Internal Hazardous Energy Control (LOTO) Program Audit

• Site conducted

  Sebree

  Hawesville

  Mount Holly

• Conducted on

  Date

• Prepared by

1.0 Training Program (Safety / Training Department)

• Does the site have a written Lock out tag out / Hazardous energy containment program?

  Yes

  No

  N/A

• Does the site have an Authorized person training?

  Yes

  No

  N/A

• Does the site have an awareness level training for New hires?

  Yes

  No

  N/A

• Are contractors trained on current plant policies regarding Lock out - Tag out?

  Yes

  No

  N/A

• Does the site training program contain basic knowledge for how to recognize applicable energy sources? 1910.147(c)(7)(i)(A)

  Yes

  No

  N/A

• Does the site training contain detailed information on all facility Lock out - tag out procedures?

  Yes

  No

  N/A

• Does the site training program contain basic procedures for removing a forgotten lock? 1910.147(e)(3)

  Yes

  No

  N/A

• Does the site train authorized employees to the limitation of tags if a tag system is used? 1910.147(c)(7)(ii)

  Yes

  No

  N/A

• Does the site have retraining requirements? 1910.147(c)(7)(iii)

  Yes

  No

  N/A

• Does the site have a written procedure for jogging a machine? 1910.147(f)(1)

  Yes

  No

  N/A

• Does the site have an observation program in which all new LOTO authorized employees are observed?

  Yes

  No

  N/A

2.0 Lock Out Tag Out Program (Safety / Maintenance)

• Does the site have established procedures for each required machine to be locked out? 1910.147(c)(4)(i)

  Yes

  No

  N/A

• Does the site have LOTO devices available to employees for the application of locking out a machine?

  Yes

  No

  N/A

• Does the site have a Tag system that may be utilized in the event a machine is not capable of being locked out? If no machines exist mark N/A. 1910.147(c)(2)(i)

  Yes

  No

  N/A

• Sites with tag systems have demonstrated that equivalent safety will be achieved as using a lock-out system? 1910.147(c)(3)(ii)

  Yes

  No

  N/A

• Where full de-energization is not practical, has the site demonstrated other means to provide full employee protection? 1910.147(c)(3)(ii)

  Yes

  No

  N/A

• Do Lock out tag out procedures clearly outline scope, purpose, authorization, rules and techniques to be utilized? 1910.147(c)(4)(ii)

  Yes

  No

  N/A

• Does the employer conduct periodic inspections at least annually? 1910.147(c)(6)

  Yes

  No

  N/A

3.0 Equipment Specifications / Safety Devices (Visual Inspection)

• Are lock-out devices used for the sole purpose of controlling hazardous energy? 1910.147(c)(5)(ii)

  Yes

  No

  N/A

• Are lock out devices durable and not deteriorated? 1910.147(c)(5)(ii)(A)

  Yes

  No

  N/A

• Are all locks standardized across plant site? 1910.147(c)(5)(ii)(B)

  Yes

  No

  N/A

• Are all tag out devices substantial enough to prevent accidental removal?

  Yes

  No

  N/A

• Are all tag out devices non-reusable and attached by zip or cable ties. 1910.147(c)(5)(ii)(C)(2)

  Yes

  No

  N/A

• Do tag out devices have warning label on them with identifiable labeling?

  Yes

  No

  N/A

4.0 Employee Knowledge (Employee Questions)

• Does the authorized employee properly utilize lock and tag devices?

  Yes

  No

  N/A

• Does the employee place a tag and lock on the energy isolating device?

  Yes

  No

  N/A

• Does the employee verify that the isolation and de-energization have been achieved? 1910.147(d)(6)

  Yes

  No

  N/A

• Each employee removes their device in accordance to plant policy?

  Yes

  No

  N/A

• Do Authorized employees understand all their responsibilities as it pertains to Locking out a machine?

  Yes

  No

  N/A

• Do employees recognize the dangers if a machine is not locked out properly and all procedures are not followed?

  Yes

  No

  N/A

5.0 Documentation and Retention (Engineering / Maintenance / Safety)

• Are training documents retained for the period of employment plus 3 years?

  Yes

  No

  N/A

• Have all retraining documents been maintained containing employees name and date of training? 1910.147(c)(7)(iv)

  Yes

  No

  N/A

• Have all annual inspections been retained for authorized employees?

  Yes

  No

  N/A