Confined Space Evaluation Checklist

Before starting any work in or around confined spaces, teams must assess hazards and determine the correct entry procedures. A confined space evaluation checklist provides a structured way to identify permit requirements, atmospheric risks, and other safety concerns. This free checklist helps your team perform consistent evaluations and comply with OSHA’s confined space standards.

What is a Confined Space Evaluation Checklist?

A confined space evaluation checklist helps safety professionals determine whether a work area qualifies as a confined space or a permit-required confined space. It walks users through key evaluation points related to access, ventilation, entrapment, and atmospheric conditions.

With a checklist, you can verify that your safety team completes thorough assessments before anyone enters a potentially hazardous space.

What’s Included in This Checklist

This editable Word document includes all the fields needed to complete a confined space evaluation. It contains sections for:

• Worksite identification and contact information
• Qualification questions to determine confined space status
• Atmospheric readings for gases such as O₂, CO, H₂S, and Cl₂
• Ventilation quality and type
• Engulfment and entrapment hazard assessment
• Additional hazards including chemicals, temperature, or noise

You can customize the checklist to match site-specific procedures or add company branding and reference details.

Why Use a Checklist for Evaluations?

Using this checklist helps your team:

• Identify and document confined space hazards consistently
• Determine whether the area requires a permit before entry
• Record atmospheric and ventilation data accurately
• Support compliance with OSHA 29 CFR 1910.146
• Improve worker safety through proactive hazard evaluation

This form gives supervisors and safety teams a reliable tool to verify conditions before authorizing entry.

Download the free confined space evaluation checklist today to strengthen your confined space program and keep your workforce protected.