Lock Out and Tag Out Assurance Assessment

• Site conducted

  Select TAQA Neyveli Power Company Pvt Ltd -

  • TAQA Neyveli Power Company Pvt Ltd
  • -

• Conducted on

  Date

• Audited by

• Work Description

• Isolation performed by

• Location

• PTW No

• PTW Issued on

  Date

LOTO - Field Verification

• LOTO Tag available at the equipment

  Yes

  No

  N/A

• Energy Isolation is carried out (Electrical/ Mechanical/Any other Energy)

  Isolated

  Not Isolated

  Not Properly Isolated

• Motor Space Heater isolation is required for the permit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Space heater MCB is isolation carried out

  Select MCB switched Off and Tagged MCB switched Off and not Tagged MCB not switched Off ; but Tagged MCB Not switched Off and not Tagged

  • MCB switched Off and Tagged
  • MCB switched Off and not Tagged
  • MCB not switched Off ; but Tagged
  • MCB Not switched Off and not Tagged

• Motor EPB Condition

  Select Applied and Tagged Not Applied; But tagged Not applied and Not Tagged

  • Applied and Tagged
  • Not Applied; But tagged
  • Not applied and Not Tagged

• Valve isolations were locked with the chain

  Isolated

  Not Isolated

  Not Properly Isolated

• Drain valves Condition

  Select Open and locked condition Open and Not locked condition Closed and tagged condition Closed and Not tagged condition

  • Open and locked condition
  • Open and Not locked condition
  • Closed and tagged condition
  • Closed and Not tagged condition

• Vent Valves Condition

  Select Opened, Locked, Tagged condition Opened, Not locked and Tagged condition Closed condition; Not locked and tagged Closed condition; Locked and tagged

  • Opened, Locked, Tagged condition
  • Opened, Not locked and Tagged condition
  • Closed condition; Not locked and tagged
  • Closed condition; Locked and tagged

LOTO - Tag Details Verification

• PTW - Details recorded in Tag

  Yes

  No

  N/A

• Isolation Lock No displayed

  Yes

  No

  N/A

• If the same isolation is used for multiple permits

  Yes

  No

  N/A

• Linked, Child permit details recorded

  Yes

  No

  N/A

• Equipment KKS - recorded

  Yes

  No

  N/A

• Field Operator Name - recorded

  Yes

  No

  N/A

• Field Operator signed in the Tag

  Yes

  No

  N/A

LOTO - Detail report Verification

• LOTO Selected list meets the job requirement

  Yes

  No

  N/A

• LOTO report signed by ASCE

  Yes

  No

  N/A

• LOTO Report signed by Isolation operator

  Yes

  No

  N/A

• LOTO report captures the Master box details

  Yes

  No

  N/A

• LOTO report captures the lock details

  Yes

  No

  N/A

• Yes

  No

  N/A