Management Plan for Confined Spaces ISD #535

Management Plan for Confined Spaces ISD #535 Health & Safety Office Maintenance Service Building 10 SE 9½ Street Rochester, MN 55904 507-328-4507

Modification Date Document Modification Form All document modifications must be recorded on this form. Modification Description Modifications By Purpose of Modification Approved By 12-10-2007 Annual Review Michael Stock Update M.S. 12-11-2008 Annual Review Michael Stock Updated Inventory M.S. 11-19-2009 Annual Review Michael Stock Update M.S. 12-15-2010 Annual Review Michael Stock Update M.S. 4-25-2012 Annual Review Michael Stock Update M.S. 6-11-2013 Annual Review Michael Stock Update M.S. 5-29-2014 Added New Logo Bambie House Update M.S. 2

TABLE OF CONTENTS SECTION 1: PROGRAM COMPONENTS 1.1 Introduction 1.2 Authority and Reference 1.3 Definitions 1.4 Responsibility for Compliance 1.5 Employee Training 1.6 Identification of Confined Space 1.7 Workplace Confined Space Evaluations and Reclassification 1.8 Entry Procedures for Permit Required Confined Spaces 1.9 Contractor Entry 1.10 Safety Rules and Work Practices for Permit-Required Confined Spaces 1.11 General Safety Rules and Work Practices for Non-Permit Required Confined Spaces 1.12 General Safety Rules and Work Practices for Boilers and Other Vessels 1.13 Ventilation of Confined Spaces 1.14 Equipment and Confined Spaces 1.15 Assessment of Additional Hazards in Confined Spaces 1.16 Emergency Rescue in a Confined Space 1.17 Recordkeeping 1.18 Annual Review SECTION 2: IMPLEMENTATION Form 2.1 Confined Space Entry Permit 3

SECTION 1 PROGRAM COMPONENTS 4

1.1 INTRODUCTION Confined spaces in the workplace are considered some of the most dangerous places for employees to enter. Often times these areas are so dangerous that they may cause many hazards that are invisible to the naked eye and even multiple deaths due to asphyxiation. Often times these deaths and injuries could have been prevented by air testing prior to entry, or following the proper safety procedures outlined before entering. The purpose of this written program is to prevent these types of situations from occurring, and protect the health and safety of employees who may enter confined spaces and/or are assigned to serve as attendants or rescue personnel for entry into a confined space. The program is also offered to employers for the purpose of providing aid in meeting the requirements specified in OSHA s 29 CFR 1910.146 regulation, as well as to enable recognition of hazardous confined spaces. Appendices A and B of this program contain copies of OSHA s regulation which can be used as reference guide for entering a confined space. 1.2 AUTHORITY AND REFERENCE Occupational Safety and Health Administration (OSHA) Permit-Required Confined Spaces 29CFR 1910.146. 1.3 DEFINITIONS Confined Space - A space that meets all of the following requirements: The space is large enough to bodily enter and perform work; 1. The space has limited means of entry and egress; and 2. The space is not designed for continuous worker occupancy. Examples include, but are not limited to: tanks, silos, boilers, pits, bins, manholes, electrical vaults, degreasers, hoppers, pipe chases, tunnels, and sump pits. Permit Required Confined Space - A confined space that has one or more of the following characteristics: 1. Contains or has the potential to contain a hazardous atmosphere. 2. Contains a material that has the potential for engulfing an entrant. 3. Has an internal configuration such that an entrant could be trapped or asphyxiated by inwardly converging walls or floors that slope downward and taper to a smaller cross section. 4. Contains any other recognized serious safety or health hazard. NOTE: A permit must be obtained before entry into these spaces. Non-Permit Confined Space - A confined space that does not contain or, with respect to atmospheric hazards, have the potential to contain, any hazards capable of causing death or serious physical harm. Entry Permit - Means the written or printed document that is provided by the employer to allow and control entry into a permit space. Acceptable Entry Conditions - The conditions that must exist in a permit space to allow entry and to ensure that employees involved with a permit-required confined space can safely enter and perform work. Engulfment - The surrounding and effective capture of a person by a liquid or finely divided (flowable) solid substance that can be aspirated to cause death by filling or plugging the respiratory system causing death by strangulation, constriction, or crushing. Authorized Entrant - An employee who is authorized by the employer to enter a permit confined space. Acceptable Entry Conditions - The conditions that must exist in a permit space to allow entry and to ensure that employees involved with a permit-required confined space entry can safely enter into and work within the space. 5

