S02 - 5. Existing Confined Space Survey Report.pdf
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- 36C25225Q0170
About this file
This file is a detailed confined space survey report for the Edward Hines Jr. Veterans Affairs Hospital dated March 30, 2012, documenting 31 primary confined spaces (with additional sub-spaces numbered through HH-219) across the hospital campus. The survey catalogs confined spaces including steam pits, tunnels, water tanks, sewers, and utility vaults, providing comprehensive details about potential hazards, required PPE, safety protocols, and classification of spaces as either Permit Required, Alternate Entry Permit Required, or Non-Permit Required.
Each confined space entry includes specific information about atmospheric hazards (oxygen, LEL, carbon monoxide, hydrogen sulfide), safety issues (access, chemical, electrical, fall protection), required personal protective equipment, and special instructions for entry. Many spaces require full PPE including respirators and harnesses, with several spaces specifically designated for contractor-only entry due to hazard levels. The document serves as a thorough assessment of confined space risks and entry requirements across the Hines VA facility, with each space evaluation signed off by multiple authorities including the Safety Department, Department Manager, and Operations Manager.
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Other files
| File | Type | Posted |
|---|---|---|
| Sewer Ejector Pit Entry.doc | DOC document | |
| Sewer Manhole Entry.doc | DOC document | |
| Pits49H24CSprocedures.docx | DOCX document | |
| 36C25225Q0170 0001.docx | DOCX document | |
| S02 - WD 2015-5017 - Rev 28 - 12.23.24.pdf | ||
| S02 - 3. SOP 578-21-21-677 Confined Space Program.pdf | ||
| S02 - 2. Hines Underground Utility Plan.pdf | ||
| S02 - 1. Hines VA Campus Site Plan.pdf | ||
| S02 - 6. New Confined Spaces Not Previously Recorded.pdf | ||
| S02 - 4. Existing Confined Space Inventory.pdf | ||
| 36C25225Q0170.docx | DOCX document |
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Text version
E-1
VA Hospital Policy Memorandum 138S – 047 (R-1)
Hines, IL 60141 March 30, 2012
Attachment E
Confined Space Survey Form
Facility: Edward Hines Jr. Veterans Affairs Hospital Date:08/08/2011
Confined Space Number: HH-1
Location: Building 5 Chlorine Room
Use: Soft Water Tank
Potential Hazards Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Chlorine
Yes Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes Yes No Yes No Yes Other 2
Details for each item marked yes:
Access is single entry Toxic Chemical safety issue as chlorine residue is present.
Corrosive Chemical safety issue as chlorine residue is present.
Fall Protection is necessary due to ladder in use inside vessel.
Access is vertical
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Specifics Respirator would be N-95 as necessary
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Yes No No Comments:
Ensure Tank is drained prior to hatch opening.
Survey by/date: Michael J. Kelly, Director, START Group, 04/13/2011
Safety Dept/date: Christopher R. Beattie MPA 08/08/2011
Department Manager/date: Larry Koniecki, Boiler Plant Supervisor 08/09/2011
Operations Manager/date: Michael McCrary Chief of Maintenance and Operations 08/12/2011
E-2
Confined Space Number: HH-2
Location: Main Boiler Room
Use: Condensation Surge Tank
Potential Hazards: Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes Yes No No No Yes Other 2
Details for each item marked yes: Corrosive Chemicals includes sulfur based compounds.
Toxic chemicals may be present due to condensate return lines.
Access Is both Vertical and Horizontal
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-3
Confined Space Number: HH-3
Location: Building 5, Main Boiler Room
Type: D.A. Steam Side
Potential Hazards Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No No No No Other 2
Details for each item marked yes: Access is facilitated via platform.
Access is single entry.
Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Specifics Respirator would be N-95 as necessary
Harness connected upon entry
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: Due to depth harness is unnecessary as entry space is only 4 feet across upon opening of hatch.
E-4
Facility: Edward Hines Jr. Veterans Affairs Hospital Date:08/08/2011
Confined Space Number: HH-4
Location: Building 5, Main Boiler Room
Type: D.A. Storage Side
Potential Hazards Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No No No Yes Other 2
Details for each item marked yes: Access is single entry.
