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Confined Space Entry Program
Cuyahoga Valley National Park (CUVA) James A. Garfield National Historic Site (JAGA)
First Ladies National Historic Site (FILA)
Recommended by:
Date Safety Officer
Concurred by:
JAGA Site Manager Date
FILA Site Manager
CUVA Deputy Superintendent
Approved by:
Superintendent
4/13/2020
POLICY
The purpose of this program is to inform employees at Cuyahoga Valley National Park (CUVA), James A. Garfield National Historic Site (JAGA) and First Ladies National Historic Site (FILA) of procedures for the evaluation of confined spaces and of permit-required confined space entry requirements. This is accomplished by ensuring that safe work practices are utilized during all activities regarding confined spaces to prevent personal injuries and illnesses that could occur.
This document describes how the park complies with the OSHA Confined Space Standard, Title 29 Code of Federal Regulations 1910.146. This program applies to all maintenance work operations in the parks where employees must enter a permit-required confined space as part of their job duties.
The Facility Manager of the CUVA Maintenance Division has overall responsibility for this program. The Safety Officer will assist the Facility Manager by reviewing and updating this plan as necessary. The plan will be available electronically to all employees on the intranet site with hard copies available in the office of the Facility Manager, Central Maintenance Area, Virginia Kendall Maintenance Area, the Communication Center, JAGA Site Manager and FILA Site Manager.
Under this program, confined spaces are identified, and training is provided for Maintenance employees according to their responsibilities in a permit-required confined space. These employees receive instructions for safe entry into the specific type of confined spaces, including testing and monitoring, appropriate personal protective equipment, rescue procedures, and attendant responsibilities.
CONFINED SPACE
A confined space, as defined by the Occupational Safety and Health Administration (OSHA), (29 CFR 1910.146) is a space that:
1. Is large enough and so configured that an employee can bodily enter and perform assigned work,
2. Has limited or restricted means for entry or exit, and
3. Is not designed for continuous employee occupancy (e.g., tanks, storage bins, reservoirs, vaults, and pits).
Many workplaces contain:
• Spaces that, because of their size or configuration, do not allow a worker to completely enter.
• Attics & crawl spaces.
In these situations, certain types of work (such as cleaning with solvents) could create an atmospheric hazard. Although these spaces do not strictly meet the definition of a confined space, the potential hazard must be addressed, and certain confined space procedures be applied.
OSHA has determined that the leading cause of death in confined spaces is asphyxiation.
Asphyxiation has generally resulted from oxygen deficiency or exposure to toxic atmospheres.
Other deaths have been caused by compression, engulfment, and breathing fine particulate matter. In addition, the failure to de-energize equipment has resulted in the burning, crushing, grinding up, and battering of workers in confined spaces.
It should never be assumed that any confined space is safe. The hazards contained in a confined space can be invisible, odorless, tasteless, and appear safe. Tests should be performed before entry, and special procedures should be followed before, during, and after any confined space entry job.
When evaluating confined spaces for hazards, two types of hazards will be considered:
1. Hazards inherent to the space itself and
2. Hazards that will be brought to the space by the job performed.
Both elements must be taken into consideration when classifying confined spaces.
CONFINED SPACE CLASSIFICATIONS
A) Non-Permit Confined Space
This classification may be used if the space does not contain or, with respect to atmospheric hazards, have the potential to contain any hazard capable of causing death or physical harm.
OR
This classification may be used if all the hazards in the space can be eliminated.
If the space has been classified as a non-permit space, then the Maintenance Division has met the requirements of this program as it pertains to this individual space. Entry may proceed without following the permit or certificate requirements of this program. However, the space may only be classified as a non-permit space if no hazards exist.
NOTE: Control of atmospheric hazards through forced air ventilation does not constitute the elimination of the hazards.
B) Permit-Required Confined Space
If the hazards the space poses are unknown and/or entry is required to evaluate the space for hazards, the space must initially be classified as a permit-required confined space. During entry, testing and inspection should provide the data necessary to properly classify the space.
If the space has any one of the following characteristics (hazards) it must be classified as a permit-required confined space (29 CFR 1910.146):
1. Contains a material that has the potential for engulfing an entrant.
2. Has an internal configuration such that an entrant could be trapped or asphyxiated by inwardly converging walls or by a floor which slopes downward and tapers to a smaller cross-section.
3. Contains any condition that poses an immediate or delayed threat to life, would cause irreversible adverse health effects, or would interfere with an individual's ability to escape unaided (self-rescue) from a confined space.
4. Contains an atmosphere not controllable by forced air ventilation alone that may expose employees to the risk of death, incapacitation, impairment of ability to self-rescue, injury, or acute illness. The following are considered hazardous atmospheres:
a) Flammable gas vapor, or mist in excess of 10% of its Lower Flammable Limit (LFL).
b) Airborne combustible dust at a concentration that meets or exceeds its LFL.
c) A condition in which dust obscures vision within approximately 5 feet.
d) Atmospheric concentration of any substance, which could result in employee exposure in excess of its dose or Permissible Exposure Limits (PEL).
5. Contains any other recognized serious safety or health hazard.
If there are changes in the use or configuration of the permit space that lessen or eliminate hazards to entrants, the space may be re-evaluated and, if appropriate, reclassified.
