confined space entry audits: what to look forextportal.vale.com/pmo/confined space files/2017...

Confined Space Entry Audits: What to Look For

Working in confined space is a high-risk activity that can have very serious

consequences. As such robust controls are important to be put into place to

ensure risk associated with such work are either eliminated or reduced so far as is

reasonably practice.

The confined space entry forms, documents, permits etc. information fields have

been edited in key areas that need to be looked at when conducting a confined

space entry audit.

Note: there are many types of audits that can be performed during a confined

space entry audit. In many instanced you can complete 3 different types of audits

on a single visit

Examples: Confined Space documentation audit (what we see in the following

tabs); Confined Space Entry and Risk Mitigation & Controls audit; MOL Styled

Confined Space Program Compliance; Formal Job Observation; Informal Job

Observation; Interactive Layered Audits; ZES training compliance audit; ZES Lock

Box audit; additonal training requiremenmts audit (WAH, WHMIS, Hoisting &

Rigging, Norcat Tier 1, Operational Controls Tier 2, Plant Specific Tier 3, etc.)

Recommended that personnel who are auditing Confined Space entry work to

be trained at a minimum in the entry training module to have a good

understanding of the Vale Confined Space Program. The addition of the

rescue and supervisor training modules would be considered a best practice.

To determine whether a "space" meets the definition of a confined space consider the following: Yes No

Oxygen Enrichment or

Deficiency

is there an existing

characteristic of the confined

space that may cause oxygen

deficiency hazards?

Are they using oxygen,

acetylene torch (leaking

oxygen hose/connection)?

Are aerosols being used?

Does the aerosol product have

flammable properties?

Is there very rusty conditions

inside the confined space?

(rust consumes oxygen)

Is ventilation being used?

Where is the fresh air intake

and foul air discharge?

Are these areas properly

barricaded?

Has a leak test been completed

on the burning/welding hoses

and fittings?

Has the size of the confined

space been calculated to

determine ventilation Cubic Feet

per Minute (CFMs) required for

good Air Changes per Hour

(ACH)?

Have the inherent confined space

product stream Safety Data

sheets been referenced? Is

there a failure warning device for

the ventilation system?

Flammable, combustible

or explosive agent in use

is any product being

introduced that may generate

flammable, combustible or

explosive properties?

Are aerosols being used in the

confined space?

Was the confined space

purged?

Has a review of the material

SDS been evaluated for flash

points?

Are lighting systems and

power tools intrinsically safe

(spark resistant)?

Ventilation systems to be

intrinsically safe (spark

resistant)?

Has the product Safety Data

Sheet been reviewed for Lower

Explosive Level?

What other controls are in place

to control Lower Explosive

Level?

Section 2 - Confined Space Work Risk Assessment

Work to be performed:

Hazard that may be

createdWhat is the hazard? Present Control Additional Controls

Has this field been populated with the description of the work

1) Is the space fully or partially enclosed?

2) Is the space not both designed and constructed for continuous human occupancy?

3) Might an atmospheric hazard occur? O.Reg. 632 Confined Space section 1 Definitions "Atmospheric

hazards" means: (a) the Accumulation of Flammable, Combustible or Explosive Agents,(b) an Oxygen Content in

the Atmosphere that is less that 19.5% or more that 23% by volume, (c) the Accumulation of Atmospheric

Contaminants, including Gases, Vapors, Fumes, Dust or Mist, that could, (i) Result in Acute Health Effects that pose

an Immediate Threat to Life, of (ii) Interfere with a Person's Ability to Escape Unaided form a Confined Space

If all questions 1 through 3 are answered "yes" then this is a confined space.

If any question 1 through 3 are answered "no" then this is NOT a confined space.

Confined Space Definition:

A fully or partially enclosed space:

(a) that is not both designed and constructed for continuous human occupancy, and

(b) in which atmospheric hazards may occur because of its construction, location or contents, or because of the work that is done in it.If you have a space that is fully or partially enclosed, the two conditions - (a) and (b) must both apply before the space can be considered a

"confined space".

Confined Space Classification

Section 1 - Confined Space Determination

Location: Is this field populated Date: Is the date field filled out

Assessor(s):

Who completed the risk assessment may

be more than one person (Ideally a

person representingtheowner and a

person of the Lead Employer) Work Group:

Who is the Lead Employer planning,

scheduling and managing the scope of work

CONFINED SPACE WORK RISK ASSESSMENT FORMConfined Space Program

Ontario Operations OO-SAF-CSP-FORM01 Version: 4.0 Effective: May 2016 Internal Use

Has the work group / employer asked themselves these questions?

THIS IS A CONTROLLED DOCUMENT. TO ENSURE THE LATEST VERSION, REFER TO THE CONFINED SPACE PTRAGRAM ON THE SAFETY INTRANET SITE Page 1 of 7

Are solvents or degreasers being

used in the confined space?

Have these product SDS been

reviewed to identify controls and

PPE?

Vapor Are there work task that may

cause a build up of vapors in

the confined space?

(Metallization)

What are the required PPE and

ventilation requirements?

Does the ventilation system

need to be intrinsically safe

(spark resistant)?

Is the mist acidic?

What special PPE is identified

for these hazards (Level 1 fully

encapsulating suit)?

Does the mist properties have

eye and skin contact or

inhalation dangers?

What type of respiratory

protection is identified?

Has users been fit tested and

is it current (2 yrs - Note CCNR

annually)? Has

the assessor(s) evaluated the

blasting media by reviewing

the product SDS? (No silica,

Note Walnut Media may cause

anaphylactic reactions)

Is portable dust collector being

use to prevent dust migration

into the workroom environment

associated with the exhaust

ventilation form the confined

space?

