Template Information
Use this checklist before servicing industrial equipment. record the nature of work, hazardous energy sources and the employees involved in the procedure. do a site walkthrough to ensure that the area is cleared from unnecessary tools and check if employees are trained and notified about the procedure. next check the quality and efficiency of loto devices being used. evaluate if the step-by-step procedure was followed when applying and removing loto devices. lastly, rate the overall loto process and provide recommendations.
Category: general
Template Questions
- Nature of work
- Take a photo of the equipment/machinery
- Hazardous energy sources
- Purpose of Lockout Tagout procedure
- Employees involved in the LOTO
- Area Inspection
- Employees
- Lockout/Tagout Devices
- Applying LOTO devices
- REFERENCE: Proper lockout and tagout device attached to the power source of the isolated device.[This
- Removing LOTO devices
- Recommendations
- Full name and Signature of the Inspector