C) Hazardous Non-Entry Confined Space
A Hazardous Non-Entry Confined Space is one in which it has been pre-determined that no employee will enter. Immediately Dangerous to Life or Health (IDLH) is any condition that poses an immediate or delayed threat to life, would cause irreversible adverse health effects, or would interfere with an individual's ability to escape unaided from a confined space.
NOTE: Some materials - hydrogen fluoride gas and cadmium vapor, for example - may produce immediate transient effects that even if severe, may pass without medical attention, but are followed by sudden, possibly fatal collapse 12-72 hours after exposure. The victim "feels normal" after recovering from transient effects until he/she collapses. Such materials in hazardous quantities are "immediately" dangerous to life or health. These types of confined spaces will not be entered.
KNOWN LOCATIONS OF CONFINED SPACES
For a list of confined spaces at CUVA/JAGA/FILA refer to Appendix III.
HAZARD EVALUATION FOR PERMIT SPACES
To determine if there are permit-required confined spaces, Maintenance Division personnel have conducted a hazard evaluation of the parks. This evaluation has provided the information necessary to identify the existence and location of permit-required confined spaces in the workplace that must be covered by the Confined Space Entry Program.
Preventing Unauthorized Entry
To provide a safe work environment and to prevent employees from accidentally entering a permit space, the following procedures have been implemented. The entry portal to every permit-required confined space is protected by either a substantial cover that cannot be easily moved [i.e. concrete slab, manhole cover, or similar] or a locking device. The danger posed by casual entry is thereby eliminated.
Safe Permit-Required Space Entry Procedures
According to 29 CFR 1910.146(d)(10), the Maintenance Division must develop and implement a system for the preparation, issuance, use, and cancellation of entry permits. The procedures followed for preparing, issuing, and canceling entry permits include the following elements:
A) Permit System
Before entry is authorized, the Maintenance Division shall document the completion of measures required by preparing an entry permit. NOTE: Appendix D to §1910.146 presents examples of permits whose elements comply with the requirements of this section.
1. Before entry begins, the entry supervisor identified on the permit shall sign the entry permit to authorize entry.
2. The completed permit shall be made available at the time of entry to all authorized entrants or their authorized representatives, by posting it at the entry portal or by any other equally effective means, so that the entrants can confirm that pre-entry preparations have been completed.
3. The duration of the permit may not exceed the time required to complete the assigned task or job identified on the permit.
a) An inspection permit is only for inspection purposes. No work is to be performed.
b) A work permit is needed and required for any repairs located in a permit-required confined space location.
4. The entry supervisor shall terminate entry and cancel the entry permit when:
a) The entry operations covered by the entry permit have been completed; or
b) A condition that is not allowed under the entry permit arises in or near the permit space.
5. The CUVA Maintenance Division shall retain each canceled entry permit for at least one (1) year to facilitate the review of the permit-required confined space program. Any problems encountered during an entry operation shall be noted on the pertinent permit so that appropriate revisions to the permit space program can be made.
B) Entry Permit
The entry permits that documents compliance with this section and authorizes entry to a permit space shall identify all items. Directions are on the reverse side of the Confined Space Permit form.
This permit is to be kept at the job site. Return the job site copy to the CUVA Maintenance Division Headquarters following job completion.
The Maintenance Division’s entrant supervisor(s), according to 29 CFR 1910.146(d)(2), must identify and evaluate the hazards of permit spaces before employees enter them. Under 1910.146(d)(3), the means, procedures, and practices necessary for a safe "permit space entry" operations include, but are not limited to:
1. Specifying acceptable entry conditions
2. Isolating the permit space
3. Purging, inserting, flushing, or ventilating the permit space as necessary to eliminate or control atmospheric hazards
4. Providing pedestrian, vehicle, or other barriers as necessary to protect entrants from external hazards, and
5. Verifying that conditions in the permit space are acceptable for entry throughout the duration of an authorized entry.
The supervisor(s) is/are responsible for verifying these procedures. The certification is made before entry and is available to each employee entering the space.
C) Pre-Entry Evaluation
To ensure the safety and health of employees, before allowing authorized workers to enter a permit space, the Maintenance Division will evaluate conditions in that space to determine if the conditions are safe for entry. Any employee, who enters the space, or that employee’s authorized representative, can observe the pre-entry and any subsequent testing. The authorized entrant or that employee’s representative also has the option of requesting a re-evaluation of the space if they feel that the evaluation was not adequate.
The Maintenance Division follows the procedures to evaluate each permit space before entry according to 1910.146(c)(5)(ii)(C). This includes testing the internal atmosphere with a calibrated direct-reading instrument for oxygen content, flammable gases and vapors, and potential toxic air contaminants. The Maintenance Division also periodically tests the atmosphere of the space to ensure that the continuous ventilation is preventing the accumulation of a hazardous atmosphere.
EQUIPMENT
To ensure the safety and health of employees, the Maintenance Division provides appropriate equipment to all employees who work in or near our permit spaces. According to 1910.146(k)(3)(i), each authorized entrant will use a chest or full body harness, with a retrieval line attached at the center of the entrant’s back near shoulder level, above the entrant’s head, or at another point which the Maintenance Division can establish presents a profile small enough for the successful removal of the entrant. Wristlets may be used instead of the chest or full body harness if it can be demonstrated that the use of a chest or full body harness is infeasible or creates a greater hazard and that the use of wristlets is the safest and most effective alternative.
