Title Page

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Turbine Container

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Generator Container

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Lean-To Building

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Unit Specific External Area (includes PCM, Battery Room and other Out Buildings)

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Water Treatment Building and Adjacent Area

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Pump House Building and adjacent Area

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Gas Compressor Build, Ammonia Storage and Adjacent Area.

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

CBEC Yard

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

Clover Bar Landfill Gas Plant, Gensets and Field

  • Have the workers in this area signed on to the correct LOTO for their work?

  • Are the workers in this area aware of the other work that may be going on adjacent to them?

  • Are the workers in this area aware of the limits of their LOTO protection.

  • Is the set up of tooling and parts marshaling done orderly, avoiding tripping hazards and in compliance with good housekeeping standards?

  • Ask the workers in this area if they have any questions concerning the set up and the safety of their work during the shutdown?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.