Information

  • Site conducted

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Program

  • Has the employer established a LOTO program?

Definitions

  • Does the procedure define the following items?1910.147(b)<br> 1. Affected employees<br> 2. Authorized employees<br> 3. Energized<br> 4. Capable of being locked out<br> 5. Energy isolating device<br> 6. Energy source<br> 7. Lockout<br> 8. Lockout device<br> 9. Tagout<br> 10. Tagout device

Content

  • Does the program contain energy control procedures or methods to determine energy control periods? 1910.147(c)(1)

  • Does the program contain employee training requirements for authorized and affected individuals? 1910.147(c)(1)

  • Does the program contain periodic inspection requirements? 1910.147(c)(1)

  • Does the procedure identify methods to be used when an energy isolating device cannot be used? 1910.147(c)(2)(i)

  • Does the program identify pracatuions and limitiations of using tagout only? 1910.147(c)(2)(ii)

  • Does the program identify LOTO design criteria for new equipment? 1910.147(c)(2)(iii)

  • Does the program contain the following sections? 1910.147(c)(4)(ii)<br> 1. Scope of the program<br> 2. Purpose of the program<br> 3. Authorization<br> 4. Rules and techniques for LOTO<br> 5. A specific statement for the use of the procedure<br> 6. Specific procedural steps for shutting down, isolating, blocking and securing machines or equipment to control hazardous energy<br> 7. Specific procedural steps for the placement, removal and transfer of lockout devices or tagout devices and the responsibility for them<br> 8. Specific requirements for verifying the effectiveness of lockout devices, tagout devices, and other energy controlling measures<br>

  • Are materials provided by the employer for use as LOTO devices? 1910.147(c)(5)(i)

Equipment

  • Do LOTO devices meet the following criteria? 1910.147(c)(5)(ii)

  • Do LOTO devices meet the following criteria? 1910.147(c)(5)(ii)<br> 1. Singularly identified<br> 2. Used on on LOTO<br> 3. Durable<br> 4. Capable of withstanding the environment<br> 5. Capable of becoming wet without deterioration<br> 6. Capable of withstanding acidic or basic environments where acids or bases are stored<br> 7. Standardized - Same color, design, shape, etc. Must meet one criteria<br> 8. Substantial/Heavy Duty<br> 9. Identifiable<br> 10. Provide a warning to employees

Inspections

  • Does the employer conduct a periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of this standard are being followed? 1910.147(c)(6)(i)(A)

  • Does the employer conduct a periodic inspection that includes a review of each authorized employee's responsibilities under the program? 1910.147(c)(6)(i)(C)

  • Does the employer conduct a periodic inspection that includes the identification of the machine, the date of the inspection, the employees included in the inspection, and the person performing the inspection? 1910.147(c)(6)(ii)

Training

  • Does the employer provide training to authorized and affected employees? 1910.147(c)(7)(i)

  • Does the employer provide training that includes the understanding of the knowledge and skills required for safe use of LOTO? 1910.147(c)(7)(i)

  • Does the employer provide training that includes recognition of hazardous energy sources, types and magnitude of energy available in the workplace, and the methods of isolation? 1910.147(c)(7)(i)(A)

  • Does the employer provide training to affected individuals that includes the purpose and use of energy control procedures? 1910.147(c)(7)(i)(b)

  • Where tagout systems are used, does the employer provide training to the limitations of tagout only? 1910.147(c)(7)(ii)

  • Does the employer address address LOTO retraining and the conditions that retraining is required? 1910.147(c)(7)(iii)(A)

  • Does the employer track LOTO training including employees name and dates of training? 1910.147(c)(7)(iv)

LOTO Steps

  • Is lockout or tagout performed only by the authorized employee who is performing the maintenance? 1910.147(c)(8)

  • Do authorized employees follow the step-by-step process for LOTO? 1910.147(d)<br> 1. Application of control<br> 2. Preparation for shutdown<br> 3. Machine shutdown<br> 4. Machine isolation<br> 5. LOTO application<br> 6. Release of stored energy<br> 7. Verification of isolation<br> 8. Completion of maintenance<br> 9. Release from LOTO<br> 10. LOTO device removal

  • Does the program provide guidance for the testing or repositioning of machinery during LOTO? 1910.147(f)(1)

  • Does the program provide instructions for interactions with contractors? 1910.147(f)(2)

  • Does the program provide guidance for group LOTO? 1910.147(f)(3)

  • Does the program provide devices for group LOTO? 1910.147(f)(3)

  • Does the program provide instructions for shift change? 1910.147(f)(4)

Audit Score

  • 90 - 100 Excellent: 1 or 2 minor deficiencies only

  • 80 - 90 Average: No major, more than 2 minor deficiencies

  • 70 - 80 Poor: Any major deficiency

  • < 70 Fail: More than 2 major deficiencies

  • Audit Score

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.