The Maintenance Division will:
1. Provide all necessary equipment to perform tasks in a safe manner to all employees who work in or near our permit spaces.
2. Maintain all equipment in excellent working condition, train the entrants in the correct usage of this equipment, and ensure that all equipment, including that used for personal protection, is used properly.
3. Follow these standard operating procedures (SOP) to ensure that the entrants are using the appropriate equipment and practices.
DUTIES
Authorized Entrants
Those persons who have completed the training and are authorized to enter our permit spaces (authorized entrants) are assigned specific duties and responsibilities which they must perform when they work in the permit space. Their duties and responsibilities include:
1. Follow the prescribed safety procedures for confined spaces, including communications with the attending monitor.
2. Follow guidelines and/or described work set forth in the confined space permit that was issued.
3. Stop work if work is required other than that stated on the confined space work permit. A new permit must be issued.
4. Cease work immediately and evacuate the confined space if the atmospheric condition becomes hazardous.
5. Implement the elements covered in the training program for authorized entrants.
Attendants
Those persons who have completed the training and have been designated as permit space attendants are assigned specific duties and responsibilities, which include:
1. Monitor the atmospheric conditions.
2. Stay in constant contact with the entrant.
3. Advise the entrant of conditions.
4. Be prepared to act if required.
5. Notify other workers in the immediate area of the entrant's location.
6. Implement all other elements covered in the training program for permit space attendants.
Entry Supervisors
Those persons who have completed the training according to 29 CFR 1910.146(g)(1), plus have been designated as permit space entry supervisors are assigned specific duties and responsibilities that include:
1. Determine if acceptable entry conditions are present at a permit space where entry is planned.
2. Authorize entry, issuing the entry permit and overseeing entry operations.
3. Terminate entry as required by 29 CFR 1910.146.
4. Know the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of the exposure.
5. Verify, by checking that the appropriate entries have been made on the permit, that all tests specified by the permit have been conducted and that all procedures and equipment specified by the permit are in place before endorsing the permit and allowing entry to begin.
6. Verify that rescue services are available and that the means for summoning them are operable.
7. Remove unauthorized individuals who enter or who attempt to enter the permit space during entry operations.
8. Whenever responsibility for a permit space entry operation is transferred and at intervals dictated by the hazards and operations performed within the space, determine that entry operations remain consistent with terms of the entry permit and that acceptable entry conditions are maintained.
TRAINING PROGRAM
Every employee at the Maintenance Division who faces the risk of confined space entry is provided with training so that each designated employee acquires the understanding, knowledge and skills necessary for the safe performance of their assigned duties.
The Maintenance Division will provide confined space training using these criteria:
1. All current and new employees whose job descriptions include confined space entry will undergo full training prior to performing this type of work.
2. Before there is a change in assigned duties.
3. Whenever there is a change in permit space operations that present a hazard about which an employee has not previously been trained.
4. If there is reason to believe that an employee has deviated from a previously trained procedure or the employee's knowledge seems inadequate.
5. Additional training will be required when changes occur in permit-required confined space areas within the parks.
When the Maintenance Division conducts the training, both classroom and field training methods are used.
Upon successful completion of the Maintenance Division permit-required confined space training program, each participant receives a certificate, which they sign verifying that they understand the material presented and will follow all policies and procedures regarding permit space entry.
This certificate is valid for one year. An annually re-certification is required. All training related materials, documents, and signed certificates are kept at: CUVA Maintenance Division Headquarters, 15616 Vaughn Road, Brecksville, Ohio 44141.
RESCUE AND EMERGENCY SERVICES
The parks use the following agencies to perform rescue and emergency services in the event of a permit space incident:
Akron Fire Department Bath Township Fire Department
Boston Township Fire Department Brecksville Fire Department
Cuyahoga Falls Fire Department Independence Fire Department
Northfield Village Fire Department Peninsula Fire Department
Richfield Village Fire Department Sagamore Hills Fire Department
Summit County T.R.O.T. Team Walton Hills Fire Department
Mentor Fire Department
To familiarize this service with our facility and emergency needs, we provide access to all permit spaces from which rescue may be necessary so the rescue teams can develop appropriate rescue plans and practice rescue operations. We also inform the rescue teams of the hazards they may confront when called on to perform rescue at the site.
The attendant must radio the Communication Center and inform them of the emergency. The information should include the following in a clear and concise manner:
1. Identify yourself and your location.
2. Inform that this is a confined space emergency.
3. Describe briefly the severity of the situation (e.g. trapped, unconscious, unsafe atmospheric conditions).
4. Identify and request special services if known (e.g. ambulance, fire).
5. Provide any other pertinent information (e.g. victim's condition, any other known physical problems, time of emergency occurred, to notify anyone particular).
6. Answer the dispatcher’s questions accurately and promptly.
MULTIPLE EMPLOYER ENTRY PROCEDURES
When contractors enter park facilities to perform work in permit spaces, the park will coordinate entry and work operations following these procedures. Procedures to coordinate entry operations when employees of more than one employer are working simultaneously as authorized entrants in a permit space must be developed so that employees of one employer do not endanger the employees of any other employer. According to 29 CFR 1910.146(c)(8), when a host employer arranges to have employees of another employer (contractor) perform work that involves permit space entry, the host employer shall:
1. Inform the contractor that the workplace contains permit spaces and that permit space entry is allowed only through compliance with a permit space program meeting the requirements of this section.