Dust

Area welding activities being

carried out?

Is there a hot work permit?

Are rock blasting activities

occurring near a confined

space underground?

Are welding smoke eaters

being used?

Is there a smoke eater

preventative

maintenance/service plan?

Is there a plan in place for U/G

confined space regarding

potential blasting fumes?

Is there additional ventilation

systems being used?

Exhaust ventilation of the

confined space, what is in place

to prevent welding fumes being

ventilated into the workroom

environment?

Fume

What kind of dust?

Is there a product SDS for this

dust?

Is the dust potential of a

flammable, combustible of

explosive properties?

Is the media blasting occurring

in the confined space?

Chemical Hazards:Note: Consider inherent,

introduced and adjacent

hazards.

Look at the potential inherent

atmospheric hazards of the

product that was in the

confined space!

Is there identified IDLH hazard

which requires Breathing Air

systems? Is

the confined space been

cleaned and decontaminated?

if so how? what product was

used to decontaminate,? does

this introduce other potential

atmospheric hazards? (use of

inert gases)

Is the chemical hazard

corrosive, reactive, or an

oxidizer?

Look at the potential

introduced atmospheric

hazards, what task is being

carried out?

Has the assessor(s) reviewed

the product Safety Data Sheet

to evaluate the potential

atmospheric hazards that may

be generated?

Are proper training records in

place like SCBA or BAM use?

If breathing air mask or SCBA

being used, is the emergency

escapa air pack also in place?

Is there a potential of chemical

residue? (Sulphuric Acid)

Look at the potential adjacent

atmospheric hazards, is there

potential for fugitive SO2

emissions?

Is another work group doing

welding near the confined space?

Other work groups working near

the confined space, have the

assessor(s) evaluated their work

to determine if any potential

atmospheric hazards that may

created, have they been captured

in the confined space coordinator

document?

Mist Are aerosol products being

used in the confined space?


The area around confined

space fresh air intake

ventilation systems, are there

parked vehicle or mobile

equipment that is left running?

(may bring foul air into the

confined space CO)

Can fugitive SO2 emissions be

ventilated into the confined

space?

Is the area of ventilation intake to

a confined space properly

barricade to prevent inadvertent

parking of running vehicles or

mobile equipment?

Gas (Carbon monoxide,

Sulphur dioxide, hydrogen

sulfide, carbon disulfide, etc.)

Are the provisions of Vale Hot

Work Program being followed?

Are fire blanket being use to

contain slag and sparks?

Is fire prevention and

preparedness equipment readily

available, fire extinguishers?

Is there a fire watch in place?

Is there a compressed cylinder

bottle watch in place?

Mechanical Have all sources of mechanical

energy been identified and

been brought to a Zero Energy

State?

Have the Process Flow

Diagram, Piping &

Instrumentation Diagram and

Electrical Drawings been

referenced?

All personnel associated with

the job/task/project are

currently trained in the

required ZES Modules?


Diagram, Piping &



verified accurate in the field?

Is there a lock box associated

with this project?

Is the lock box cascaded?

Where is the Main Lock box

located?

Are all work groups associated

with the confined space entry

work locked out and tagged out

to the lock box? (including the

confined space rescue team)

You can also complete a ZES

program Lock Box audit!

Ignition hazards (e.g. hot

work, tools and other)

Any Welding activities?

Are angle grinders in use?

Is the confined space rubber,

urathane lined?

Humidity Is there a reference to the

Occupational Health Clinics for

Ontario Workers Heat/Humidex

rating and work controls in

place?

Is work planning taking the

daily weather report into

consideration?

Has the required PPE been

considered in the heat stress

plan (example: fully

encapsulating suit with

SCBA)?

Is there a cool down area

identified?

Is there a hygiene plan in place

for re-hydration in the cool down

area? Is a

entrant PPE physical demands

analysis been completed? (refer

to Occ. Health Analyst)

Thermal (Hot/Cold) Is there a Heat / Cold stress

work plan in place?

What control is in place to

measure heat / cold within the

confined space?

Is there a cool down area

identified?

Is there a hygiene plan in place

for re-hydration in the cool

down area?

Is there a work rest regimented

schedule in place?

Is there a plan in place to

monitor heat / cold within the

confined space

Is there a reference to the

Occupational Health Clinics for

Ontario Workers Heat/Humidex

rating and work controls in

place?

Has the required PPE been

considered in the heat stress

plan (example: fully

encapsulating suit with SCBA)?

Are all personnel associated with

the work training in heat and cold

stress awareness?

Physical Hazards: If there are no atmospheric

hazard potential with the

confined space entry work /

task / project, then an entry

permit is not required?

We must still evaluate the

physical hazard potential, what

if an entrant has other type of

medical emergency

"cardiovascular, diabetic,

etc."?

What hazard controls are

identified?

Are the hazard controls

effective?

Is there a rescue plan in place in

case of emergency?

Referring to the hierarchy of

controls, can the physical

hazards be eliminated?


Working at heights Are there different elevations

within the confined space?

Is there an open hole condition


Are there unguarded openings

inside and outside of the

confined space? Is

a scaffold being used to

access the entry of the , or

within the confined space to

work at varying levels?

Please note scaffold height

beyond 33 feet must be

engineers with P.Eng. sealed

drawing being readily available

at the work / project site?

Is a fall protection

requirements been identified

as part of the confined space

entry plan?

Does the access opening

create a fall potential for the

attendant?

Should a guardrail system be

installed at the opening to

protect the attendant from a

leading edge or open hole

hazard?

Are suitable fall protection

anchor points identified?

Are all confined space personnel

who need to use fall protection

equipment been trained?

Is the training current?

