Work Management System Atmospheric Test Record
Permit Number:
Test Frequency:
Area to be Tested:
Prior to work commencing:
Yes
No
Every
Yes
No
Yes
No
Hour(s):
Continuous gas testing required:
Required Tests:
O2
LEL
H 2S
CO
VOC
Benzene
SO2
CO2
Other
Calibration Date:
Detector used:
Comments/Special Precautions:
Results (Pre-Start + Work Period Tests)
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
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:
Section 3.7.1 Atmospheric Test Record
Version 1.1 April 2013