Isolation and Lockout audit. - duplicate elvis

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Has all equipment to be isolated identified?

  Yes

  No

  N/A

• Is Risk Assessment conducted and signed off?

  Yes

  No

  N/A

• Has a General Permit to work been issued?

  Yes

  No

  N/A

• Are adequate personal padlocks (with single key) , lock box , calipers and tags been provided?

  Yes

  No

  N/A

• Has all personnel doing the actual isolation been trained in the site isolation procedure?

  Yes

  No

  N/A

• Has the isolation officer de-energized and tested the plant / equipment for dead before any work commence?

  Yes

  No

  N/A

• Was a leak test conducted to ensure no leak from the isolation of the sources of energy?

  Yes

  No

  N/A

• Do all employees involved have own padlocks with single key?

  Yes

  No

  N/A

• Is the area or equipment to carry out the work safe to do so?

  Yes

  No

  N/A

Isolating HMEs?

• Was the isolation and lockout steps followed as per procedure requirements?

  Yes

  No

  N/A

• Is the ignition key removed , master key turned to off position and an isolation tag placed on controls and at isolation point (battery) ?

  Yes

  No

  N/A

• Has all personnel doing the actual isolation been trained in the site isolation procedures?

  Yes

  No

  N/A

• Is the work being conducted in a place in which it is safe to undertake maintenance activities?

  Yes

  No

  N/A