Is the confined space work being

completed under a Notice of

Construction Project? Note: MOL

approved WAH training is

mandated for Construction

Projects, this includes other Vale

work groups associated with the

confined space work?

Does the confined space rescue

plan address how a rescue will

be undertaken with scaffolds or

significant elevations?

Personnel working on

radiation devices are properly

trained?

Is a personal radiation

measuring devices is being

used?

Are controls in place for welding

flash protection? (screens)

Is there a written procure in place

for the removal or installation of

a radiation device?

Noise What type of hearing

protection is required, single,

double?

How are noise levels being

evaluated?

Vibration / MSD

Hazards

Are vibrating tools being

used? (angle grinders.

Chippers)

Is anti-vibration PPE available

for entrants? Are

mechanical assist devices

identified in the risk

assessment?

Is the a MSD prevention plan in

place? (Work Rest regimented

schedule)

Is signage posted advising of

double hearing protection

required inside the confined

space?

Are hydrovac trucks parked in a

suitable area related to the

confined space to reduce

potential noise inside the

confined space?

Engulfing Have all feed and drain lines

been properly isolated?

Locked, Tagged and Blanked /

Spaded / piping spool piece

removed or by other adequate

means?

Is the work in the confined

space on unconsolidated

feed?

What type of fall protection

equipment is being used? Note:

cannot use SRLs on

unconsolidated feed!

Working / Walking is there a beveled surface in

the confined space?

Does the product in the

confined space leave a

slippery residue?

Have the Safety Data Sheets

been evaluated to determine

what controls can be used to

reduce slippery surfaces?

What controls are identified to

address beveled surfaces or

slippery surfaces?

Radiation Are there identified radiation

devices inside the confined

Space? (density gauges /

meters)


Biological (sewage,

animal feces)

Does the entry plan have a

written procedure for

biological hazard clean-up?

(blood form injury, vomit form

being sick)

Does the biological clean-up

plan have proper disposal

method for biological clean

up? (drop off properly bagged

and WHMIS labelled at first aid

as example)

Does the lead Employer have the

proper Biological clean up kit in

place?

Electrical Hazards Have all sources of energy

been identified and been

brought to a Zero Energy

State? Have

the Process Flow Diagram,

Piping & Instrumentation

Diagram and Electrical

Drawings been referenced?

All personnel associated with

the job/task/project are

currently trained in the

required ZES Modules?


Diagram, Piping &



verified accurate in the field?


with this project?



located?

Are GFCI's in use for all portable

power tools and electrical cords

supplying power to lighting

systems within the confined

space? Are all

work groups associated with the

confined space entry work locked

out and tagged out to the lock

box? (including the confined

space rescue team)



Traffic Hazards Is the confined space a utility

manhole?

Is the confined space in a high

traffic area of vehicles or

mobile equipment?

Is a traffic control plan been

implemented? (Note:

mandated on construction

projects O.Reg. 213/91 section

67, 68, 69 and Ontario Traffic

Manual Book 7 Temporary

Conditions been referenced?)

Has a communication notice

been issued to operations

regarding roadway manhole

confined space work been

issued?

Is there a fall prevention plan in

place for the manhole?

(guardrails / fall protection)

If roadway traffic is affected by

the confined space work

(manhole), has a communication

been issued to operations of the

traffic plan?

Physical Obstacles Has a general arrangement

drawing for the confined space

been studies to identify

physical obstacles?

what controls are in place to

address the physical

obstacles?

Is there sufficient illumination

inside the confined space to

navigate these physical hazards?

Do entry personnel have a

secondary means of emergency

lighting in case of a utility

failure?


Outside Perimeter Are there other work groups or

employers working around the

confined space?

Have these other work groups

or employers work task and

potential hazards been

captured in the confined space

coordination document?

The confined space ventilation

equipment for fresh air intake, it

ba+J56rricaded and signed as a

No Parking Idling Zone?

The confined space ventilation

equipment exhaust are been

barricaded and signed as

potential foul air zone?

Extreme Is there an extreme elevation

within or outside the confined

space?

Is there a potential for extreme

temperatures within the

confined space?

is there a potential for extreme

reaction between inherent

product of the confined space

(residue) or introduced products

being brought into the confined

space (chemical reactions /

product compatibility)?

Pipe Distribution Are there pipe and lines

containing material that could

enter the confined space?

Are there pipes and lines that

run through a confined space

that will be worked on from the

inside?

Are pipes and lines that

contain feed or reagent

materials into the confined

space been drained,

disconnected, blanked or

spaded?

Are pipes and line that run

through the confined space

that will be worked on drained,

disconnected , blanked or

spaded? It there a

potential of drain lines having

a reversal of flow of materials

or reagents in drains, vents,

ducts, or piping does note

result in entry of such material

into the confined space? (if so,

these need to be spaded,

blanked or disconnected)


with this project?



located?

Are all work groups associated

with the confined space entry

work locked out and tagged out

to the lock box? (including the

confined space rescue team)



been locked, tagged, blanked or

spaded to prevent

Pressurized Fluids Have pressurized systems

been brought to a Zero Energy

state? Has

the safety data sheet for

products in a pressurized

system been referenced to

identify required PPE?

Has the confined space work

risk assessment identified the

product and required PPE in

the pressurized system?

Are pressurized systems blocked

to prevent inadvertent

movement?

Are pressurized system isolated,

locked, tagged, blanked or

spaded?

Access / Egress Is the confined space access

and egress compromised by

power cords, welding cables

and hoses creating a potential

tripping hazards? Are

ladders being used to access

into and egress out of the

confined space? Is

there a fall protection system

in place for ladder access and

egress above Vale 6 foot rule?

Is there a scaffold erected

inside the confined space to

reach work area?