Hazardous Atmosphere - An atmosphere that may expose employees to the risk of death, incapacitation, impairment of ability to self-rescue, injury, or acute illness from one or more of the following causes: 1. Flammable gas, vapor, or mist in excess of 10 percent of its lower flammable limit (LFL); 2. Airborne combustible dust at a concentration that meets or exceeds its LFL; 3. Atmospheric oxygen concentrations below 19.5 percent or above 23.5 percent; 4. Atmospheric concentration of any substance for which a dose or a permissible exposure limit is published in Subpart G, Occupational Health and Environmental Control, or Subpart Z Toxic and Hazardous Substances, of this part and which could result in employee exposure in excess of its dose or permissible exposure limit (PEL); 5. Any other atmospheric condition that is immediately dangerous to life or health (IDLH). Immediately Dangerous to Life or Health (IDLH) - Any condition that poses an immediate or delayed threat of life or that would cause delayed threat to life or cause irreversible adverse health effects or interfere with an individual s ability to escape unaided from a permit required space. Lower Explosive Limit (LEL) - The lowest concentration of gas or vapor, expressed in percent by volume in air, that burns or explodes if an ignition source is present at room temperature. Oxygen Deficient Atmosphere - An atmosphere that contains less than 19.5 percent oxygen by volume. Oxygen Enriched Atmosphere - An atmosphere containing more than 23.5 percent oxygen. Line Breaking - The intentional opening of a pipe, line, or duct that is or has been carrying flammable, corrosive, or toxic material., An inert gas, or any fluid at a volume, pressure, or temperature capable of causing injury. Isolation - The process by which a permit space is removed from service and completely protected against the release of energy and material into the space by such means as: blanking or blinding, misaligning or removing sections of lines, pipes, or ducts; a double block and bleed system; lockout or tagout of all sources of energy, or blocking or disconnecting all mechanical linkages. Permissible Exposure Limit (PEL) - The airborne concentration of hazardous materials that is regulated by the Occupational Safety and Health Administration (OSHA) that must not be exceeded over a specified time or concentration. Threshold Limit Value (TLV) - A time weighted average concentration under which most people can work consistently for 8 hours a day with no harmful effects. This value is regulated by the American Conference of Governmental Industrial Hygienists. Prohibited Condition - Any condition in a permit space that is not allowed by the permit during the period when entry is authorized. Rescue Service - Personnel designated to rescue employees from permit spaces. Retrieval System - Equipment used for a non-entry rescue of persons from permit spaces (i.e. tripod). Testing - The process by which the hazards that may confront entrants of a permit space are identified and evaluated prior to entry. 6

1.4 RESPONSIBILITY FOR COMPLIANCE The identified contact person of this plan for the Rochester Public School District is: Michael Stock Health & Safety Coordinator Phone: (507) 328-4507 The responsibilities of this individual include the following: Conducting/coordinating hazard assessments. Determining the classification (permit required/non permit space and location of each confined space). Coordinating the posting of appropriate danger/caution signs by each confined space. Supervising the selection and use of respirators. Supervising the medical screening of respirator use. Conducting/coordinating supervisory and employee training and maintaining all training records. Consulting employees and their authorized representatives on the development and implementation of the Confined Space Entry Program. Ensuring that all assigned personnel to confined spaces are knowledgeable of all aspects of this program. Ensuring that all employees assigned to enter confined spaces comply with all elements of the confined space entry program. Ensuring that appropriate PPE and equipment are properly utilized and maintained. Selecting qualified individuals as Confined Space Entry Supervisors. Providing confined space entry personnel with a copy of the most current confined space entry program and any future changes. Maintaining completed entry permits, and equipment A. Confined Space Entry Supervisors At this time, confined space entry supervisors will not be utilized based upon a district decision not to have any RPS staff entering Permit Required Confined Spaces. All work to be conducted in Permit Required Confined Spaces shall be contracted out to an outside vendor. The responsibilities of these individuals are as follows: Knowing the hazards that may be encountered during entry and informing the entrants about the hazards, including information on the mode, signs, or symptoms and consequences of exposure. Terminating the entry and canceling the permit when needed (as well informing the safety coordinator of the cancellation and reasons for cancellation). Verifying through the safety coordinator that rescue personnel are available and that the means for summoning them or other emergency personnel are available and operable in the event that an emergency occurs. Removing unauthorized individuals who have entered or who attempted to enter the confined space. Providing employees an opportunity to observe the atmospheric testing of a confined space. 7

