KD-PTW-CS-004 · Core permits

Confined Space Entry Permit — fillable PDF

3 pages. 82 fields. Fillable in Adobe Reader, Preview, Chrome, or on a phone.

Entry into any confined space. Pairs with the Gas Test and Atmospheric Monitoring Record.

The legal basis, cited on the form

Confined Spaces Regulations 1997 reg 4(2), with ACOP L101

What it is not

It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and issue it. See why we don't say "compliant".

Format

AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.

This revision was prepared against legislation current at 2026-08-07. Revision R01.0. Check kubitdocs.com/revisions for the current revision before use.

Not yet on sale. This document is in technical review. It goes on sale only once a named, qualified reviewer has signed a Certificate of Technical Review for this revision.