If a ladder is being used for

access & egress, is the ladder

secured at the top and

bottom?

Does the ladder come past he

landing 3 feet?

Are there unguarded openings

inside and outside of the

confined space?

What rescue equipment is set up

on the scaffold to raise or lower

an injured worker? Refer to

rescue plans?

What type of ladder is being used

in the confined space? (step

ladders are the wrong type of

access and egress equipment)


Note: This is an example of potential hazards to be considered, and not an all inclusive list

Are there long traverses?

Is there low ceilings?

Are there verticle drops or

rises?

Are there narrow spaces within

?

are there additional

compartments within the

confined space?

Isthere more than one access

and egress area?

Is there a confined space general

arrangement drawing to

reference?

Confined Space

internal Configuration

Hazards.

Other: Are Level Emergency plans in

place for the confined space

entry, identifying the nearest

INVAC or OUTVAC areas?

Is there a plan in place to re-

evaluate the confined space

hazards in case of change of

scope /task, work?

Is access to the confined space

attendant barricaded to prevent

others from interfering with the

attendant duties and

responsibilities?

Is there a tag or sign on the

barricade advising others to

contact the confined space entry

supervisor before accessing the

confined space attendant area for

audits or other inquiries?

Visibility Is there effective illumination


What plans are in place in the

event of a power failure?

Do all workers have the proper

high visibility apparel?

Do entry personnel have

secondary means of lighting?

(cap lights)

Human Factor Are all entrants trained and

comfortable working in a

confined space?

Is entry worker body size an

issue?

Is the access and egress of a

suitable size to safely access

for workers?

How about rescue access is

big enough for SCBA and

rescuer to enter?

Do any entrants have

claustrophobia or other

phobias? (fear of dark places)

Is there a fatigue management

plan in place? Is

there anyone working alone in

a confined space?

Look at organizational factors:

confined space work supervision

is it inderect supevision! Note:

construction project the work

must be Direct supervision at all

times "O.Reg. 213/91 section 14

(2) and section 15 (2)

Animals Are there potential bird / bat

dropping inside of the

confined space?

Is there a potential of bee's,

hornets nest inside the

confined space?

Is there evidence of animal

droppings inside the confined

space?

Has a plan been identified to

clean up animal dropping within

a confined space?

Falling Objects Is there a scaffold within the

confined space, does it have

toe-boards to prevent falling

material?

Is the confined space a ore

storage bin or silo?

Can stored materials,

equipment, or tools fall into

the confined space?

Is there a methodology to

scale down a bin of oxidized

feed within a ore bin or silo?

Is there a requirements for a

bulk head in the bin or silo?

Are tools layarded / tethered?

Is a suspended work platform or

boatswain chairs being used in a

ore bin or silo? Is

this a construction project?

(note: O.Reg.213/91 section 136.1

to 142.06 must be adhered to

(suspended work platforms and

boatswain chairs rules

significantly changed Jan. 1,

2017)


Date:

Plant:

3rd Employer /

Group Supervisor

Are all Vale work

groups identified?N

4th Employer /

Group Supervisor

Is the rescue service

provider identified?N

Lead Employer /

Entry Supervisor

Is the Lead Employer

Identified? N

2nd Employer /

Group Supervisor

Are all employers

identified?Y

welding, grinding , media blasting, metalizing, hoisting

materials

9th Employer /

Group Supervisor

Critical Task Information

Employer / Group

Name

Does this work affect

others? (Y/N)

Tasks that could affect other employees

(inside or outside work)

5th Employer /

Group Supervisor

Are other work

groups not

associated with the

entry work but

working in proximity

or adjacent to the

confined space

An evaluation of these other work group task to determine

if theay are generating any potential atmospheric hazards

that may enter the confined space?

6th Employer /

Group Supervisor

3rd Employer /

Group Supervisor

Are all Vale work

groups identified?

if the contact person is

not on site this day,

who is the designate?

Q/A, NDE, audits

4th Employer /

Group Supervisor


provider identified?

same as above provide attendant and rescue personnel and equipment

Lead Employer /

Entry Supervisor


Identified?

Is there a contact

name and phone

number?

Has the Lead Employer identified what they are doing?

(planning, scheduling and coordinatingthe work)

2nd Employer /

Group Supervisor

Are all employers

(external service

providers) identified?

Is the contact person

on site this day?

welding, grinding , media blasting, metalizing, hoisting

materials

Name of the Confined Space: is the name of the conifned space identified?

Employer Information

Employer / Group

Name

Contact Name and

Phone #

Description of work performed

Confined Space Information

Permit #: is there a permit # reference? is the date identified>

Confined Space Coordinator: Is the coordinator adequately trained? Is the plant / mine & level identified?

CONFINED SPACE COORDINATION FORMConfined Space Program


7th Employer /

Group Supervisor8th Employer /

Group Supervisor


Sign-offBy signing this document, you are attesting that all employees working in or near the confined space have reviewed this document.

Employer / Group

NameContact Name Signature

On-site Rescue

Procedure

who developed the rescue plan /

procedure (Lead Employer and

rescue service provider)

Ventilation and Purging

who is assigne dthe task of

ventilating or purging the confined

space. Identify Employer here

Rescue Equipment &

Methods of

Communication

Identify the rescue service

provider here

Explosive and flammable

Substances

is any Employer or other vale work

group introducig explosive of

flammable substances. Identify

Employer or other Vale work group

here. (reference the confined space

work risk assessment to review what

controls are in place to mitigate

potential explosive or flammable risk.