B. Confined Space Authorized Entrants At this time, confined space authorized entrants will not be utilized based upon a district decision not to have any RPS staff entering Permit Required Confined Spaces. All work to be conducted in Permit Required Confined Spaces shall be contracted out to an outside vendor. The responsibilities of these individuals are as follows: Knowing and recognizing the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of exposure. Using and maintaining the proper PPE and other equipment needed as outlined by the confined space management plan. Communicating with the attendant as necessary. Alerting the attendant when hazardous conditions are detected, identified, or suspected. Exiting the confined space immediately when: 1. Ordered to do so by other attendants, the attendant, the confined space entry supervisor, or the identified contact person. 2. Warning signs or symptoms are identified while in the area. 3. Prohibited conditions exist or are identified by the entrant during work done in the area. 4. An evacuation alarm on the 4-gas meter is activated. 5. As other conditions dictate. Complying with all other aspects of the Confined Space Entry Program. C. Attendants (Standby Individuals) At this time, confined space attendants will not be utilized based upon a district decision not to have any RPS staff entering Permit Required Confined Spaces. All work to be conducted in Permit Required Confined Spaces shall be contracted out to an outside vendor. All the authorized attendants above will be responsible for the following: Knowing the hazards that may be faced during entry, including information on the mode, signs, or symptoms, and consequences of the exposure. Knowing the possible behavior effects of the hazard exposure in the authorized entrants. Maintaining an accurate count of authorized entrants accurately. Remaining outside the confined space during entry operations until relieved by another attendant. Note: Attendants may enter a confined space to attempt a rescue if they have been trained and equipped for rescue operations and if they have been properly relieved. Communicating with authorized entrants as necessary to monitor entrant status and to alert entrants of the need to evacuate confined spaces in emergency situations. Monitoring activities inside and outside the confined space to determine if it is safe for authorized entrants to remain in the space and order the authorized entrants to evacuate the space immediately under any of the following conditions: 1. If the attendant detects a prohibited condition. 2. If the attendant detects a behavioral effect of the hazard exposure in an authorized entrant. 3. If the attendant detects a situation outside the confined space that could endanger the authorized entrants; or 4. If the attendant cannot effectively and safely perform all duties required. 8

Summoning rescue and other emergency personnel as soon as the attendant determines that entrants need assistance to escape from confined space hazards. Taking the following actions when an unauthorized person(s) approach or enter a confined space while entry is underway: 1. Warn the unauthorized person(s) that they must stay away from the confined space. 2. Advise the unauthorized person(s) that they must exit immediately if they have entered the confined space. 3. Inform the authorized entrants and the entry supervisor if an unauthorized person(s) has entered the confined spaces. Perform non-entry rescues as specified in section 1.15 of this program. Perform no duties that might interfere with the attendant s primary duty to monitor and protect the authorized entrants. 1.5 EMPLOYEE TRAINING All employees mentioned above who are required to enter a confined space or serve as an attendant are trained and properly equipped to recognize, understand, and control hazards that may be encountered with confined space entry. All training is documented and is available for review at the Maintenance Service Building. All employees who are required to either enter a confined space or to serve as attendants receive training in the following areas: 1. Associated safety and health hazards of Confined Space Entry. 2. Duties of entrants and attendants. 3. Air monitoring and attendants. 4. Respiratory protection. 5. Emergency rescue procedures City of Rochester Fire Department 6. Lockout isolation procedures. 7. Employees are not to enter permitted confined spaces. Training is provided to each affected employee: 1. Before the employee is first assigned to Confined Space Entry duties. 2. Before there is a change in assigned duties. 3. Whenever there is change in confined space operations that presents a hazard about which the employee has been previously trained. All employees who are required to either enter a confined space and/or to serve as attendants will receive training on the proper use of any PPE need to perform the job safely. This may include protective clothing and suits, gloves, respiratory protection, confined space rescue equipment, body harnesses, hearing protection, and eye/face, hand, foot, and head protection. Emergency rescue will be provided by the City of Rochester Fire Department. Rescue team members are knowledgeable of the following: 1. The use of personal protective equipment (PPE) needed to conduct confined space rescues safely. 2. The assigned rescued duties. 3. Basic first aid and cardiopulmonary resuscitation (CPR) At least one member of the rescue team or emergency service shall hold a current certification in first aid and CPR. All employees designated for emergency rescue perform a permit space rescue at least once every 12 months by means of simulated rescue operations in which dummies, mannequins, or actual personnel are removed from the actual permit spaces or representative permit spaces. 9

