ESE Permit Verification (Phase 1)

A) Permit Details

Enclosed Space (from Register)

Required.

Cargo / Space Context (rule prompts)

Used for hazard-driven prompts.

Purpose of Entry / Work Description

RA / JHA Reference No. (reference only)

Responsible Person (Master / Responsible Officer)

Attendant at Entrance

Persons Entering (comma separated)

Communication Method

Permit Valid From (date/time)

Permit Valid To (date/time)

Rule: max validity ≤ 8 hours.

B) Controls Confirmations

Isolation completed (as applicable) Ventilation arranged/running Access controlled (signage/barrier/locked) Toolbox briefing held

Connected/adjacent spaces reviewed (Register) Rescue equipment ready/rigged PPE/RPE requirements confirmed Minimum 2 entrants + attendant (no solo entry)

Notes / remarks

C) Atmosphere Testing (pre-entry + while occupied)

Final Pre-Entry Test Time

Entry Commenced Time

Rule: test-to-entry ≤ 30 minutes.

Gas Detector 1 — ID/Serial Calibration valid Bump/function test today

Gas Detector 2 — ID/Serial (if used) Calibration valid Bump/function test today

O₂ (%vol)

Flammable (%LEL / %LFL)

Rule: < 1% (MSC example).

CO₂ (ppm)

MSC example: CO₂ < 5,000 ppm (0.5% vol).

CO (ppm) (if applicable)

Toxic contaminants tested (as % of OEL)

Gas	% of OEL	Notes

While occupied — Repeat Tests Log

Time	O₂	%LEL	CO₂	CO	Remarks

Work Breaks (optional)

Out Time	In Time

D) Close-Out

Work Completed Time

Close-out remarks

Register Preview

— ID —

Cargo prompts

Validation results

No validation run yet.