Plan-Specific TrainingThis is delivered by the Lead

EmployerPreventing Un-Authorized Entry Idenitify attendant employer here

Entry Permit

initial permit is issued by the

confined space owner /

subsequent shift the Lead

Employer will issue permits if

permitted by the confined space

owner

Atmospheric Testing

who is assigned the task of

completing the atmospheric testing

as per the entry plan. Identify

employer here

Assessment

Who completed the conifned

space work risk assessment (Lead

Employer with the confined space

owner and /or Constructor)

Attendant

who is providing the attendant:

identify the employer or Vale work

group here

Plan

Who is managing the entry plan,

schedule and coordinatingthe

execution of the work (Lead

Employer)

Means of Entering and Exiting

Who is managing the means of

access and egress. Identify Lead

Employer here or sub-contractor or

other vale work group

Duties Responsible Employer / Group Duties Responsible Employer / Group

ProgramEveryone must follow the Vale

Confined Space program

Isolation of Energy and Control of

Material Movement

All employers and other Vale work

groups who are following the ZES

requirement sfor this entry

9th Employer /

Group Supervisor

***If any work is identified as affecting others, all parties must complete a new assessment prior to entry.

Coordination Information

5th Employer /

Group Supervisor

we only identify those employers or other Vale work

groups activities inside of or outside of the confined space

that may affect others

6th Employer /



Group Supervisor


9th Employer /

Group Supervisor

5th Employer /


Group Supervisor

3rd Employer /

Group Supervisor

Are all Vale work

groups identified?

if the contact person is

not on site this day,

who is the designate?

same as above

4th Employer /

Group Supervisor


provider identified?

same as above same as above

Lead Employer /

Entry Supervisor


Identified?

Is there a contact

name and phone

number?

did the Emplyer or other Vale work group contact person

sign-off on this document

2nd Employer /

Group Supervisor

Are all employers

(external service

providers) identified?

Is the contact person

on site this day?

same as above

7th Employer /


Group Supervisor


Date

Known Hazards in this specific Confined Space:

Explain how the rescue will be done:

Explain what precautions are needed during the rescue:

Describe Back-Up Plan:

Initials Initials

1) 4)

2) 5)

3) 6)

RESCUE PLAN FORMConfined Space Program


More than half of all Confined Space Fatalities are a result of would be rescuers rushing in to attempt a rescue without properly preparing for the emergency.

Name of the Confined Space:

Entry Supervisor

Rescue Team Lead: Is the confined space rescue team leader identified?

New date field added: is the

date recorded?Is the confined space identified

Is the confined space enrty supervisor identified? Are they trained? For external service providers look for

this training decal on the Norcat card recommended for Vale supervisor on Lenel card.

Retrieval Equipment

Special PPE & Precautions

Print Detail of Rescue Plan

Identify Point of Entry: are the point of entry idenified?

Is there a written rescue plan or methodology? Note can be a separate attached document and identified on this form

- Opportunity for an Interactive audit of rescuer(s) reqarding the written rescue plan, see what they know, does it align with the written

rescue plan?; can they explain their role?; audit the rescue equipment, is it readily available?; has the SKED been properly prepared for

deployment or is it still rolled up in the case?; Breathing Air systems (SCBA or BAM), is there an extra supply of SCBA cylinders?; How

are the space breathing air cylinders stored? (it is a compressed cylinder or breathing air with a valve that is not protected)

Are there any precautions identified? Example

form the Vale Confined Space Program section 4.5.4: Confined Space

rescue team members will not enter any confined space for rescue that contains any of the events listed below:

1) Rescuers should not enter confined spaces containing atmospheres greater than >10% LEL, regardless of PPE worn (note: there is no adequate

protection from an explosion within a confined space, for elevated LEL situations increase ventilation and exhaust “CFM” to dilute and lower the LEL,

then proceed once <10% LEL);

2) Limit danger to entanglement to rescuer, (if an entrant is entangled, the rescue team leader must identify the source of energy that caused the

entanglement and bring to a Zero Energy State);

3) Allow for easier retrieval of rescue entrant should this become necessary (provide for clear passage through the opening without removal of

necessary PPE, including SCBA);

4) Major fire or explosion(s) within a confined space;

5) Any other identified uncontrolled risk that would compromise the safety of rescuers;

What is the rescue back-up plan?; Are additional personnel associated with the entry work trained and qualified to assist the rescue team?

Rescue Team

List Rescuers: (Rescuers must review plan and initial beside their name before work begins)

Name Name

All Rescuers are identified? Are names clearly printed and rescuer initials?

Including the Back-up Rescue personnel?

Are personnel named aware they are deemed

rescuer?

Also identify the confined space attendant also!

Visibility

Fire

Gas

Heat

Asphyxiation

Footing

Cold

Noise

Other:___________________

Electrical

Dust

Vibration

Water

Block & Tackle (TRIPOD)

Rope Rescue (Z-HAUL)

Structural

Single Line

Rescue Basket Haul

Other:__________________

Full Body Harness

Class "A" Entry Suit

Class "B" Entry Suit

Rubber Suit, Boots, Gloves

SCBA

MSDS

Drawing of Space attached

Practice Retrieval Performed

Radio Communication

Ankle Harness

Retrieval Equipment tested

Retrieval Equipment in place

Anchor points Identified

Other:___________________

Other:___________________

Other:___________________

Informationfor rescue personnel are these check off?


Plant/PMO Contact Person(s):

Others:

Identify Make & Model of Tripod: Identify Make & Model of Davit Arm:

Identify Make & Model of winching system: If other indicate what rescue equipment

Identify Make & Model of system:

RECORD OF RESCUE PLAN TESTConfined Space Program


Confined Space Program sec 4.4

Plant Supervisor for Operations, or Plant / PMO Contact Person for Contractors are to ensure that the rescue plan is tested and filed

in a central location.