1.6 IDENTIFICATION OF CONFINED SPACE The Rochester Public School District has identified all confined spaces by one or more of the following ways: by sign by placard by symbols These means of warning for the identification of confined spaces are printed in English, reading one of (but not necessarily limited to) the following: CAUTION: NON-PERMIT REQUIRED CONFINED SPACE - DO NOT ENTER UNLESS AUTHORIZED. CAUTION: PERMIT REQUIRED SPACE - DO NOT ENTER UNLESS AUTHORIZED. The following statements will be added in large letters to the warning sign when a specific work practice must be performed or when specific safety equipment is necessary: Respirator Required For Entry Lifeline Required for Entry Hot Work Permit-Required No Hot Work Permitted 1.7 WORKPLACE CONFINED SPACE EVALUATIONS AND RECLASSIFICATION The Rochester Public School District is responsible for coordinating/conducting an evaluation of the school district to determine if confined spaces are present. A detailed assessment of these findings lists the location of each space, a brief description of the space, actual or potential health and safety hazards, and its classification (permit vs. non-permit). When there are changes in the use of a Non-Permit Confined Space that may increase the hazards, the space shall be re-evaluated and classified as a permit-required confined space where necessary. Reclassification would be required for such situations as: During the application of solvents, paint chemicals or other material that could potentially create a hazardous atmosphere in a confined space. During welding, cutting, brazing, or soldering in some confined spaces with limited or no ventilation. In any situation as mentioned above the Rochester Public School District will re-evaluate and re-classify confined spaces as necessary depending upon the work activities to be performed in these spaces. 1.8 ENTRY PROCEDURES FOR PERMIT REQUIRED CONFINED SPACES It is the policy of Rochester Public Schools to not allow employees to enter a permit required confined space. All work required to be done in a permit required confined space shall be conducted by a contracted vendor. 10

