APPENDIX A: CONFINED SPACES
   CLASS A:
   Immediately dangerous to life. Rescue procedures require the entry of more than one individually fully equipped with life support equipment. Maintenance of communication requires an additional stand-by person stationed within the confined space.
   Parameters:
   Oxygen      16% or less
            25% or greater
   Flammability   20% or greater LFL*
   Toxicity      IDLH**
   CLASS B:
Dangerous but not immediately life threatening. Rescue procedures require the entry of no more
than one individual fully equipped with life support equipment. Indirect visual or auditory communication.
   EXHIBIT A
   Parameters:
   Oxygen      16.1 to 19.4%
            21.5 to 25%
   Flammability   10-19% of LFL*
   Toxicity      Greater than contamination level referenced in 29 CFR 1910 subpart Z but less than IDLH**
   CLASS C:
   Potential hazard. Requires no modifications of work procedures. Standard rescue procedures.
   Direct communication with workers from outside the confined space.
   Parameters:
   Oxygen      19.5 to 21.4%
   Flammability      10% of LFL* or less
   Toxicity      Less than contamination referenced in 29 CFR 1910 subpart 2
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*LFL = Lower flammable limit
**IDLH = Immediately dangerous to life or health
CONFINED SPACE ENTRY PROCEDURES
   1.   If manhole on street, erect traffic safety equipment.
   2.   If space contains electrical equipment, shut off and lock out all equipment.
   3.   Test confined space for O2 deficiency, combustible and toxic elements. If atmosphere is normal, proceed with items 4, 5, 6.
   If gases or O2 deficiency is found, perform 4, 7, 8.
   _________________________________________________________
   4.    If sediments or organic decomposing materials exist in confined space, hose or flush out.
   5.    If atmosphere tests to be normal, entry can made if individual wears safety harness and rope attended by two individuals outside confined space with self-contained breathing apparatus readily available.
   6.   Individuals outside confined space continuously monitor atmosphere and provide ventilation.
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   7.   If O2 deficiency or gases are found, ventilate atmosphere with pure air supply until atmosphere checks to be normal (fifteen to twenty minutes).
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   8.   Individual can then enter confined space wearing safety harness, with ventilation continuing and if attended by two individuals outside space, with self-contained breathing apparatus readily available, continuously monitoring confined space atmosphere.
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   9.   If confined space contains combustible or toxic gases and/or is O2 deficient and ventilation is not possible, THE SPACE SHOULD NOT BE ENTERED, except under dire emergency (to save life). Then enter only if using a self-contained breathing apparatus and exercising extreme caution to avoid ignition of flammable gases.
CONFINED SPACE ENTRY RECORD CARD
   JOB DESCRIPTION: ____________________________________
   _______________________________________________________
   LOCATION: _____________   DATE: ___________
   EMPLOYEES ASSIGNED: ________________________
   HAVE THE FOLLOWING PRECAUTIONS BEEN TAKEN?
   ( )   YES   ( )   NO   Has necessary traffic safety equipment been set up?
   ( )   YES   ( )   NO   Has all electrical equipment been locked out?
   ( )   YES   ( )   NO   Was area cleaned of sediment or deposition?
   ( )   YES   ( )   NO   Was purging or ventilation required or used?
   ( )   YES   ( )   NO   Were lifelines and harness worn by those entering?
   ( )   YES   ( )   NO   Was rescue equipment tested and operable?
   SAMPLING EQUIPMENT USED:
   TYPE      SERIAL    # DATE BY   CALIBRATED WHOM
   _____      _____      _______   ____________________
   _____      _____      _______   ____________________
   _____      _____      _______   ____________________
   TESTS CONDUCTED    Time      TIME RESULTS    TIME RESULTS
   O2 Deficiency         _____      ______________   _____________
   Combustibility         _____      ______________   _____________
   Toxicity             _____      ______________   _____________
   LIST SAFETY EQUIPMENT USED:
   ________________________________________________________________
   ________________________________________________________________
   ________________________________________________________________
   ________________      _________________
   Foreman               Superintendent
   I HAVE RECEIVED A COPY OF THE CITY CONFINED SPACE ENTRY POLICY AND PROCEDURE. I HAVE READ AND UNDERSTAND THE POLICY.
   ________________________   ____________
         (Employee’s Name)         PRINT DATE
         _________________________   _____________
         (Employee’s Signature)      PRINT DATE