The assessment of the confined space will determine which type of test will be required. As a minimum, a walk-through test must be

performed by the Rescue Team. Several types of testing can be performed including: 1) walk-through test; 2) simulation test; 3)

parallel test; 4) complete test. These testing types are identified in the SHE Department, Ontario Operations Confined Space Program

section 4.4, pages 9 & 10. Note: Evaluators of rescue plans must be trained in confined space rescue techniques, equipment and

procedures

Rescue plan tested for the following Confined Space(s):

Confined Space Name Type of Confined Space test

Is the confined space name identified? Have they identified the type of rescue test

completed?:

Walk-through test? Or Simulation test?

Or Parallel test or Complete test?

Special note regarding the complete test,

remember you are actually doing a confined

space entry and will require all elements of an

entry plan as well as rescue plan, equipment and

personnel to rescue the rescuer testing the plan

in case of emergency!

The following persons attended and witnessed the Confined Space Rescue Plan Test:

Name Phone

Identify who from Vale witnessed the test? is a contact number identified?

identify who from Plant or Mine witnessed the test? is a contact number identified?

Name Company

identify who from an external service provider witnessed the test? is a contact number identified?

Date Rescue plan tested / signed:

1 Confined Space Rescue Plan Test Results (check mark where applicable)

Rescue Plan Test Successful(check off if applicable)

we also want to here about unsuccessful test?

Identify Type of Rescue Equipment Used:(check off if applicable)

Complete record of the rescue plan test, copy of the corresponding rescue plan from Operations / Contractor is to be attached and kept on file with the

entry procedure.

Yes No

Tripod System

Winching (retrieval) System

Davit Arm System

Other:

is this field completed


Sign-off

Employer / Group

Name

Contact Name Signature

Plant / PMO Contact: Is the employer

identified?

is the contact

identified?

did the contact person sign off?

Other: Is another Vale

work group

identified?

did other employer or Vale work group sign off ?


RESCUE AND COMMUNICATION EQUIPMENT INSPECTION RECORDConfined Space Program


O.Reg 632/05 Confined Spaces as amended by O.Reg. 95/11 section 12

The employer shall ensure that the rescue equipment and communications equipment identified in the relevant plan/procedure is inspected as

often as necessary to ensure it is in good working order, by a person with adequate knowledge, training and experience who is appointed by the

supervisor. The inspection shall be recorded in writing by the person and be kept with all relevant entry documentation at the confined space

entrance.

Date: Is the date recorded?

Time: Inspection time recorded?

Confined Space

Identification:Is the confined space identified?

Task / Job / Project

Name:Is the task / job / projecttitle identified?

Inspectors Name:

Is the name of the person who inspected the rescue

and communication equipment identified?Serial # / Norcat #:

Serial or Noract # is

identified?

(print clearly)

Confined Space Rescue and Communication Equipment as identified in the relevant plan.

Cross out any that are not required and add items not noted as per relevant rescue plan/procedure.

Tripod / Davit ArmEngineered Overhead or

Wall Anchor (as required)

Winch able SRL 2 or 3

SALA Winch

Pre-Rigged Rope System

(friction or mechanical)

Descending / Ascending

DevicesAir-monitoring Equipment

Ventilation Fan(s)Sked / Rigid Rescue

BasketFirst Aid Kit / Back-board

Access Equipment

(scaffold, ladder, EWP)

Two-way Radio (function

check)Lock-Out Devices and Tags

Lighting (floodlights,

helmet light, flashlight)

SCBA / Supplied

Breathing Air SystemFull Body Harness

Wristlets / Anklets

Is the rescue and communications equipment identified? Special rescue or communication equipment as identified in the confined space work risk assessment has it been identified also?


CS Entry & Rescue Plan / Procedure Specific Training RecordConfined Space Program


O.Reg 632/05 Confined Spaces as amended by O.Reg. 95/11 sections 9 and 9.1

The employer shall ensure that every worker who enters a confined space or who performs related work with respect to the same

confined space receives adequate training to work safely and properly, in accordance with the relevant entry & rescue plan/procedures.

Employer shall maintain up-to-date written records showing who provided and who received the relevant entry & rescue

plan/procedure training and the date when it was provided and be kept with all relevant entry documentation at the confined space

entrance.

Date: Is the date identified?

Confined Space

Identification:Is the confined space identified?

Task / Job / Project

Name:Is the task / job / project name identified?

Attesters Name:

Signature of the persone who delivered the entry

and rescue plan specific trainng in place? Serial # / Norcat #:Serial or Norcat # is

identified?

(print clearly)

Name(print clearly)

Serial # or Norcat # Signature

List all workers associated with the confined space

work, names are clearly written and legible?

workers serial or

Norcat # is

identified

Each identied worker has signed off?

Opportunity interactive audit: with attendant or entants

or escue personnel = what arethe high hazards of this

task / job / prooject?; whatare the controls in place to

reduce the high hazard risks?; how will these controls

be monitors to ensure they are effective and remain

effective?

the interactive audit can be documented

seperately or included in the confined

space compliance audit

Opportunity interactive audit: with the confined space

supervisor or confined space coordinator: outside of

the entry plan specific training requirements, what

other training records did they look for to ensure the

attendant, entry personnel and rescvuers are current

intheir training?

Some additonal training elements that are

or may be required dependent of additional

confined space factors that were identified

during the confined space work risk

assessment: listed below:

ZES for isolation; WHMIS re hazardous

materials & chemicals; Respiratory

portection fit testing: respiratory

protection user training; SCBA or BAM;

Working at Heights (Note: is work

associated with a construction project? -

must be MOL approved WAH training only.


