any worker enters a confined space, adequate written on-site rescue procedures that apply to the confined space must be developed and ready for immediate implementation by an on-site rescue team. This non-entry rescue procedure for below grade pits is to be used in conjunction with the Plan/Permit for this space. The Hazard Assessment for this space must also be reviewed with the rescue team. 1. Rescue Team 1.1 A minimum two-person rescue team shall be available for immediate implementation of this procedure prior to entry in this space being permitted. They must be designated as Rescue Member 1 and Rescue Member 2. Both members shall remain in an area close to the space, for the duration of work, in order to be prepared for immediate implementation of rescue. For this space, the rescue members will be stationed at the top of the pit/chamber at the opening. 1.2 The rescue team members must be trained on the specific procedures for this confined space; the use of relevant rescue equipment and methods; and in first aid and cardiopulmonary resuscitation (CPR). The specific responsibilities of the rescue team members shall be communicated and reviewed in a pre-entry meeting. 1.3 The members shall have a means of receiving communication from the Attendant (see below) and shall be immediately ready to perform rescue (see below), should he/she be summoned by the Attendant. Note: The confined space Attendant must remain in place outside and near the entrance to the confined space. The Attendant is not technically part of the rescue team. However, as long as it does not affect their Attendant duties, the Attendant (if adequately trained in rescue procedures) may assist during the rescue. 2 Methods of Communication 2.1 Communication methods must be established between the Entrant(s) and the Attendant (E A), and between the Attendant and the Rescue team (A R). 2.2 If verbal communication is not sufficient for the space, two-way radios and cell phones must be used as appropriate. 2.3 The Attendant or any member of the Rescue Team shall call Mohawk Security at and/or 911 directly, to initiate emergency services prior to, or concurrently to proceeding with the rescue. 3 Evacuation and Rescue Procedure 3.1 The Entrant shall climb out of the space immediately if they experience any unusual health symptoms; if the gas monitor alarm is activated; or if instructed to do so by the Attendant. May 2015 Page 27 of 30
29 3.2 If the Entrant is unable to exit the space by self-rescue, the Rescue Team Members will be summoned by the Attendant to perform vertical, non-entry rescue/retrieval. The Attendant or any member of the Rescue Team shall call Mohawk Security at and/or 911 directly, to initiate emergency services prior to, or concurrently to proceeding with the rescue. 3.3 Rescue Member 1 shall turn the winch (connected to the tripod or davit system) to wind in the lifeline connected to the full body harness of the Entrant. 3.4 Rescue Member 2 (or person not turning the winch) shall assist by guiding or helping to manoeuvre the Entrant and lifeline. 3.5 Once the Entrant is pulled to the opening of the space, he/she shall be lifted out/removed from the space and First Aid / CPR will be performed if required. 4.0 Rescue Equipment 4.1 Rescue equipment must be readily available and appropriate for entry into the confined space. Equipment shall include (check those that apply): Retrieval system (Tripod or Davit) Winch Full Body Harness Lifeline Communication system (voice communication/cell phone/two-way radio) First Aid Kit Other personal protective equipment Specify: Other (specify): 4.2 The above equipment must be inspected by a person with adequate knowledge training and experience, as often as is necessary, to ensure it is in good working order. A record of these inspections must be in writing, in accordance with the Confined Space Program. May 2015 Page 28 of 30
30 APPENDIX E - COORDINATION DOCUMENT May 2015 Page 29 of 30
31 Confined Space Coordination Document Description of Work to be Performed: Campus: Confined Space I.D.: Date(s) of Entry: Mohawk College Representative: Phone: (Print Name/Signature) The Lead Employer ( ) shall be responsible for: (Company name) Identifying Confined Spaces Conducting Hazard Assessments Isolation of Energy Means for Entering & Exiting Controlling Explosive & Flammable Substances Developing Written Rescue Procedures Providing Plan-Specific Training* Providing Attendant rnmoeuqp noprcpnoep lanosrep Other Duties: Developing Confined Space Program Developing Plans Control ling Materials Movement Preventing Unauthorized Entry Ventilation / Purging of Atmospheric Hazards Developing Permits Providing Entry and Rescue Equipment* Atmospheric Testing gruemponpmossaencupnem Lead Employer s Representative: Date: (Print Name/Signature) The Contractor ( ) shall be responsible for: (Company name) Identifying Confined Spaces Conducting Hazard Assessments Isolation of Energy Means for Entering & Exiting Controlling Explosive & Flammable Substances Developing Written Rescue Procedures Providing Plan-Specific Training* Providing Attendant Personal Protection Equipment Other Duties: Developing Confined Space Program Developing Plans Controlling Materials Movement Preventing Unauthorized Entry Ventilation / Purging of Atmospheric Hazards Developing Permits Providing Entry and Rescue Equipment* Atmospheric Testing Providing Means of Communicating Contractor s Representative: Date: (Print Name/Signature) The Contractor ( ) shall be responsible for: (Company name) Identifying Confined Spaces Conducting Hazard Assessments Isolation of Energy Means for Entering & Exiting Controlling Explosive & Flammable Substances Developing Written Rescue Procedures Providing Plan-Specific Training* Providing Attendant Personal Protection Equipment Other Duties: Developing Confined Space Program Developing Plans Controlling Materials Movement Preventing Unauthorized Entry Ventilation / Purging of Atmospheric Hazards Developing Permits Providing Entry and Rescue Equipment* Atmospheric Testing Providing Means of Communicating Contractor s Representative: Date: (Print Name/Signature) Note: Copies of this coordination document must be provided to each employer s JHSC or H&S Rep. Note: *Sharing of responsibilities for general training, personal protective equipment and records are not permitted under Ontario Regulation. Each party is individually responsible for ensuring compliance with these requirements. Note: Records shall be retained by the employer responsible for creating them. Signed copies of this completed Document shall be returned to Facilities Management, Room B101 May 2015 Page 30 of 30
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