Jenkins Academy of Applied Technology
Equipment and rescue readiness review Permit-Required Confined Spaces · v1.0.0 · October 22, 2026
Course developed by Todd Jerome Jenkins, MS, CSP.
Print / save as PDF Complete this worksheet using the actual workplace and current plan. A blank form or course score is not evidence that the action occurred. Record actual dates and observations. Print or save a completed copy before closing; entries are not automatically stored. Keep private health details out of this worksheet.
Actual site, space, work, review date and responsible employer representative Hazard-specific equipment: testing/monitoring, ventilation, communications, PPE, lighting, barriers, safe access, retrieval and rescue equipment; provided without employee charge as required Actual models, instructions, condition checks, limitations and worker proficiency evidence; associated respiratory/energy-control requirements Isolation methods and verification; sampling locations, sensor suitability, response time, test order, alarm response and monitoring plan Rescue service evaluated for hazard-appropriate response time, tasks, equipment and proficiency; actual evidence and evaluator Rescue service informed of hazards and given space access for planning/practice; current availability and working summons method verified Non-entry retrieval arrangement; any exception evaluated for increased overall risk or lack of rescue contribution, not convenience Harness, line attachment, outside fixed point/mechanical device and removal path; mechanical retrieval device for vertical permit spaces more than 5 feet deep Any wristlet alternative: employer evidence that harness is infeasible/more hazardous and wristlets safest and most effective Designated employee rescue team: PPE proficiency, assigned rescue duties, authorized-entrant proficiency, first-aid/CPR training and at least one currently certified member available Actual or representative rescue practice at least every 12 months: opening size, configuration and accessibility; actual date, observations and gaps Medical handover and required substance/SDS information; no unplanned entry rescue Unresolved defects, entry restrictions, responsible person and verified corrections; no approval inferred from this worksheet