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Work Management System - Atmospheric Test Record (Supplement)

Permit Number:
CSE Class 1
Limits

CSE Class 2
Limits

19.5 to 23.5%

16% to 19.5%
or > 23.5%

Pre-Start
Test
Result

Result

Result

Result

Result

Result

Result

Result

Result

Result

Result

Result

Result

Result

Date
Time
Oxygen (O2)
Lower Explosive Limit (LEL)
Flammability General Work

1% of LEL (HC)

< 10% of LEL (HC)

Flammability Hot Work/Critical Work


Spark Potential

0% of LEL

0% of LEL

Total Hydrocarbon Content (THC)

< 500 ppm

< 1000 ppm (IDLH)

Hydrogen Sulphide (H2S)

< 5 ppm

< 100 ppm (IDLH)

Carbon Monoxide (CO)

< 25 ppm

< 1200 ppm (IDLH)

Benzene

< 0.5 ppm

< 500 ppm (IDLH)

Sulphur Dioxide (SO2)

< 0.5 ppm

< 100 ppm (IDLH)

Other
Authorized Gas Tester (AGT) Initials:

CSE Class 1
Limits

CSE Class 2
Limits

19.5 to 23.5%

16% to 19.5%
or > 23.5%

Date
Time
Oxygen (O2)
Lower Explosive Limit (LEL)
Flammability General Work

1% of LEL (HC)

< 10% of LEL (HC)

Flammability Hot Work/Critical Work


Spark Potential

0% of LEL

0% of LEL

Total Hydrocarbon Content (THC)

< 500 ppm

< 1000 ppm (IDLH)

Hydrogen Sulphide (H2S)

< 5 ppm

< 100 ppm (IDLH)

Carbon Monoxide (CO)

< 25 ppm

< 1200 ppm (IDLH)

Benzene

< 0.5 ppm

< 500 ppm (IDLH)

Sulphur Dioxide (SO2)

< 0.5 ppm

< 100 ppm (IDLH)

Other
Authorized Gas Tester (AGT) Initials:

Print name of the Authorized Gas Tester (AGT):


AGT Comments/Special Precautions:

Sign:

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