Behavior observation to ensure correct isolation of equipment prior to performing a task inside machine guarding.
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Title Page
Name of Observer
Name of employee observed
Line
Date
Start Time
Observation
Written procedure reviewed prior to starting LOTO?
Equipment was stopped by its normal stopping procedure?
All energy sources locked out using the procedure?
The machine was cycled or tested to ensure stored energy was no longer present before going past guarding?
Feedback type
Comments
Comments
Observation End time
Behavioral Safety Observation
Behavior observation to ensure correct isolation of equipment prior to performing a task inside machine guarding.
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