The Confined Space Certificate Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable options.
Confined Space Certificate Template UK Editable – PrintableSample
Confined Space Certificate Template UK 1. Certificate Information 2. Client Information 3. Service Provider Information 4. Work Activity Details 5. Confined Space Hazards 6. Safety Measures and Procedures 7. Emergency Procedures 8. Training and Competency 9. Declaration of Compliance 10. Signatures
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WORD
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[Name of the Client]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Site Address]
This certificate verifies that [Name of the Company/Provider] has completed necessary safety assessments and training for work in confined spaces at the above-mentioned location.
1. Site Risk Assessment conducted on [Assessment Date].
2. Description of identified hazards: [List hazards such as oxygen deficiency, toxic gases, etc.].
3. Control measures implemented: [Detail control measures, e.g., ventilation, monitoring equipment].
The following training sessions were conducted:
1. Confined Space Entry Training on [Training Date].
2. Emergency Response Training on [Emergency Response Date].
This certificate confirms that all personnel involved in the confined space work have successfully completed the requisite training and assessments and are qualified to perform tasks safely in confined environments.
This certificate is valid until [Expiration Date] and must be reviewed annually or when changes occur in site conditions.
[Signature of the Safety Officer]
[Name of the Safety Officer]
[Position]
[Name of the Company/Provider]
[Name of the Employee/Contractor]
[Employee’s ID]
[Employee’s Position]
[Specific Location within the Site]
To certify that the individual named above has successfully completed all necessary training and evaluations for safe entry and work in confined spaces as per UK regulations.
1. Confined Space Awareness Training on [Training Date].
2. Emergency Procedures and Rescue Techniques on [Training Date].
The individual has been issued the following PPE for use in confined space conditions: [List PPE such as harness, breathing apparatus, gas detectors, etc.].
Regular monitoring and safety checks will be conducted by [Name of the Company/Provider] throughout the duration of the project to ensure compliance and safety standards are maintained.
[Signature of the Supervisor]
[Name of the Supervisor]
[Position]
[Name of the Company/Provider]
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