2. Apprise the contractor of the elements, including the hazards identified and the host employer's experience with the space, that make this a permit space.
3. Apprise the contractor of any precautions or procedures that the host employer has implemented for the protection of employees in or near permit spaces where contractor personnel will be working.
4. Coordinate entry operations with the contractor, when both host employer personnel and contractor personnel will be working in or near permit spaces.
5. Debrief the contractor at the conclusion of the entry operations regarding the permit space program followed and any hazards confronted or created in permit spaces during entry operations.
In addition to complying with the permit space requirements that apply to all employers, each contractor who is retained to perform permit space entry operations shall:
1. Obtain any available information regarding permit space hazards and entry operations from the host employer.
2. Coordinate entry operations with the host employer, when both host employer personnel and contractor personnel will be working in or near permit spaces.
3. Inform the host employer of the permit space program that the contractor will follow and of any hazards confronted or created in permit spaces, either through a debriefing or during the entry operation.
In order to coordinate operations before the contractor and/or park employees begin work involving permit space entry, a pre-entrance meeting is to be held with the entry supervisors of all involved employers as well as the CUVA Maintenance Supervisor. In this meeting, all entry procedures and issues will be agreed upon and written into the permit.
POST-OPERATIONS PROCEDURES
Upon completion of work in a permit space, the following procedures are used to close off the space and cancel the permit in accordance with 29 CFR 1910.146(d)(12).
1) Notify the Communication Center that work has been completed or time has expired.
2) Cancel and/or close the permit once the work is complete or the time for the permit has expired. Once a permit is closed, it cannot be re-opened. If extra work is required, a new permit must be issued.
3) Submit all cancelled or closed permits to the Maintenance Division Headquarters, to be filed and kept for a minimum of one year.
4) Review annually all closed Confined Space Permits.
Review-Procedures
To ensure that all employees participating in entry operations are protected from permit space hazards, the Maintenance Division reviews the Permit-Required Confined Space Entry Program on a regular basis. They retained the canceled permits from the past 12 months, and within one year after each entry, revising the program as necessary. The Maintenance Division performs a single annual review covering all entries performed during a 12-month period. If no entry is performed during a 12-month period, no review is performed.
ENFORCEMENT
Constant awareness of and respect for permit-required confined space entry hazards, and compliance with all safety rules are considered conditions of employment. Supervisors and the Safety Officer reserve the right to issue disciplinary warnings to employees, up to and including termination, for failure to follow the guidelines of this permit entry program.
APPENDIX I
DEFINITIONS
Acceptable Entry Conditions means conditions that must exist in a permit/certificate-required confined space to ensure that the employees involved can safely enter into and work within the space.
Attendant is an individual stationed outside one or more permit/certificate spaces who monitors the authorized entrants and who performs all attendant's duties assigned in this program.
Authorized Entrant means an employee who is authorized by the employer to enter a permit space.
Blanking or Blinding is the absolute closure of a pipe, line, or duct by the fastening of a solid plate (such as a skillet blind) that completely covers the bore and that is capable of withstanding the maximum pressure of the pipe, line, or duct with no leakage beyond the plate.
Certificate-Required Confined Space (Certificate Space) is a confined space that has been shown to only pose an actual or potentially hazardous atmosphere which can be controlled by forced air ventilation alone.
Confined Space means a space that: (1) is large enough and so configured that an employee can bodily enter and perform assigned work, (2) has limited or restricted means for entry or exit, and (3) is not designed for continuous employee occupancy (e.g., tanks, reservoirs, storage bins, vaults, and pits).
Double Block and Bleed means the closure of a line, duct, or pipe by closing and locking two in– line valves and by opening and locking a drain or vent valve in the line between the closed valves.
Emergency is any occurrence or event internal or external to the permit/certificate space that could endanger entrants including any failure of hazard control or monitoring equipment.
Engulfment means the surrounding and effective capture of a person by a liquid or finely divided (flowable) solid substance that can be aspirated to cause death by filling or plugging the respiratory system or that can exert enough force on the body to cause death by strangulation, constriction, or crushing.
Entry is the action by which a person passes through an opening into a permit/certificate-required confined space. Entry includes ensuing work activities in that space and is considered to have occurred as soon as any part of the entrant's body breaks the plane of an opening into the space.
Entry Permit is the written or printed document that is provided by the employer to allow and control entry into a permit space and that contains the information specified in the Permit-Required Confined Space Entry section of this program.
Entry Supervisor is the person responsible for: (1) determining if acceptable entry conditions are present at a permit space where entry is planned, (2) authorizing entry and overseeing entry operations, and (3) terminating entry as required by this program.
Hazardous Atmosphere is any atmosphere that may expose employees to the risk of death, incapacitation, impairment of ability to self-rescue (escaping unaided from a confined space), injury, or acute illness from one or more of the following causes:
1. Flammable gas, vapor, or mist in excess of 10% of its Lower Flammable Limit (LFL).
2. Airborne combustible dust at a concentration that meets or exceeds its LFL. This may be approximated as a condition in which the dust obscures vision at a distance of 5 feet or less.
