Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 4 93 of 53 8 C ON F I N ED SP A C E EN T R Y PL A N Doc u m e n t Identif icat ion F R M 030 P age Nu m b e r 1 of 1 Doc u m e n t C r e ation Dat e J a nua r y 1 2013 Im p le m e n tat ion Dat e J a nua r y 1 2013 L ist S c he duled W ork D a t e s De sc ribe pu rpose or s c op e of job P rime C ontra c tor if a pp li c a ble Na me of C ompan y C oordina ti on Doc ument a tt a c h C ontrol of C onfine d S pa c e Ha z a rds id e nti fie d in F ield L e ve l H a z a rd A sse ssm e nt Ha z a rd D e s c riptio n P lan to Eli mi na te C ontr ol Ass i g n ed R esp o n s ib le E m p lo y ee P lanning I tems a nd C onsi de ra ti ons De sc riptio n Ass i g n ed R esp o n s ib le E m p lo y ee I solation and L o c kout Entra nts C S E duti e s P re ve nti ng Una uthoriz e d Entr y Ente ring a nd Ex it ing Attenda nt Duti e s Atmos phe ric Te sti n g R e sc ue Ve nti lation and or Purg i ng L oc a ti on of Equipm e nt Othe r Author iz e d S a fe t y W a tch Attenda nts Na me Na me Na me Na me Auth or ize d E n tr an ts Wor k e r s L ist ma y be subst it uted b y C onfin e d S pa c e Moni toring a nd E ntr y Ex it L o g if h a z a rdous e nviron ment pr e se nt Na me Na me Na me Na me Ac knowle d g ments P re pa re d b y S ig n Da ted P rime C ontra c tor N a me S ig n Da ted