Year Month Day

SPACE Contents During Entry:

SO2

Acid

Oxygen

Cabonyl

Nickel

Ore

Yes

Yes

Yes

Yes

Y/N

Yes

Yes

Is more than one employer or Vale work group performing work

in or near the confined space? If yes, complete Coordination Document.

Other: (not covered by plan)

Description of work to be performed?

Is the decription of the work identified?

Is the space being ventilated?

Does the ventilation collect emissions/exhaust as close as

possible to the source?

Is there a warning system to indicate ventilation failure?

Entry Equipment as per plan / procedure?

All Confined Space team members trained and qualified in

assigned roles?

Rescue Equipment checked and in place (as

per plan - attach)

Hot Work to be performed? Rescue Team immediately available?

Pre-Entry Check for Entry PersonnelEntry & Rescue Equipment:

Verify in Good ConditionIndicate Yes or No or describe appropriately in each box Indicate Yes or No or describe appropriately in each box

All hazardous energy controlled as per site specific confined

space plan / procedure?

Personal protective equipment as per plan /

procedure?

Other Hazards:list other potential hazards like sulphuric acid residue -or

slippery surfaces or internal configuration hazards: low head room;

compartment within confined space, etc.

Other: list any additional potential hazardous

materials and its readings or values

Permit Issuer:Permit issuer identified (Owner, Constructor, or Lead

Employer) prepares top portion of permit only

They must witness or take the initial air

quality test, then sign-off

(print clearly) (signature)

Vented? Monitor Type:

monitor type

identified

All Electrical Energy Locked and Tagged? Monitor Number:

monitor serial #

indentified

Pipe & Supply Lines Blanked Off & Locked and Tagged? Initial Tester Name: name identified

Purged? Time: time identified

Emptied? Combustibles (<5% of LEL) actual values

Drained? Carbon Monoxide (<25 ppm) actual values

Other: Waste rock

Pre-Entry Field Checks Air Quality Test Result Readings

System out-of-service? Oxygen (19.5 - 23%) actual readings

What potential atmospheric hazards that may be created

while performing the work identified: welding fumes;

grinding particulate; metalazation vapors; mobile

equipment exhaust; is there a potential of fugitive SO2

emissions; U/G is there apotential for blasting fumes /

foul air (methane, etc)

Combustible

Toxic

Dust

Confined Space (Identify as per Confined Space List): Is name of confined space identified?

SPACE Contents when Operating (Normal materials)

Gas / Vapour

Liquid

is there a permit #

Plant:

is plant or mine identified

Plan / Procedure No:is there a plan or

procedure identified

Rescue Plan No: does rescue plan

have #

(Valid for One Shift Only - Maximum 12 hours)

Da

te

Shift:is day shift or night shift identified

Requesting Dept: Dept/Contractor Id

is year

identified

is month

identified

is day

identified

Permit No:

CONFINED SPACE WORK PERMITConfined Space Program


Knowcontents when operating: is is identified? examples

these fields are filled out? duty of the confined space entry supervisor


Date:

Entry Supervisor:

Entry supervisor is identified; theyare current in the

required training (look for this decal on the Norcat

Companion Card or the Vale Supervisor Lenel card (best

practice)

The entry supervisor has signed off?

(Name - print clearly) (signature)

Department: Vale Dept name or Contractor (Lead Employer name) Date is identified?

Rescue Plan Reviewed?

Yes: refer back to the entry and

rescue plan specific trainng

document Entry Plan / Procedure Reviewed?

Yes: refer to the entry and

rescue plan specific trainng

document


Date

Air quality must be continuously monitored.

Alarm and Exit procedure in place in case of exceedance in air quality.

Oxygen(19.5-23%)

Carbon

Monoxide

Others

(Specify)

SO2

21.9 0

21 0

20.5 0

20 0

20 0

20 2

19.9 3

21.9 0

20.9 0 1

20.9 0 0

10:45 0

11:15 0

10:00 4 advise entry supervisor of

increasing LEL levels at coffee

break

10:15 0 additional ventilation and

exhaust added prior to re-entry

after coffee break

9:00 3

9:30 3.5

8:00 1.5

8:30 2.5

7:00 0

7:30 1.2

Monitor Serial Number: Monitor serial number identified?

Periodic Air Quality

Test as required

Time Guidelines

Combustibles<5% of LEL

Comments

Example below of established

air quality test times when hot

work activities are being

performed in a confined space

If flammable or explosive environment exists the space must be purged and continuously ventilated to maintain an atmosphere

of less then 5% LES and no less than 19.5% and not more than 23% oxygen.

Tester Name: Name of tester identified?

(print clearly)

Monitor Type: Type of monitor being used?

Confined Space Identification

Will Hot Work be performed?

If yes, the following must be included:

List provisions taken to control hazards associated with the hot work:

When hot work is occurring in a confined space, the air quality monitoringplan should have time lines for test readings.

(rational audits show air quality test are only being taken at the start of the shift or after breaks, most believe because

they must continuously monitor air quality they do not need to dothis, by identifying specific times for recording

readings we can evaluate the quality of ventilation in the confined space (cubic feet per minute "CFM" and air changes

per hour "ACH"), we would see fluctuatioons in readings sooner and descisions can be made bythe confined space

entry supervisor to stop work and to increase ventilation and/or exhaust for good CFM & ACH. (example provided

below

New: date identifiedThe confined space name is identified?

HOT WORK PROVISION AND AIR QUALITY TEST FORMConfined Space Program


Are these fields identified if hot work is occurring?

a best Practice is to also attacha record of the monitor bump test.