3. Atmospheric oxygen concentration below 19.5% or above 23.5% by volume.
4. Atmospheric concentration of any substance for which a dose or a Permissible Exposure Limit (PEL) is published in 29 CFR Subpart G (Occupational Health and Environmental Control) and
Subpart Z (Toxic Hazardous Substances) and which could result in an employee exposure in excess of its dose or PEL.
NOTE: An atmospheric concentration of any substance that is not capable of causing death, incapacitation, impairment of ability to self-rescue, injury, or acute illness due to its health effects is not covered by this provision.
5. Any other atmospheric condition that is immediately dangerous to life or health.
NOTE: For air contaminates which OSHA has not determined a dose or PEL, other sources of information such as Material Safety Data Sheets (MSDS) that comply with the Hazard Communication Standard, the NIOSH Pocket Guide to Chemical Hazards, other published information, and internal documents can provide guidance in establishing acceptable atmospheric conditions.
Hazardous Non-Entry Confined Space means any confined space containing hazards that would qualify the space for permit-required or certificate-required status but has been determined not to be entered by employees. These spaces are identified in the written plan.
Hot Work Permit is the employee's written authorization to perform operations capable of providing a source of ignition (e.g. riveting, welding, cutting, burning, grinding, and heating).
Immediately Dangerous to Life or Health (IDLH) is any condition that poses an immediate or delayed threat to life, would cause irreversible adverse health effects, or would interfere with an individual's ability to escape unaided from a confined space.
NOTE: Some materials - hydrogen fluoride gas and cadmium vapor, for example - may produce immediate transient effects that even if severe, may pass without medical attention, but are followed by sudden, possibly fatal collapse 12-72 hours after exposure. The victim "feels normal" after recovering from transient effects until he/she collapses. Such materials in hazardous quantities are "immediately" dangerous to life or health.
Inerting is the displacement of the atmosphere in a permit space by a noncombustible gas (such as nitrogen) to such an extent that the resulting atmosphere is noncombustible.
NOTE: This procedure produces an IDLH, oxygen-deficient atmosphere.
Isolation is the process by which a confined space is removed from service and completely protected against the release of energy and material into the space by such means as: blanking or blinding;
misaligning or removing sections of lines, pipes, or ducts; a double block and bleed system; lockout or tagout of all sources of energy; or blocking or disconnecting all mechanical linkages.
Line Breaking is the intentional opening of a pipe, line, or duct that is or has been carrying flammable, corrosive, or toxic material; an inert gas; or any fluid at a volume, pressure, or temperature capable of causing injury.
Non-Permit/Certificate Confined Space means a confined space that does not contain or, with respect to atmospheric hazards, have the potential to contain any hazard capable of causing death or serious physical harm.
Oxygen Deficient Atmosphere is an atmosphere containing less than 19.5% oxygen by volume.
Oxygen Enriched Atmosphere is an atmosphere containing more than 23.5% oxygen by volume.
Permit-Required Confined Space (Permit Space) is a confined space that has one or more of the following characteristics:
1. Contains or has the potential to contain a hazardous atmosphere.
2. Contains a material that has the potential for engulfing an entrant.
3. Has an internal configuration such that an entrant could be trapped or asphyxiated by inwardly converging walls or by a floor, which slopes downward and tapers to a small cross-section.
4. Contains any other recognized serious safety or health hazard.
Permit/Certificate Confined Space (Permit/Certificate Space) is an abbreviated term used in this program to mean: a Permit-Required Confined Space or a Certificate-Required Confined Space.
Permit System means the employer's written procedure for preparing and issuing permits for entry and for returning the permit space to service following termination of entry.
Prohibited Condition means any condition in a permit space that is not allowed by the permit during the period when entry is authorized (e.g. a fuel spill).
Rescue Service means the personnel designated to rescue employees from confined spaces.
Retrieval System means the equipment used for non-entry rescue of persons from confined spaces (e.g. retrieval line, chest or full-body harness, wristlets, lifting devices, and anchors).
Rope Stand Off is a device used to allow the smooth operation of ropes, retrieval lines, etc. when used around corners or bends that may cause the line to bind or wear.
Testing means the process by which the hazards that may confront entrants of a permit space are identified and evaluated. Testing includes specifying the tests that are to be performed in the permit space.
NOTE: Testing enables employers both to devise and implement adequate control measures for the protection of authorized entrants and to determine if acceptable entry conditions are present immediately prior to, and during, entry.
APPENDIX II
CUVA/JAGA/FILA Confined Space Entry Permit
Assigned Permit No.________
1. Date & Time Issued: 2. Date and Time Expires:
3. Job Site/ Space I.D.: 4. Job Entry Supervisor:
5. Equipment to be Worked on: 6. Work to be Performed:
7. Entrant Personel:_______________________________________________________________________________________
We have reviewed the work authorized by this permit and the information contained here-in. Written instructions and safety procedures have been received and are understood. Entry cannot be approved if any dangers are present that cannot be addressed.
This permit is not valid unless all appropriate items are completed.
8. Permit Prepared by: (Operations Personnel) _______________________ ___________________________
9. Attendant Signature: _______________________ ___________________________ (Printed Name) (Signature)
10. Job Safety Analysis (JSA) Completed Yes No
JSA's reviewed and understood [ ] [ ]
11. Atmospheric Checks:
Time checked _________
Toxic (carbon monoxide, CO) _________PPM
Hydrogen culfide (H2S) _________PPM
Oxygen (O2) _________%
Explosive (combustible gases) _________%L.E.L.
