HOME/DOWNLOADS/CONFINED SPACE ENTRY PERMIT
Safety / WHS

Confined Space Entry Permit

A permit to work authorising entry into a confined space — confirms atmospheric testing, ventilation, isolation, rescue arrangements and a standby person are in place, with an entry log and sign-off.

Standard
Work Health & Safety
Frequency
Per permit
System
Confined space entry
Format
PDF · 137 KB
Download PDF
Free to use No sign-up required Print-ready
Preview of the Confined Space Entry Permit

Frequently asked questions

What does the Confined Space Entry Permit cover?

A permit to work authorising entry into a confined space — confirms atmospheric testing, ventilation, isolation, rescue arrangements and a standby person are in place, with an entry log and sign-off.

When is a permit to work required?

A permit to work is required before starting high-risk work — it confirms the hazards are controlled, an authorised person approves the work, and it is only valid for the defined task, area and time shown on the permit. Complete and sign it before work starts, and close it out on completion.

Who should issue and sign this record?

A competent, authorised person (the permit issuer) should authorise and sign a permit to work, and the workers carrying out the task must read and sign on. For a toolbox talk, the supervisor or safety representative delivers it and records attendance. Record all names and authorisations on the form.

Is this permit free to use?

Yes — it's free to download and use. It's a practical record template you can adapt to your job and your client's requirements; it does not replace any official certificate or document your state or territory may require, or the manufacturer's instructions.

This is a general template aligned to the requirements of Work Health & Safety. It is provided as a guide only and is not a substitute for the published standard or manufacturer instructions. Always work to the current edition of the relevant standard and your jurisdiction's requirements, and have routine service carried out by a competent, appropriately licensed person.

More Safety / WHS downloads

Electrical Isolation (LOTO) Permit preview
Per permit
Electrical Isolation (LOTO) Permit
Excavation & Ground Disturbance Permit preview
Per permit
Excavation & Ground Disturbance Permit
Hazardous Substances Permit preview
Per permit
Hazardous Substances Permit
All downloads

Do this inspection on your phone

traqR auto-schedules recurring confined space entry service, captures photos and defects on site, and stores every record for audit. Try it free for 14 days.

Start free trial View pricing