Abstract: Employee #1 entered a 4,000 gallon kettle that contained nitrogen. He was wearing a half-mask organic vapor respirator that did not adequately protect him from the oxygen-deficient atmosphere, and he died of asphyxia. The company claimed to have a confined space entry program; however, the program was in paper form only. The fill-in-the-blank style had not been completed and designations as to entrants, attendants, or supervisors were left blank. Testing and monitoring equipment was not provided to employees to test the atmosphere before or during a confined space entry. Emergency rescue equipment was not provided for the entrant or for any other employee attempting a rescue. No permits were provided for employees, and no procedure for completing permits was in place.