Confined Space Reclassification Form

Instructions: A Permit-Required Confined Space may be reclassified as a non-permit confined space if:

1. The space does not contain actual or potential atmospheric hazards; and
2. All hazards may be eliminated without entry into the space.

The reclassification is valid only while the confined space remains free from hazards. If hazards arise during entry, the space must be evacuated immediately and re-evaluated for hazards.

The reclassification is valid only for the specific entry indicated below.

Location: ___________________________________________________________

Description of Space: __________________________________________________

Purpose of Entry: _____________________________________________________

Instructions: Attach all atmospheric testing data relied on in reclassifying the space as a non-permit confined space.

Additional Comments:

Certifying Employee: ___________________________________  Date: _____________________________