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GAS Testing Form - Sample

This document contains records of atmospheric testing for various gases at an open ground or confined space location over a period of 15 tests. It lists the project details and tests the levels of pentane, oxygen, carbon monoxide, and hydrogen sulfide against acceptable limits. Any test results outside the limits are considered atmospheric hazards and are noted in the legend.

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Marvie Robles
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Download as XLSX, PDF, TXT or read online on Scribd
2K views

GAS Testing Form - Sample

This document contains records of atmospheric testing for various gases at an open ground or confined space location over a period of 15 tests. It lists the project details and tests the levels of pentane, oxygen, carbon monoxide, and hydrogen sulfide against acceptable limits. Any test results outside the limits are considered atmospheric hazards and are noted in the legend.

Uploaded by

Marvie Robles
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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YOUR COMPANY LOGO

Project : _______________________________ AT Ref # ________________


Location: _______________________________ DATE: ________________

Job Area: _______________________________


Subject: ________________________________

ATMOSPHERIC TESTING FOR OPEN GROUND AND CONFINED SPACE


TIME GAS TEST RECORD (UNITS IN PPM)
No. Date and Time TEST REMARKS & SIGNATURE
INTERVAL PENTANE Oxygen (O2) CO H2S
1 N/A
2 N/A
3 N/A
4
5
6
7
8
9
10
11
12
13
14
15

LEGENDS & NOTES:


1. PENTANE - is an organic compound with the formula C5H12 (ODOR: Gasoline-like)
Methane, Butane, Ethane and Propane
2. Oxygen (O2) - Normal Atmosphere contains 20.0 to 21 Percent Oxygen
20.8% - 21% Normal
> 19.5% Oxygen Deficient ( OSHA - 1910.104)
19.5% - 23% Acceptable
3. Carbon Monoxide (CO) - is a colorless, odorless, and tasteless gas that is slightly less dense than air.

4. Hydrogen Sulfide (H2S) -It is a colorless gas with the characteristic odor of rotten eggs.

short-term exposure limit (STEL) is the acceptable average exposure over a short period of time,
usually 15 minutes as long as the time-weighted average is not exceeded.

# ATMOSPHERIC HAZARD LOW HIGH STEL TWA

1 PENTANE (0-100% LEL) 10% LEL 20% LEL


2 Oxygen (O2) Below 19.5% Above 23%
3 CO (0-1999 PPM) 25 PPM 100 PPM 100 PPM 25 PPM
4 H2S (0-200 PPM) 10 PPM 15 PPM 15 PPM 10 PPM

Prepared/Conducted by: Reviewed and Checked by:


Certified Gas Tester Site Engineer/PM/ Inspector

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