1.9 CONTRACTOR ENTRY It is the policy of Rochester Public Schools to contract work out that is required in a permit required confined space. In the event that a contractor is to perform work in a permit-required space, the following procedures will be followed: Inform the contractor that the workplace contains permit spaces and that permit space entry is allowed only through compliance of their permit space program meeting OSHA s Confined Space regulation 1910.146. o Informing the contractor shall be done through the distribution of Rochester Public Schools vendor contract; sent out to all vendors annually prior to July 1 st. The contract will be reviewed and signed by the contractor and returned to Rochester Public Schools by the specified date on the contract. Apprise the contractor of the elements that make the space a permit space. Coordinate entry operations with the contractor. Debrief the contractor at the conclusion of the entry regarding any hazards confronted or created in the permit space. 1.10 GENERAL SAFETY RULES AND WORK PRACTICES FOR NON-PERMIT-REQUIRED CONFINED SPACES In order to protect the safety and health of all employees associated with non-permit-required confined space entry, employees (and supervisors) will comply with the following safety rules and work practices prior to and during entry: No employee shall enter or work in a non-permit confined space unless the following steps have been performed: 1. Obtains permission to enter the confined space from the site Lead Engineer. If the Lead Engineer is not available, permission must be obtained from either the Health & Safety Coordinator or the Facilities & Grounds Coordinator. 2. Obtains and uses the proper PPE, tools and other equipment necessary to perform the job. 3. Complies with all other applicable confined space entry procedures. Note: Atmospheric testing of a non-permit-required confined space is not required by OSHA s Confined Space Entry Standard (CFR 1910.178). However, testing the atmosphere for toxic gases and oxygen deficiency prior to entering the confined space is recommended if a suitable, and properly calibrated; 4-gas meter is available. The OSHA standard does not require an attendant for entry into a non-permit-required confined space, however having an attendant present (if practical) is again strongly recommended. Other OSHA standards (i.e. Personal Protective, Respiratory Protection, etc.) still apply to entry into all confined spaces. 1.11 GENERAL SAFETY RULES AND WORK PRACTICES FOR BOILERS AND OTHER VESSELS Before any employee may enter a boiler or any other type of vessel classified as a confined space, the following safety precautions will be implemented: Ensure that the interior temperature of the confined space closely equals the ambient temperature outside that vessel before an entry is made into any part of the boiler or other vessel-type confined space subjected to extreme hot or cold temperatures. Ensure that all hazardous materials (solids and liquids) inside the work area are removed from the vessel as possible before any entry is allowed. Ensure that all lines leading into and away from the vessel are blanked, blinded, and/or double blocked and bled before and entry is allowed. Lockout/tagout procedures shall be followed. Treat all boilers and other vessel-type confined space in a manner consistent with that of other confined spaces. 11

1.12 Ventilation of Confined Spaces If a confined space is found to contain a hazardous atmosphere, forced air ventilation may be provided for a period of time in order to bring the air quality within the acceptable limits. Once the determined ventilation period expires, employees shall monitor the CS according to section 1.8 of this program. If the sampling shows that a hazard still exists, then additional ventilation and sampling may be required. If the hazard still exists after repeated ventilation steps, the confined space shall then be considered a permit-required confined space and the Confined Space Entry Team (entrant, attendant, confined space entry supervisor, and health and safety coordinator) will not be allowed to enter the space. Note: Forced air ventilation may not be used in lieu of monitoring. Consideration must also be given to the possibility of static discharge that could be a source of ignition. Whenever ventilation is used, employees shall: Keep the blower controls at least 10 feet from the confined space, and out of the wind or downwind from the entrance of the confined space. Use a ventilation blower that is designed to be intrinsically safe if the possibility of an explosive atmosphere could exist. Ensure that the exhaust systems are designed and placed so that they protect employees in the surrounding area from being contaminated. Ensure that the ventilation system is fully operational. Ensure that contaminated air is not re-circulated into the confined space Purge the ventilation hose outlet for at least one-minute (at street level if possible) before inserting the house into the confined space. Maintain continuous local ventilation when toxic atmospheres are being produced as part of a work procedure (i.e. welding, painting or cleaning operations). 1.13 EQUIPMENT AND CONFINED SPACES When a confined space entry requires the use of equipment and tools inside the space, this equipment shall be inspected and must meet the following requirements: All hand tools must be in good repair and kept clean; Portable electric tools, equipment, and lighting shall be listed Class I, Division I, and Group D. All grounds are to be checked in good working conditions prior to the use of electrical equipment in a confined space. Note: Ground fault protectors will be used whenever possible to protect employees from any potential of electrical shock when working in damp or wet locations. All electrical cords, tools, and equipment must be constructed of a heavy-duty, double insulated cord and equipped with a three-prong plug. No two prong plugs will be acceptable unless under special circumstances. All electrical cords, tools, and equipment must be visually inspected for defects before entering a confined space. Defects include cut or frayed cords, missing ground plugs, and tape cords. If equipment is found defective, they shall be removed, replaced and marked Do Not Use Out of Service before any employee enters a confined space. Cylinders of compressed gas will be prohibited from entering a confined space. Exemptions from this rule are cylinders that are considered part of SCBA or resuscitation equipment. Ladders to be used in confined spaces will be constructed of plastic or fiberglass and must be adequately secured or of a permanent type which provides the same degree of safety. Permanent ladders used in confined spaces must be inspected for rust or corrosion and must be repaired or replaced if necessary. All equipment that may be used in a flammable atmosphere shall be approved as either explosion proof or intrinsically safe for the atmosphere and shall be approved by a recognized testing laboratory (i.e., UL, FM). 12

