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🛡️ LIFE SAVING RULE
Confined Spaces Audit
SLP Alaska Safety Management System
Auditor Information
Name of Auditor
*
Date
*
Work Location
Company
*
-- Select Company --
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location
*
-- Select Location --
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Confined Space Procedures & Permits
1. Confined Space Procedure on Jobsite & Available?
*
Yes
No
Needs Improvement
N/A
2. Permit posted w/risks identified & mitigated adequately?
*
Yes
No
Needs Improvement
N/A
3. Permit properly classified (regulated or non)?
*
Yes
No
Personnel Qualifications
4. Supervisor qualified/identified to the workers & Documented on the Permit?
*
Yes
No
Needs Improvement
N/A
5. Attendant qualified, documented & identified?
*
Yes
No
Needs Improvement
N/A
6. Sup. Attendant, Entrants Confirmed Roles per ASH?
*
Yes
No
Needs Improvement
N/A
Communication & Entry Log
7. Is there an effective constant communication plan in place?
*
Yes
No
Needs Improvement
N/A
8. Is the entry log available and current?
*
Yes
No
Needs Improvement
N/A
9. Radio checks for all involved completed?
*
Yes
No
Needs Improvement
N/A
Rescue & Emergency Planning
10. Rescue services notified & available?
*
Yes
No
Needs Improvement
N/A
11. Rescue plan adequate & communicated to crew?
*
Yes
No
Needs Improvement
N/A
12. Travel restrictions verified to not impact response operations?
*
Yes
No
Needs Improvement
N/A
Safety & Hazard Controls
13. Safety Controls & PPE Appropriate for Tasks?
*
Yes
No
Needs Improvement
N/A
14. Hazard Mitigations Effective?
*
Yes
No
Needs Improvement
N/A
15. Hot Work stipulation adherence by All involved?
*
Yes
No
Needs Improvement
N/A
16. Is the space adequately isolated (blinds, etc.)?
*
Yes
No
Needs Improvement
N/A
17. Ventilation Plan effectively provide air exchanges?
*
Yes
No
Needs Improvement
N/A
Review & Comments
18. Was audit reviewed with crew?
*
Yes
No
Provide commentary on any No or Needs Improvement
List crew comments and/or Atta Boys here
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