Toxic chemical safety issue due to sulfur compound injection quill.
Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes No
Specifics Respirator would be N-95 as necessary
Harness connected upon entry
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-5
Confined Space Number: HH-5 & HH-32 through
HH-35
Location: Building 5, Main Boiler Room
Type: Boilers (4)
Potential Hazards Air Quality, Isolation, Atmospheric Concerns:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No No Yes No Other 2
Details for each item marked yes:
Access is single entry.
Mechanical safety issue when dismantling boiler internal components.
Access: Horizontal
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Department Manager/date: Larry Koniecki Boiler Plant Supervisor 08/09/2011
E-6
Confined Space Number: HH-6
Location: Interior of Building 5
Type: Large Tunnel
Potential Hazards: Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
No No
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
No No Yes No Yes No Other 2
Details for each item marked yes:
Electrical safety involving lock out tag out, as needed.
Mechanical valves are to be isolated prior to entry.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No Yes No
E-7
Confined Space Number: HH-7
Location: Throughout
Type: Sump Pump & Ejector Pits
Potential Hazards: Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes No
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No No No No Other 2
Access issue due to single entry and small space.
Access is vertical
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes No
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Yes No No
Comments: Entry is generally only large enough for upper torso of staff member.
Space constraints limit the applicability of harness.
E-8
Confined Space Number: HH-8
Location: North side of Building 5, Exterior
Type: Water Vault Access
Potential Hazards: Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
No No
Safety Issues
Access Issues
Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
No No No Yes Yes No Other 2
Details for each item marked yes:
Fall protection due to ladder greater than 4 feet.
Mechanical safety due to valve isolation upon entry.
Access is vertical.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes No No
Specifics
Employee may use N-95 as necessary depending on evidence of ground water in the space.
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-9
Confined Space Number: HH-9
Location: Exterior at Generators
Type: Top / Exterior Access for Fuel / Oil Tanks (7)
Potential Hazards: None
Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
No No No No
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
No No No No No Yes Other 2
Details for each item marked yes: Toxic chemical safety concern due to waste fuel on exterior of Underground storage tank.
Access is vertical.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes No No No
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No No Yes Comments: Too Shallow less than 4 ft down.
E-10
Confined Space Number: HH-10
Location: Exterior at Generators
Type: Interior Access for Fuel / Oil Tanks (7)
Potential Hazards: Air Quality, Isolation
Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No Yes No Yes Other 2
Details for each item marked yes:
Access issue due to single entry.
Fall protection due to tanks being approximately 15 ft in depth from the lid.
Toxic chemical hazard due to fuel oil presence.
Access: Vertical
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Yes No No Comments: This entry is to be done only by a qualified contractor specializing in confined space Underground Storage Tanks, and never by Hines VA Staff.
E-11
Confined Space Number: HH-11
Location: Exterior of Building 217, Outside/ North of Courtyard
Type: Steam Pit #1
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space.
Access: Vertical
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Respirator would be full cartridge mask or N-95 depending on steam condition.
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-12
Confined Space Number: HH-12
Location: Building 217, in Courtyard
Type: Steam Pit #1A
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater then 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space.
Access: Vertical
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-13
Confined Space Number: HH-13
Location: Building 217 East side of structure
Type: Steam Pit #2
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space.
Access: Vertical
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-14
Confined Space Number: HH-14
Location: Building 217 East side of structure
Type: Steam Pit #2A
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve, as the space cannot be isolated without stopping Bldg. 217, Bldg 1 (A section)and Bldg 221.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: This site is to the west of Steam Pit #2.
E-15
Confined Space Number: HH-15
Location: Exterior Building 203
Type: Steam Pit #3
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve, as the space cannot be isolated without stopping Bldg. 215.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: Northwest of Building 203 / Pavilion
E-16
Confined Space Number: HH-16
Location: East of Bldg. 203, North of Pavilion
Type: Steam Pit 3A
Potential Hazards: Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve, as the space cannot be isolated without stopping Bldg. 215.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: This steam Pit is East of Building 203 and North of the pavilion, and west of the chlorine tanks.
