This form is to be filled out as a permit for confined space work. When active hazards are present in a confined space, the space must be designated as a permit-required confined space and safety protocols must be implemented. This form is to be filled out by a competent person trained in confined space safety. For more information and resources on Confined Space Safety see our free Confined Space toolbox topics and safety checklists: Confined Space Safety Toolbox Talk , Air Monitoring for Confined Space