Hazards in a confined space often include harmful dust or gases, asphyxiation, submersion in liquids or free-flowing granular solids (for example, grain bins), electrocution, or entrapment.
[2] Confined space accidents are of particular concern in occupational safety and health due to the hazards that they pose to the victim and subsequently to a rescue team.
[9] In the United States, entry into permit-required confined spaces must comply with regulations promulgated by the Occupational Safety and Health Administration (OSHA).
These regulations include developing a written program, issuing entry permits, assigning attendant(s), designating entrants, and ensuring a means of rescue.
[13] In many situations, certification of non-hazardous atmosphere by a trained or competent person is required before personnel may enter a confined space without the use of a respirator.
In the maritime sector an NFPA Certified Marine Chemist is required to perform testing in all confined spaces that have contained a flammable, combustible or toxic substance.
The Entry Supervisor, under OSHA regulations, is designated by the employer and ensures that the space is safe to enter and all hazards are controlled.
It states that temporary confined space barriers need to be fitted "promptly" once entrance covers are removed for access.
Accidents in confined spaces present unique challenges and are often catastrophic, such as the Xcel Energy Cabin Creek Fire in 2007.
Special equipment such as tripod hoists, harnesses, and others may be required to extricate a worker from a toxic environment, without unduly endangering rescue personnel.
In some industrial plants, Working at Height (WAH) and Confined Space (CS) rescue services are combined and delivered together.