20.9 0 0

21.9 0 0

11:45 0

12:30 0 Back from lunch break


Date

Entry plan

reviewed

Rescue plan

reviewed

Time

In

Time

Out

Time

In

Time

Out

Time

In

Time

Out

Time

In

Time

Out

Y Y 7:00 8:30 9:45 10:30

Y Y 7:00 8:30 9:45 10:30

Y Y 7:30 8:15 8:25 9:00

Y Y 8:40 9:30

Y Y 8:40 9:30

Y Y

Y Y

Y Y

Y Y

John Cash (LR) 890123

Tim Connolly (R) 456789

John Pectin (BR) 213425

Ashley Byrnes (A) 234567

Check enrty and resue plan specific trainng record (available with entry package at the hole), are these entrants identified? Opportunity ofor Interactive Audit:

ask who is recording workers going into and exiting the confined space, is it the attendant or the entrants? Rational does the attendant know every worker

entering or exiting?; ARe entrants listeing to the direction of the attendant? (example: entrants being told to vacate due to poor air quality test or ventilation

failure): Is the attendant identified with an (A) beside their name, is the Lead Rescuer identifier (LR), or other rescuers (R), how about back up rescuepersonnel

(BR)?

Sam Steel 345678

Joe Cool 901234

Boby Bass 567890

Employee NameNorcat # or

Serial #

Jim Brown 123456

Bob Scott 789012

Note: Attendant must sign in and print a letter "A" behind name to designate their position.

Dept. / Employer: Vale dept. or Contractor (Lead Employer is identified?

Entry Supervisor:Entry supervisor is identified? Entry supervisor has signed-off?

(print clearly) (signature)

(New) date is

identified?Confined Space is identified?

CONFINED SPACE EMPLOYEE ENTRY & EXIT RECORDConfined Space Program


Confined Space Identification


Date:

Plant:

# Yes No N/A

1

2

3

4

5

6

7

8

9

10

11

Date:

Plant:

Serial #

Plant:

Serial #

Confined Space Entry Owner (recipient) Confined space owner is identified? Plant / Mine owner

Confined Space Owner/Designate Signature Confined space owner or designate signed-off Owner/designate serial #

Confined Space Entry Supervisor confined space entry supervisor identified? Plant or Mine Identified

Entry Supervisor Signature Entry supervisor has signed-off?

Entry supervisor serial/Noract

#

Confined Space Work Final Inspection Sign-off

Permit # Is the permit number identified? Date identified

space affecting its proper operation and function, the 4 questions are only generic, audit to see if

the Vale work group or Contractor (Lead Employer) has added additional items to inspect for, as well

as confirming the above 4 questions have been answered.

All sourced of feed and process systems have been re-connected to the confined space as applicable?

All confined space work crew personnel ZES personal protection tags and lock have been removed from the lock

box? (including all addional Vale Work Groups, and/or Contractor work groups)

All confined space work crew personnel have been accounted for at the end of this confined space job procedure,

work task, or project scope of work, prior to closing the access to a confined space?

This final confined space inspection is a result of past operations confined space failed to properly

start-up after completed work, due to equipment, or materials or tools being left inside the confined

Name of the Confined Space:Is thename of the confined space identified?

Job Procedure/Work Task/Project WorkScope (project

Oracle number) Is the job procedure / work task / project scope identified?

Specific Questions and Inspections to perform:

All equipment, tools and materials have been removed from the confined space?

This document is to be completed at the end of the entire scope of work for the task, job or project. It is meant to be an assurance that all work

has been completed, the confined space has been inspected and all materials, tools equipment and personnel have been removed from the

confined space prior to closing all access ways into the confined space and it is ready for commissioning and ramp up for operations.

Confined Space Work Completion Hand-Over and Sign-Off Form

Permit #:Is the permit number identified? Is the date identified?

Confined Space Entry SupervisorIs the entry supervisor identified? Plant or Mines identified?

CONFINED SPACE FINAL INSPECTION AND HAND-OVER FORMConfined Space Program


Notes: Confined Space Work Package may include:

* Confined Space Coordination Form * Employee Entry / Exit Record

* Confined Space Work Risk Assessment Form * Rescue Plan Form

* Confined Space Work Permit * Record of Rescue Plan Test Form

* Air Quality Test form * others as required

Shift(Day / Night)

1 8/1/2014 Initial Package

(Owner)

List DM#

2 First Package (Work

Group)

List DM#

3 List all subsequent

permits:

-

4 -

-

-

-

-

-

-

-

-

-

-

-

-

-

-

PMO CONFINED SPACE WORK PERMIT LOGConfined Space Program


Package Delivery Date to Owner:

Date all confined space entry packages (paperwork) were returned to

the owner of the confined space at completion of task/job/project

Department / Location: Identify department and location of confined space (name)

Department Supervisor Signature: PMO Group and Project Manager Name

Vale Rep. Entry Supervisor

Contractor / Consultant / Work Group Signature:

Constructor / Contractor (Lead Employer) Name or person and

company and signed-off

Line Date(MM/DD/YYY)

Confined Space Description Permit No. DM #

All confined space entry packages (paperwork) are returned to owner of

confined space at end of task/job/project Legislated

requirement for Constructors to retain confined space entry records for a

minimum of one year after the project is finished O.Reg. 632 Confined

Spaces section 21(2)(a)(b) and (3)(b)

PMO protocols for prpoject document files: scan all confined space entry

packages (paperwork) into eDocs for Surface PMO and in the All Mines

End drive for Mines PMO

Recommendation for PMO: gather all documentation at end of shift or

prior to next shift from contractors: rational, if you wait unitl end of

project (2017 PMP - 23 days as an example), you will get a mixed up

bunch of paperwork and wil be challenging of putting all associated

documents for a specific entry together and many will go missing or have

been missed placed.

Plan / Procedure No.Operations

Supervisor

Tester's

Name

confined space entry audits: what to look forextportal.vale.com/pmo/confined space files/2017...

Documents