E-17
Confined Space Number: HH-17
Location: North of Building 203
Use: Alkali Storage / Chlorine Storage (Out of Service)
Potential Hazards Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes Yes Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Corrosive Chemical hazard as it contains residues of both alkali material and chlorine.
This space was backfilled with stone, Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Yes No No Comments: This confined space should not be entered by Hines Staff, but entry only by a Knowledgeable trained contractor.
Survey by/date: Michael J. Kelly, Director, START Group, 04/13/2011
E-18
Confined Space Number: HH-18
Location: East of Building 48, (parking lot)
Type: Steam Pit #4
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve on pit 3, to isolate this valve, which will stop service 215, 48, 20, bldg. 37 as the space cannot be isolated without stopping service.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: This pit is located in a parking lot, North east of building 48, E-19
Confined Space Number: HH-19
Location: North Exterior of Building 37
Type: Steam Pit #5
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater then 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve on pit 3, to isolate this valve, which will stop service 215, 48, 20, bldg. 37 as the space cannot be isolated without stopping service.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-20
Confined Space Number: HH-20
Location: Exterior of Building 215
Type: Steam Pit 215
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No Yes Yes No No Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater then 6 ft
Electrical hazards require Lock out tag out.
Get the electrical lock out tag out disconnect access outside the pit for the sump, to remove the electrical hazard prior to entry into the confined space. Consider a remote Isolation valve on pit 3, to isolate this valve, which will stop service 215, 48, 20, bldg. 37 as the space cannot be isolated without stopping service.
Access: Vertical
PPE Required
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Yes No No Comments:
Survey by/date: Michael J. Kelly, Director, START Group, 04/13/2011
Safety Dept/date: Christopher R. Beattie MPA 08/08/2011
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-21
Confined Space Number: HH-21
Location: Under Hallways of Building 1
Type: Walking Tunnel East Side
Potential Hazards: Air Quality, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes No Yes Yes
No No
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1 Traffic flow
No No Yes No No No Other 2
Details for each item marked yes:
Traffic flow off shift preferred due to heavy traffic pattern of area
Electrical hazards may require lock out tag out.
Outer corridor has exposed wires where a work order is necessary.
Hard Hats
Eye Prot. Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Specifics Respirator would be full cartridge mask or N-95 depending on steam condition.
Hard hats to include bump caps.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No Yes No Comments:
Hazards to this space, include poor air quality.
Staff should anticipate wearing a N-95 mask, after proper ventilation is established.
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-22
Confined Space Number: HH-22
Location: Under Hallways of Building 1
Type: Tunnel West Side
Potential Hazards: Air Quality, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes No Yes Yes
No No
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1 Traffic flow
No No Yes No No No Other 2
Details for each item marked yes:
Traffic flow off shift preferred due to heavy traffic pattern of area.
Electrical hazards above grade may require lock out tag out prior to entry.
Outer corridor has exposed wires where a work order is necessary. (Do not cover signs to be considered)
Access: Vertical
PPE Required
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Specifics Respirator would be full cartridge mask or N-95 depending on steam condition.
Hard hats to include bump caps.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No Yes No
Hazards to this space include poor air quality.
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-23
Confined Space Number: HH-23
Location: Building 1 Interior / Exterior
Type: Tunnel east
Potential Hazards: Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes No Yes Yes
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1 Traffic flow
No No Yes No No No Other 2
Details for each item marked yes:
Traffic flow off shift preferred due to heavy traffic pattern of area
Electrical hazards may require lock out tag out.
Confined Space Signage for exterior access areas. (Get 24)
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Specifics Respirator would be full cartridge mask or N-95 depending on steam condition.
Hard hats to include bump caps.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No Yes No Comments:
Hazards to this space include poor air quality.
Staff should anticipate wearing an N-95 mask, after proper ventilation is established.
