ࡱ> SURM  bjbj== 0TWWlRRR8  )R)T)T)T)T)T)T)$* ,x)x))R)R)T.!.! 0nۗ 8R.!.!$)0).!K-K-.!Confined Space Equipment Inventory List Department: Location: Contact Person: Phone #: Completed By: Date: Air Monitoring Equipment (meters, calibration equipment, etc.) TypeManufacturerModel TypeSerial NumberLast Calibration Date * Ventilation Equipment (blowers and air movers) TypeManufacturerManufacturers NumberSerial NumberPower Source Entry Equipment (ladders and other equipment needed to safely enter and exit the space) TypeManufacturerModel TypeManufacturers NumberSerial Number * According to Comm 32.28(b), a sampling device which has a zero set shall be zeroed in a clean atmosphere before each sampling. Calibration of a sampling device shall be conducted as often as recommended by the manufacturer, but at least once every 6 months. Personal Protective Equipment (hard hats, gloves, safety glasses/goggles, appropriate footwear, etc.) TypeManufacturerModel TypeManufacturers NumberSerial Number Emergency Retrieval Equipment (body harnesses, tripod, winch, etc.) TypeManufacturerModel TypeManufacturers NumberSerial Number Communication Equipment (portable radios, telephones, hard wire communications, etc.) TypeManufacturerModel TypeManufacturers NumberSerial Number Other Equipment (rope, extension cords, barricades, ventilation tubing, signs, etc.) TypeManufacturerModel TypeManufacturers NumberSerial Number This form was developed by the Wisconsin Department of Administration, Bureau of Risk Management and is available on the Bureaus Internet web site. 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