Grain Bin Entry Permit
No.PER-2026-07-14-001
1. General Information
| Inspection date | 7/14/2026 | Time | 8:30 AM — 9:00 AM |
| Address | 1200 Harvest Lane, Grainville, IL 62801 |
2. Object of Inspection
| Object name | Bin ID: BIN-2026-07-14-001 |
3. Safety Checks
| Lockout/Tagout Completed | ☐ | Atmospheric Testing Completed | ☐ |
| Oxygen Level | 20.9 | Combustible Gas Level | 0.0 |
| Toxic Gas Level | 0.0 | Harness Inspected | ☐ |
| Lanyard Inspected | ☐ | Rescue Plan Available | ☐ |
| Communication Established | ☐ |
4. Additional Information
| Identification was carried out | Bin ID: BIN-2026-07-14-001 |
| There are remarks | All safety checks passed, entry authorized. |
5. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | David Clark | Safety Officer | Authorized entry |
| 2 | John Adams | Entrant | Acknowledged safety conditions |