1.14 ASSESSMENT OF ADDITIONAL HAZARDS IN CONFINED SPACES Before entering a confined space, the employee entering the space will conduct an assessment of any additional hazards which the entrant may encounter during a confined space entry. This assessment will include, but is not limited to, the following additional hazards: Thermal Hazards- Hazards due to extremes in hot and cold temperatures. Engulfment Hazards- Hazards from being overcome by material in a confined space (i.e. steam, gas, IDLH atmospheres). Noise Hazards- Hazards that can affect hearing in emergency situations or two- way communications that may result directly to an injury suffered by an employee. Slick/Wet Surfaces- Hazards that can increase the risks of slips, trips, or falls. These surfaces may also increase the risks and effects of shocks from electric tools, machinery, and/or circuitry. Falling Objects- Hazards that exist from loss gravel, cement, tools, etc that have the potential to cause harm on a worker in a confined space. Mechanical Equipment- Hazards that may exist due to required machinery operating during an entry. Electrical Hazards- Hazards that may exist from exposed wiring, power lines, or other faulty equipment. Fall Hazards- Hazards that may be caused due to loose gravel, exposed wiring, or equipment left in an open area. Biological Hazard- Hazards that exist from any personal injury that may occur in a confined space. 1.15 Emergency Rescue in a Confined Space In the event of a confined space entry rescue, the City of Rochester Fire Department will be summoned by dialing 911. Emergency Service Confined Space Rescue: In the event of a confined space rescue by using emergency services (i.e. fire, police department, etc.) the Rochester Public School District will maintain and comply with the following procedures: Evaluate the prospective rescuer s ability to respond to a rescue summons in a timely manner, considering the hazard(s) identified. Evaluate the prospective rescue service ability, in terms of proficiency with rescue related tasks and equipment, to function appropriately while rescuing entrants from the particular permit space or types or permit space identified. Select a rescue team or service that has the capacity to reach the victim(s) within a time frame that is appropriate for the permit space hazard(s) identified, and is equipped for and proficient in performing the need rescue services. Inform each rescue team or service of the hazards they may confront when called on to perform rescue at the site. Provide the rescue team or service selected with access to all permit spaces from which rescue may be necessary so that the rescue service can develop and implement appropriate rescue plans and practice rescue operations. Note: Appendix F of the OSHA 29 CFR 1910.146 Standard contains examples of criteria which employers can use in evaluating prospective rescuers. 13

Equipment: Before a confined space rescue attempt is made, the following equipment must be made available near the entrance of a confined space: Personal Protective Equipment 1. Fully charged Self-Containing Breathing Apparatus (SCBA) with at least a 30-minute air supply or a Type C airline respirator with an emergency escape air tank. 2. Protective clothing/gloves, if needed. 3. Head protection, if needed. 4. Hearing protection, if needed. 5. Eye protection. 6. Communication devices Retrieval Equipment 1. Full body harness and lifeline where applicable. Wristlets may be used in lieu of the full body harness if the employer can demonstrate that the use of a full body harness is infeasible or creates a greater hazard and that the use of wristlets is the safest and most effective alternative. 2. Winch/hoist fully capable of retrieving personnel from a vertical type of confined space more than 5-feet deep. Emergency Equipment 1. First aid kit 2. Fire extinguisher(s) appropriate for the situation Duties of Rescuing Attendants (Non-Fire Emergency) In the event that either a non-permit or permit-required confined space non-fire related emergency rescue occurs, rescuing attendants shall comply with the following procedures: 1. Alert the employees in the confined space to immediately vacate the space and verify that the employees understand these instructions. 2. Notify the following personnel via a two-way radio, telephone or voice with detailed information about the emergency. Rescue Service Buildings and Grounds/Confined Space Entry Supervisor iii. Begin emergency extraction from the outside of the confined space. Rescue personnel will verify that all employees are exiting the confined space in a timely, safe manner. If employees are not exiting, then the rescue personnel will perform the following: Notify the Buildings & Grounds Coordinator that the employees in the confined space are disabled. Begin winching/hoisting employee(s) from the confined space. Rescue Attendant s Duties During Fire Emergency During the event that employees may be trapped in a confined space due to a fire or other type of emergency, rescue personnel shall comply with the following procedures: 1. No attempt should be made to enter a burning confined space. 2. Standby personnel shall immediately call the Fire Department and will indicate that a fire emergency is involved and the location of the confined space. 3. The attendant(s) shall attempt to remove the employee or employees via the hoist/winch from outside the confined space. 14

