JSA library / Hot Work & Confined Space

Confined Space Entry JSAJob Safety Analysis template

Entering tanks, vaults, pits, manholes and vessels. Use it as-is or change it to fit your job, then walk the site and add what's different today.

Make this JSA on your phone →

Free · no account · the crew signs on the same phone · prints a professional record

Date

Location

Person in charge

Company

Nearest ER / address

Muster point · Emergency: 911

Job steps, hazards & controls

#	Job step	Hazards	Controls
01	Evaluate the space	Treating a permit space like a normal space	If in doubt, it's a permit-required space Entry permit filled out and posted
02	Isolate and ventilate	Engulfment or flow into the space Bad air	Lock out and blind lines feeding the space Ventilate before and during entry
03	Test the air	Low oxygen, flammable gas, toxic gas (H2S, CO)	Calibrated 4-gas monitor; test top, middle and bottom Continuous monitoring during the entry; leave on any alarm
04	Enter with an attendant	Entrant overcome with no help Rescuer becoming a second victim	Attendant at the opening the whole time; never enters Retrieval line and tripod where possible Rescue plan in place before entry
05	Exit and close out	Losing track of who is inside	Log entries and exits; confirm everyone is out Close the permit

Don’t forget to check

Chemicals & SDS

Today’s site-specific hazards

Hazard	Control

Crew sign-in: I reviewed this JSA and I can stop work

Name	Company / role	Signature	Time

How it works on your phone

1 · Pick itTap the button above. This JSA loads with the checks crews most often forget already suggested.

2 · Walk the siteAdd where you are, who's in charge and the nearest ER. The first person on site adds today's hazards.

3 · Crew signsPass the phone. Each person reads every step and signs. Print or save the PDF.

This JSA is a starting point built from common field practice. Your job, your site and your company's procedures come first: change anything that doesn't fit, and follow your permits and regulations.