12. Tester's Signature: ______________________
13. Lockout Energy Source(s): N/A Yes No
Energy source(s) lockout [ ] [ ] [ ]
14. Ventilation Modification: N/A Yes No
Mechanical [ ] [ ] [ ]
Natural ventilation only [ ] [ ] [ ]
15. Atmospheric Check After:
Isolation and ventilation
Time _____________
Toxic (CO) _____________PPM < 10 PPM H2S
H2S _____________ < 1 PPM
Oxygen _____________% > 19.5% to < 23.5%
Explosive ____________ L.F.L. < 10%
Testers signature _________________________
16. Communication Procedures:
17. Rescue Procedures:
18. Entry, Standby, and Back up Persons: Yes No
Successfully completed required training? [ ] [ ]
Is it current (within a year)? [ ] [ ]
19. Equipment: N/A Yes No
Direct reading gas monitor tested [ ] [ ] [ ]
Fire extinguishers on hand [ ] [ ] [ ]
Safety harness and lifeline for entry and standby person(s) [ ] [ ] [ ]
Hoisting equipment [ ] [ ] [ ]
Powered communications SCBAs for entry and standby person(s) [ ] [ ] [ ]
Protective clothing [ ] [ ] [ ]
All electric equipment listed Class I, Division I, Group D and non-sparking tools [ ] [ ] [ ]
20. Periodic Atmospheric Tests (Min. 2 hr intervals):
Time ____ CO____H2S____O2____ Explosive ______
21. The Cuyahoga Valley National Park's Communication
Center will be notified prior to starting work. Date and time notified. Time notified:_____________ Date: ___________
If at any point in time that the IDLH is reached, the work must be stopped and this permit shall be terminated.
This permit is to be kept at job site. Return job site copy to the Maintenance Division Headquarters with copy to Safety Officer following job completion.
Permit Returned Date: __________________
Directions for Completing the Confined Space Entry Permit
1. The date issued
2. The authorized duration of the Entry Permit
3. The permit space to be entered
4. The individual, by name, currently serving as entry supervisor, with a space for the signature or initials of the entry supervisor who originally authorized entry
5. Type of work to be performed
6. The purpose of the entry
7. The authorized entrants within the permit space, by name or by such other means (for example, using rosters or tracking systems) as will enable the attendant to determine quickly and accurately, for the duration of the permit, which authorized entrants are inside the permit space. NOTE: This requirement may be met by inserting a reference on the entry permit as to the means used, such as a roster or tracking system, to keep track of the authorized entrants within the permit space.
8. Person preparing this permit
9. The personnel, by name, currently serving as attendants
10. The hazards of the permit space to be entered
a) Any other information whose inclusion is necessary, given the circumstances of the confined space, in order to ensure employee safety
b) Any additional permits, such as for hot work, which have been issued to authorize work in the permit space.
11. The acceptable entry conditions
12. Initial entry atmospheric tester's signature
13. The measures used to isolate the permit space and to eliminate or control permit space hazards before entry. NOTE: Those measures can include the lockout or tagging of equipment and procedures for purging, inerting, ventilating, and flushing permit spaces.
14. See #13 above
15. The results of initial and periodic tests performed under paragraph (d)(5) of this section, accompanied by the names or initials of the testers and by an indication of when the tests were performed
16. The communication procedures used by authorized entrants and attendants to maintain contact during the entry
17. The rescue and emergency services that can be summoned and the means (such as the equipment to use and the numbers to call) for summoning those services
18. Entry, standby, and back up person(s) trained
19. Equipment (e.g. personal protective equipment, testing equipment, communications equipment, alarm systems, and rescue equipment) to be provided for compliance with this section
20. Periodic atmospheric tests and results
21. This form is to be faxed to Cuyahoga Valley National Park's Communication Center prior to starting work. Record date and time faxed.
This permit is to be kept at the job site. Upon job completion, return the job site copy to Maintenance Division Headquarters and the Safety Officer.
APPENDIX III
Confined Spaces at Cuyahoga Valley National Park
James A. Garfield National Historic Site
First Ladies National Historic Site
APPENDIX III Confined Spaces at CUVA/JAGA/FILA
Building or Area Address Tract Fire Department Type of Confined Space(s) Permit - Required Quan
Boodey (Getz) 1239 Hines Hill Rd 109-43 Valley Fire Cistern, south east corner of house Yes 1
Boston Store 1548 Boston Mills Rd 118-074 Valley Fire Cistern, in parking lot Yes 1
Brecksville RR Station 13512 Station Rd 104-044 Brecksville Lift Station (Station Rd) Yes 1
Canal Visitor Center 7104 Canal Rd 101-027 Independence Lift stations, west of CVC Yes 2
Canal Visitor Center 7104 Canal Rd 101-027 Independence Valve vault on sanitary lift Yes 1
Coonrad (ND Ranger Station) 10340 Riverview Rd 107-031 Brecksville Cistern - SW of house, north of driveway at top Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire b. Manhole - east of Lipscomb by walkway Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire c. Manhole - north of Admin. Bldg. at end of the bus parking zone Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire d. Lift station –South side of service rd. in front of November Lodge, Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire e. Manhole, closer to November lodge Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire f. Lift station, on west side of driveway between Admin. & White Pine Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire h. Meter pit - south side of main entrance gate off Oak Hill Rd Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire i. Manhole in island turn-around, between White Pine Dorm Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire j. Lift station- southwest edge of drive near White Pine Dorm Yes 1
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire k. Water meter vaults, across from 3674 Oak Hill Rd. property - feeds Libscomb Yes 2
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire l. Water meter vaults, feeds White Pine by Furnace Run foot trail, north side of Oak Hill Rd Yes 2
CVEEC 3675 Oak Hill Rd 114-005/039, 119-042 Valley Fire
m. crawlspace: under White Pine Dining Hall
'Attendant required' when working only; NOT required for simple inspections.