Rescue Attempts in Confined Spaces Upon arriving at the scene of a rescue attempt in a confined space, the rescue service will comply with the following procedures: 1. Sample the air in the confined space. Entry will not be permitted if the air quality in the Confined Space is outside the acceptable limit for combustible gas. If the combustible gas content is more than 10% of the Lower Explosive Limit (LEL), the confined space must be ventilated and/ or the source of the combustible gas shut off or removed before entry is permitted. 2. Assess the potential hazards that rescue personnel could encounter by entering the space. 3. If entry conditions are determined safe, rescue personnel shall enter the confined space with the proper retrieval equipment, personal protective equipment, fully charged SCBA or Type C air line respirator equipped with an emergency air tank. 4. Search for the disabled employee. 5. Assess the type of accident/injuries. 6. Administer proper first aid/cpr, if needed. 7. Begin extraction procedures, taking care not to cause further injury. Note: If an injured entrant is over-exposed to a substance for which a Safety data sheet (SDS) or other written information is required to be kept at the work site, that SDS or written information shall be made available to the medical facility treating the exposed entrant. 1.16 RECORD KEEPING The following records will be maintained in relation to this program: Employee Training Records - This will include dates and names of attendees. These records will be held at least three years. Confined Space Entry Equipment Inspections - This should include dates, results, and corrective actions taken if necessary. These records shall be held for the lifetime use of the equipment Monitoring Equipment Calibration/Service Reports - This will indicate the calibration dates and any service conducted by the manufacturer. These records should be maintained for the lifetime of the equipment. 1.17 ANNUAL REVIEW The Rochester Public School District shall review the Confined Space Program at least annually using available information and records in order to determine if: Changes should be made to improve the program s overall effectiveness. Additional hazards have been identified within a given space. Additional measures should be taken to protect the entrants. Additional confined spaces should be included within the program. Some locations can be removed from the program. 15

SECTION 2 IMPLEMENTATION 16

Form 2.1: Confined Space Permit Issue Date: Issue Time: Expiration Date: Expiration Time: Permit No: Job Site: Entry Personnel: Standby Personnel: NOTE: DURATION OF PERMIT IS NOT TO EXCEED 8 HOURS FOR ANY ENTRY INTO A CONFINED SPACE Atmospheric Checks Time: am/pm Oxygen: % (19.5%-22.5%) Combustible: % L.E.L (<10% CH4) Toxic: ppm (< 10% H2S) Carbon Monoxide ppm (<35) Tester's Signature: Date: Isolation of Pumps or Lines N/A Yes No Pumps or Lines Blocked, Blanked,or Disconnected. Ventilation Mechanical Natural Ventilation Only Hot Work Permit Required N/A Yes No N/A Yes No Atmospheric Checks after Isolation and/or Ventilation Time: am/pm Oxygen: % (19.5%-22.5%) Combustibles: % L.E.L (<10% CH4) Toxic: ppm (< 10% H 2 S) Carbon Monoxide ppm (<35) Communication Procedures: Lockout/Tagout Procedures (When Applicable): Rescue Personnel Yes No Rescue Personnel Trained Equipment Calibrated 4 Gas Meter Safety Harness/Lifelines Communication Equipment Proper PPE SCBA/Type C Respirator Mechincal/Retrevial Devices Electrical Tools/Lighting/Non-Spark Tools N/A Yes No We have reviewed the work authorized by this permit and the information contained herein. Written instructions and safety procedures have been received and are understood. This permit is not valid unless all appropriate items are completed and understood. Permit Prepared By: (Print) (Signature) Permit Approved By: (Print) (Signature) 17