Download our free Confined Space Entry Permit Template:

• Confined Space Entry Permit .doc file (Word Document)
• Confined Space Entry Permit .pdf file (PDF)

*For internal use only. Not for resale or redistribution. By downloading, you agree to our Free Resources Licensing Agreement.

Purpose of Document

Confined Space Entry Permits are used to manage the risks associated with entering and working in confined spaces. The primary objective is to ensure the safety of workers by providing a permit system to ensure safety protocols are followed. This form is broadly aligned with AS/NZS 45001:2018.

How to Use

This form should be completed by the permit holder (work party supervisor) and signed off by the site supervisor, permit authority or other competent person.

This document is a template only and it must be customised for your business. Other aspects that may need to be considered include, but are not limited to, ensuring that:

• Relevant legal requirements have been met,
• Workplace specific risks are identified and managed, and
• Workers are consulted with during the customisation / review process.

When to Use

A Confined Space Entry Permit must be completed prior to any worker entering a confined space.

Who Should Use

This form can be completed by the permit holder, with sign off being completed by the permit authority, Safety Advisor, Project Manager or other competent person in your organization.

Legal Considerations

Confined Spaces Entry Permits are legally required for any entry into a confined space. The following legal considerations apply:

• s(19)(3)a WHS Act – Duty to Provide Safe Work Environment
• s(67) WHS Regulations – Confined space entry permit
• s(291) and following sections WHS Regulations – High Risk Construction Work

FAQ

What is a confined space?

Generally speaking, a confined space is an enclosed area that is not designed for human occupation that poses risks to the health and safety of those who may enter the space. We have an article that answers this question: What is a Confined Space?

Are confined space permits legally required?

Yes, under the harmonised WHS regulations, Confined Space Entry Permits are required prior to entering the space.

What safety controls are needed for confined space entry?

Safety controls should be tailored for the space. However, in general, the following controls should be considered:

• Safe access and egress
• Trained / competent workers
• Isolation of energy sources or valves
• Atmospheric testing / monitoring (and potentially respiratory protection or SCBA)
• Purging / ventilation
• Communication methods
• Confined space entry log
• Emergency response plan and stand-by personnel

1. Confined Space (Safe Work Australia) <https://www.safeworkaustralia.gov.au/sites/default/files/2020-08/model_code_of_practice_confined_spaces.pdf>
2. What is a Confined Space? Everything You Need to Know (Spire Safety) <https://spiresafety.com.au/resources/what-is-a-confined-space/>