Confined Space Entry Request
This form must be completed and submitted to MUSC Occupational Safety and Health Programs at least 24 hours prior to the proposed entry into a confined space. Approval of requests less than 24 hours before the proposed entry will be left to the discretion of OSHP. For emergency confined space entry, please complete this form and call OSHP at 843-792-3604. Confined space entry requests must be submitted by managers or supervisors responsible for the project.
Minimum Personal Protective Equipment: Work Gloves, Hard Hat, Safety Glasses to be worn during work in confined spaces unless otherwise assigned by the supervising manager. See PPE section below for more information.
Please fill out the form below and click submit. Your request will be e-mailed to Occupational Safety and Health. If you require assistance or have questions about this form, please call 843-792-3604. Fields marked with * are required.
Attendant: An attendant must be present at all times during confined space entry. The attendant must stay in the immediate vicinity of the confined space entrance, may never enter the confined space under any circumstances, and is responsible for keeping constant communication with the entrants.
Signage & Barriers: You are responsible for ensuring that the confined space access area (i.e. manhole cover, vaults, trap doors) is clearly labeled and is blocked off in a manner that prevents unauthorized access during the confined space entry. Examples of this are traffic cones and caution tape.
Communication: You are responsible for providing communication devices for all personnel entering the confined space and for the attendant outside of the confined space. 2-way radios are appropriate for this type of communication. Cellular devices are not appropriate as they may not work effectively in areas underneath the ground or deep within building structures. The attendant must keep in communication with confined space entrants by performing radio and atmosphere monitor checks at least every 15 minutes.
OSHP has the right to deny access to a confined space if necessary requirements are not met.