Reclassification Certificate: Permit Space to Non Permit Space

CAUTION!!! THIS IS NOT A CONFINED SPACE ENTRY PERMIT.

This form must be filled out and signed by a Confined Space Entry Supervisor or a Qualified Health and Safety Professional. Reclassification of a Permit Required Confined Space to a Non Permit Required Confined Space is valid for a single shift. The following evaluation is consistent with OSHA 29 CFR 1910.146(c)(7).

Entry Supervisor (or Health and Safety Professional) - Complete the following:

Space ID: 089005
Location: MCCONNELL HALL B04
Yes/No Method of Hazard Elimination
Is the space free of actual or potential atmospheric hazards (including, not limited to drifting vapors from tanks, pipes, or sewers)?
Considering industrial or other discharges, is this area likely to remain free of air contaminants while occupied? (Consider the potential of equipment failure, other activities happening near the space, etc.)?
Have all sources of hazards been isolated from the confined space without personnel entry? (All hazardous energy is controlled, lockout tagout procedures are in use, etc.)?

*Entry Supervisor must notify the Office of Environmental Health and Safety of the scheduled entry and reclassification prior to entry activities.

If the answer to any of the above question is "No" then the space cannot be reclassified from Permit Required Confined Space to Non Permit Required Confined Space and entry must be performed under permit conditions.

A copy of this form must remain at the entry site for the duration of the entry or shift, whichever is shorter. This reclassification is considered valid for no greater than 1 shift or 8 hours. A copy of this form must be provided to the UNH Office of Environmental Health and Safety upon completion of entry into the space. The department overseeing the entry is responsible for maintaining a copy of this form on file for a minimum of 1 year.

Name of Supervisor or Health & Safety Professional: