EMA3 Weekly RMEM LOTO Calibration Audit (Version 1)

• Conducted on

  Date

• Sequence 10 : Audit conducted by (login)

• Location

  Select

• Sequence 20: Write the code of the asset that AA(s) audited are working on in the NOTE field

• Sequence 30: Associate(s) being audited with valid Training&Demonstration within 12 months?

  Good

  Poor

• Sequence 40: Write in THE NOTE FIELD the date of last demostration performed

  Date

• Create a FWO

• Sequence 50: Is a LOTO placard available AND is it accurate? (If Good add picture and location in notes.)

  Good

  Poor

• Create a FWO

• Sequence 70: Ask the AA to list the energy sources of the Asset. All identified?

  Good

  Poor

• Sequence 80: List Energy sources missed by AA

• Create a FWO

undefined

• Sequence 90: Has the AA considered any stored energy (gravity, Pneumatic, Hydraulic, etc)?

  Good

  Poor

• Create a FWO

• Sequence 100: Write the LOTO Step the AA is performing. If LOTO already completed write "Done"

  Select

• Take a picture of LOTO applied or if "Done" the completed LOTO form.

• Sequence 110: Ask AA to describe steps taken (or will take) to apply LOTO. Is answer correct?

  Good

  Poor

• Sequence 120: If not, write in the NOTE FIELD which steps the AA has missed (see instructions)

• Create a FWO

• Sequence 130: If more than 1 AA performing task, has Group LOTO being applied?

  Good

  Poor

• Create a FWO

• Sequence 140: Have all Poor Answers in past week LOTO audits have generated a FWO

  Good

  Poor

• Go back and create FWO for all Poor answers.

  Good

  Poor