Control of Hazardous Energy (Lockout/Tagout) 29 CFR 1910.147 Audit

• Location
  Address

• Prepared by

• Conducted on

  Date

Energy Control Program

• Has CATS established a Lockout/Tagout Program for securing machinery and equipment and preventing the possibility of any stored hazardous energy during periods of repair, servicing, cleaning, and any alteration that may expose employees to personal injury?

  Yes

  No

  N/A

• Are all locations requiring Lockout/Tagout identified?

  Yes

  No

  N/A

• Have general procedures for Lockout/Tagout been developed for locations that have not been identified as having a specific need for regular or frequent LOTO?

  Yes

  No

  N/A

• Are Lockout/Tagout procedures tested at least annually?

  Yes

  No

  N/A

• Are only Trained and authorized employees allowed to perform Lockout/Tagout procedures or remove locks or tags?

  Yes

  No

  N/A

Employee Training

• Has each affected employee been trained in the purpose and use of the Lockout/Tagout procedures?

  Yes

  No

  N/A

• Have authorized employees been trained in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available, and the methods and means necessary for energy isolation and control?

  Yes

  No

  N/A

• Has each employee whose work operations are or may be in an area where Lockout/Tagout procedures are to be utilized instructed about the procedure and about the prohibition relating to attempts to restart or re-energize machines or equipment that is Locked/Tagged out?

  Yes

  No

  N/A

• Are training records maintained by the Training Team containing each employee’s name, employee ID number, date of training, and the instructor's name in order to document that each employee has been trained?

  Yes

  No

  N/A

Locks and Tags

• Are locking devices strong enough to withstand all attempts to remove them without the key, heavy force, or tools?

  Yes

  No

  N/A

• Are locking devices durable enough for the environment they are used in?

  Yes

  No

  N/A

• Are locking devices used only for Lockout?

  Yes

  No

  N/A

• Are Tagout devices used only when equipment can't be locked out?

  Yes

  No

  N/A

• Are Tagout devices understood by all employees to be only a warning and not physical protection against energy release?

  Yes

  No

  N/A

• Are Tagout devices marked with bold, easy-to-read warnings?

  Yes

  No

  N/A

• Are locking devices and warning tags standardized throughout the facility?

  Yes

  No

  N/A

• Are locking devices and warning tags when used, identified with the name of the authorized employee who installs and removes them?

  Yes

  No

  N/A

Employee Interviewed / Evaluated

• Name of Employee Interviewed

• Have you received formal training in CATS' Lockout/Tagout policy?

  Yes

  No

  N/A

• Have you previously participated in locking or tagging out a machine or piece of equipment?

  Yes

  No

  N/A

• Can you tell me where you would get a lock or tag to perform Lockout/Tagout procedures?

  Yes

  No

  N/A

• Ask the employee for the physical location from which they would get a lock or tag and record their answer here.

• Do you know who is responsible for notifying all affected employees/departments and applicable contractors that Lockout/Tagout is to be implemented?

  Yes

  No

  N/A

• Ask the employee to tell you who that person is and record their answer here.

• Do you know where the written Lockout/Tagout procedures are located?

  Yes

  No

  N/A

• Ask the employee for the physical location of the written procedure and record their answer here.

• Date Completed

  Date

• Signature of Auditor

  Sign

• Signature of The First Employee Interviewed

  Sign

• Printed Name of The First Employee Interviewed

• Signature of The Second Employee Interviewed

  Sign

• Printed Name of The Second Employee Interviewed