Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
4.1 General Energy Control
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4.2 Site specific procedures include provision for type of energy sources to be isolated, control required for the activity, communication, group lockout and authorization of personnel
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4.3 Site specific procedures include provision for one or more shift changeovers
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4.4 Isolation is achieved by the use of locking devices, physical barriers or separation
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4.5 Personal locks are uniquely keyed (i.e. are not a combination lock)
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4.6 Personal locks don’t have a master key
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4.7 Each personal lock has only one key kept under the sole control of the lock owner
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4.8 There is a compliant Lock Removal Process in place.
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4.9 Isolation points are clearly labelled to identify the circuit or system they directly control
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4.10 Lockout boxes and stations are available where required
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4.11 All designated isolation points fitted with personal locking devices are tagged.
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4.12 The tagging system includes the name and picture of the worker
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4.13 Reason for isolation as well as date and time is clearly identified on the tag
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4.14 Tags are highly visible to prevent inadvertent operation.
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4.15 Zero energy state (ZES) is achieved (and tested) prior to commencing the required repair or maintenance activity unless involved in commissioning and troubleshooting
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4.16 If live electrical work is being performed, the requirements of CSA Z462 or equivalent are followed
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4.17 Multiple levels of sign off (at least two) are obtained where a zero energy state, a test/try of isolation, or use of a locking device is not possible.
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4.1 Site specific procedures (including roles and responsibilities) have been developed, documented, and implemented for the control of hazardous energy
Commissioning and Start Up
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4.18 There is a commissioning manager and start-up plan with clear responsibilities and actions including commissioning safety requirements
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4.19 The commissioning and start-up plan defines division of responsibility between construction, commissioning personnel, and the client
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4.20 There is clear communication between construction, commissioning and the client to ensure lockout program is effective
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4.21 Daily coordination meetings are conducted to ensure affected personnel are aware of commissioning activities and their associated hazards
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4.22 Decommissioned systems are identified by signage marked "DECOMMISSIONED" at all points of isolation and on the main system components.
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4.23 Deficiencies on the project punch list and handover documents are managed following the project deficiency management procedure and the handover process
Corrective Actions
Audit Review
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Operations Review
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HSE Review
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Supervisor Review