Attendant required 1
Duffy - ag lease 4965/4953 Quick Rd 115-035 Valley Fire Manhole, north side of road, 200 ft. west of Duffy house(s) Yes 1
Duncan - CVNPA 4731 Riverview Rd 114-072 Valley Fire Cistern (out of service) - south of house, at driveway "4,000 gl - for FY11 demo" - DES Yes 1
Duncan - CVNPA 4731 Riverview Rd 114-072 Valley Fire Lift Station - Simplex #3, north of house Yes 1
Fitzwater Yard - CVSR 7600 Canal Rd 103-024 Valley View Lift station, 20' - 30' south of railroad service garage (engine repair) Yes 1
Fitzwater Yard - CVSR 7600 Canal Rd 103-024 Valley View 2 manholes, 150 ft. south service garage Yes 2
Fitzwater Yard - CVSR 7600 Canal Rd 103-024 Valley View Manhole - 25' E of diesel [ by fire hydrant outside of fence at entrance (vault) ] Yes 1
Fitzwater Yard - CVSR 7600 Canal Rd 103-024 Valley View Manhole - 25' NE of diesel [ by RR tracks at yield sign outside of fence ] Yes 1
Fitzwater Yard - CVSR 7600 Canal Rd 103-024 Valley View Manhole - 25' NW of diesel Yes 1
Fox House - MWRO 1664 W. Main Street 112-047 Valley Fire Cistern – south side of bldg. Yes 1
Garvey (Ross) - ag lease 6560 A-P Rd (North) 118-051 Valley Fire 1 cistern - west of house - plus 1 "hand-dug well needs filled in" - McElroy 05/10 Yes 1
Happy Days Lodge - CVNPA 434 State Route 303 119-053 Valley Fire Lift station – south side of bldg / west end of parking lot – aluminum lid w/lock Yes 2
Hardy - CVNPA 2157 Everett Rd 114-050 Valley Fire Cistern (out of service) - south of house "4,000 gl - for FY11 demo" - DES Yes 1
Revised Feb. 2020
Hawkins 2171 Everett Rd 114-049 Valley Fire Cistern (out of service) - east of driveway "4,000 gl - for FY11 demo" - DES Yes 1
Headquarters - Jaite 15610 Vaughn Rd 107-017 Brecksville Lift Station - east bungalow at RR. tracks, painted green – front yard Yes 1
Headquarters - Jaite 15610 Vaughn Rd 107-017 Brecksville Manhole, behind bldg. on SE corner Yes 1
Headquarters - Jaite 15610 Vaughn Rd 107-017 Brecksville Manhole, off SW corner of main building – by Riverview Rd Yes 1
Headquarters - Jaite 15610 Vaughn Rd 107-017 Brecksville Lift Station, opposite headquarters NE corner of intersection Yes 1
Headquarters - Jaite 15610 Vaughn Rd 107-017 Brecksville Valve vault on sanitary lift station Yes 1
Hines Hill Conference Center -
CVNPA
1403 Hines Hill Rd 109-105 Northfield Center Twp Cistern, by parking lot Yes 1
Holland - CVSR 1019 SR 303 113-001 Valley Fire Cistern – between Players barn & house on west side of house Yes 1
Howe Meadow 4040 Riverview Rd 121-30 Cuyahoga Falls Lift station - Duplex #4 at SE corner of South Lot TO NPS SUMMER of 2010 Yes 1
Hunt Farm 2054 Bolanz Rd 121-005 Northampton Twp Lift station - south side of Bolanze, east of parking lot Yes 1
Kepner - CVNPA 4722 Riverview Rd 114-051 Valley Fire Lift Station - Simplex #2, SE corner of house TO NPS SUMMER of 2010 Yes 1
Lake Shelter 1000 Truxell Rd 119-053 Valley Fire a. Manhole - East of entrance gate , off Truxell Rd Yes 1
Lake Shelter Valley Fire b. Manhole – East of women's’ privy – steel lid (septic) Yes 2
Lake Shelter Valley Fire c. Lift station – NE side of main shelter bldg. Yes 1
Lake Shelter Valley Fire d. Manhole – between main parking lot & exit driveway –steel lid. One lift station Yes 1
Lake Shelter Valley Fire e. Manhole – service road gate, off of exit driveway – East side Yes 1
Ledges Shelter 701 Truxell Rd 119-053 Valley Fire a. Manhole - East side of shelter, in middle of road Yes 1
Ledges Shelter Valley Fire b. Lift Station - North Privies - off edge of service Rd Yes 1
Ledges Shelter Valley Fire c. 2 manholes - South Privies - north of building Yes 2
Ledges Shelter Valley Fire d. Manhole - lower Ledges & Octagon connector trail Yes 1
Ledges Shelter Valley Fire e. Manhole - lower Ledges to Happy Days connector trail Yes 1
Leyser - ag lease 9640 Riverview Rd 106-005 Brecksville Cistern, outside, north end of house Yes 1
Lock 29 Trailhead 1626 Mill Street 112-103 Valley Fire Cistern – manhole cover in front of restrooms Yes 1
Martin - ag lease 2470 Martin Rd 116-026 Northampton Twp Cistern Yes 1
Octagon Shelter 801 Truxell Rd 119-053 Valley Fire a. Lift station, SW corner in field Yes 1
Octagon Shelter Valley Fire b. Manhole, east of bldg. , at Truxell Rd Yes 1
Octagon Shelter Valley Fire c. Manhole - drinking fountain, west side of field Yes 1
Octagon & Truxell Rds 801 Truxell Rd 119-053 Valley Fire 2 manholes, one on each side East & West - at intersection. Yes 2
Osborne - Muar 4642/4646 Riverview Rd 114-053/054 Valley Fire Lift station - Duplex #3, between Osborne and Muar TO NPS SUMMER of 2010 Yes 1
Richardson - MWRO 4717 Riverview Rd 114-057 Valley Fire
Hand-dug well with cement lid, east side (out of service) Zuppo: " couldn't get lid off - is wedged under porch into woodwork. Should be filled w/gravel at some point. 2 men unable to lift or move lid."