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-24
Confined Space Number: HH-24
Location: Building 200 Crawlspace
Type: Stone Space
Potential Hazards: None
Atmospheric Hazards:
Oxygen LEL
Carbon Monoxide
Hydrogen sulfide
Other
No No No No
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
No No No No No No Other 2
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Y N No No
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
Hard hats to include bump caps due to low clearance.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No No Yes
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-25
Confined Space Number: HH-25
Location: Building 200, CO17 Mechanical Room
Type: Condenser
Potential Hazards: No Entry
Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
No No No No
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes No No No
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No No Yes Comments:
This unit is too shallow to enter. This confined space should not be entered by Hines Staff, but entry only by a Knowledgeable trained contractor.
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-26
Confined Space Number: HH-26
Location: East Side of Complex, Exterior between Hines, and Loyola
Type: Elevated Water Storage Tank (in use)
Potential Hazards Air Quality, Isolation, Atmospheric
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes No No No
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No Yes Yes No Other 2
Details for each item marked yes:
Access issue as 20 ft ladder necessary for access to ladder cage.
Mechanical safety hazard as lock out tag out of pumps necessary for entry.
Fall protection issue as need for utilization of tie off points for fall mitigation.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: This confined space should not be entered by Hines Staff, but entry only by a Knowledgeable trained contractor.
Department Manager/date: Martin T. Muth Pipe Shop Supervisor 08/10/2011
E-27
Confined Space Number: HH-27
Location: Building 1, East Side, Exterior Section D
Type: Domestic Water Reservoir
Potential Hazards: Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes No No No
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No No No No Other 2
Each tank has 2 access points, however entrant is to be in air feed diver PPE.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No No Yes Yes Yes Yes Yes
Harness is to facilitated via diving suit tie off system.
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: This confined space should not be entered by Hines Staff, but entry only by a Knowledgeable trained contractor.
E-28
Confined Space Number: HH-28
Location: Throughout Exterior
Type: Water Valve Vaults
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No Yes No No Other 2
Details for each item marked yes:
Fall hazard exists as it is greater than 6 ft
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
No Yes Yes Yes Yes Yes Yes
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
Alternate Entry Permit Required (1)
Non- Permit Required (0)
No Yes No Comments: Contractor is to facilitate Alternate Entry Permit, with Pipe Shop.
Pipe shop to isolate all vaults prior to entry by contractor, consult Pipe shop prior to work.
E-29
Confined Space Number: HH-29 & HH-203 through
HH-219
Location: Throughout Exterior
Type: Storm Sewers and Storm Catch Basins
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No Yes No Yes Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater then 6 ft
Toxic hazard exists due to uncontrolled nature of weather hazard as it relates to storm water run off.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
hard hat would be a pump cap due to clearance.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: Staff are aware and trained that storm sewers are not marked as confined space, due to grate structure variation.
E-30
Confined Space Number: HH-30 & HH -48 through
HH-111
Location: Throughout Exterior
Type: Sanitary Sewers
Potential Hazards Air Quality, Isolation, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
Yes Yes
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Yes No No Yes No Yes Other 2
Details for each item marked yes:
Access is single entry
Fall hazard exists as it is greater than 6 ft
Toxic hazard exists due to uncontrolled nature of sewer gas and hazard as it relates to sanitary water runoff.
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Yes Yes Yes
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
hard hat would be a bump cap due to clearance.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
E-31
Confined Space Number: HH-31 & HH-112 through
HH-197
Location: Throughout Exterior
Type: Fiber Optic and Electric Vaults
Potential Hazards Air Quality, Atmospheric Hazards:
Oxygen LEL Carbon
Monoxide Hydrogen sulfide Other
Yes Yes Yes Yes
Engulfment Entrapment Other
No No
Safety Issues
Access Issues Corrosive Chemical
Electrical Fall
Protection Mechanical
Toxic Chemical
Other 1
Hard Hats
Eye Prot.
Gloves Boots Body Respirator Harness
Yes Yes Yes Yes Y N No No
Specifics
Respirator would be full cartridge mask or N-95 depending on steam condition.
hard hat would be a bump cap due to clearance.
Classification Permit Required (2)
Alternate Entry Permit Required (1)
Non- Permit Required (0)
Comments: Contractor is to facilitate Alternate Entry Permit, with Project Planning or Electric Shop.
File details come from the government source that posted it. Updated .