Probable 1
Savacoal Volunteer Center 5975 Stanford Rd 109-107 Valley Fire Cistern Yes 1
Schmidt 2257 Everett Rd 114-42 Valley Fire Lift station - Simplex #1, SE of house at road TO NPS SUMMER of 2010 Yes 1
Schmidt-Foster - ag lease 458 Hines Hill Rd 110-005 Valley Fire Cistern Yes 1
Sledding Hills 5965 Quick Rd 119-053 Valley Fire a. Lift station – northeast corner off restrooms at Pine Hollow Yes 1
Sledding Hills 5965 Quick Rd 119-053 Valley Fire b. Manhole – steel lids, (water & sanitary); at bottom of hill NE of restrooms (First Aid Station) Yes 2
Sledding Hills 5965 Quick Rd 119-053 Valley Fire c. 2 manholes – top of hill, between Lake Shelter and Pine Hollow Unable to locate 2010 2
Sledding Hills 5965 Quick Rd 119-053 Valley Fire d. Manhole - Pine Hollow east of parking lot, north side Yes 1
Sledding Hills 5965 Quick Rd 119-053 Valley Fire e. Line cleaning manhole - top of hill between Lake Shelter & Pine Hollow Yes 1
Stanford House - CVNPA 6093 Stanford Rd 109-066 Valley Fire Cistern, South side by driveway Yes 1
Stanford, Clayton - CVNPA 6033 Stanford Rd 109-039 Valley Fire Cistern- East side of house Yes 1
Stewart-Sager 4690 Everett Rd 114-52 Valley Fire Lift station- Duplex #2, end of drive at Riverview Rd TO NPS SUMMER of 2010 Yes 1
Szalay - Richardson 4707 Riverview Rd 114-56 Valley Fire Lift Station - Simplex #4, NW corner of Szalay House TO NPS SUMMER of 2010 Yes 1
Vaughn - ag lease 9570 Riverview Rd 106-003 Brecksville Cistern, in front of house Yes 1
VK Maintenance Yard 890, 900 Truxell Rd 119-053 Valley Fire a. Meter Vault at VK Maintenance entrance, west of drive at road Yes 1
VK Maintenance Yard Valley Fire b. Manhole – southwest of fuel tank Yes 1
VK Maintenance Yard Valley Fire c. Manhole- North side of Truxell Rd., west of VK Maintenance Yard Yes 1
Volkert - CVSR 9507 Riverview Rd 107-004 Brecksville Cistern Yes 1
Wise (Boodey, M) 1571 Boston Mills Rd 109-99 Valley Fire Cistern, NE corner of house Yes 1
Total 98
James A. Garfield NHS 8095 Mentor Avenue City of Mentor Manhole - Main House Yes 1
James A. Garfield NHS City of Mentor 2 manholes - Visitor Center Yes 2
Total 3
Fisrt Ladies NHS Bank Building City of Canton Roof Access Point Yes 1
First Ladies NHS Bank Building City of Canton Crawl Space - Boiler Room Yes 1
First Ladies NHS Bank Building City of Canton Basement - Potential Old Furnace Entrance Yes 1
First Ladies NHS Saxton House City of Canton Crawl Space - Basement Yes 2
Total 5
James A. Garfield NHS - contact Bob Harness (440) 974-9848
First Ladies NHS - contact Chris Wilkinson
| 2020-04-13T10:11:34-0400 | |
| JENNIFER VASARHELYI |
| 2020-04-15T09:15:19-0400 | |
| CHRISTOPHER WILKINSON |
| 2020-04-17T08:52:01-0400 | |
| ALLISON POWELL |
| 2020-04-17T09:15:19-0400 | |
| CRAIG KENKEL |
File details come from the government source that posted it. Updated .