Information
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Audit Title
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Conducted on
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Prepared by
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Location
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Instructions
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1. Answer "Yes", "No", "N/A" for the questions below
2. Add any photos and notes by clicking on the paperclip icon
3. To create a corrective action click on the paperclip icon then "Action", provide a description, assign to a member, set priority and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
PROCESS
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The Lock Out - Tag Out process is systematically applied when working on energized equipment
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There is evidence / examples of recent LOTO
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LOTO Procedure is well understood by Managers and Supervisors
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LOTO Procedure is well understood by the crewmembers
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A list of activities subjected to LOTO is visibly posted, the personnel are aware and understand the list
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All LOTO certificates are formally authorized by the Person In Charge
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Contractors follow the LOTO procedure for services related to Saxon
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LOTO always completed with conjunction to Permit to Work
LOTO DEVICES
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LOTO equipment (board) is readily available at all times? General conditions (how many, where, etc)
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Tags are waterproof to prevent tag from deteriorating or becoming illegible due to wet conditions and weather
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Tags include legend such as Do Not Start, Do Not Open, Do Not Close, Do Not Energize, Do Not Operate
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All isolation points are able to be isolated by positive means of locking
TRAINING
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Personnel know the purpose and the use of the LOTO procedure
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Energy isolation incidents / lessons learned are commonly distributed to the rigs
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All personnel are familiar with the PTW process and LOTO supplemental checklists
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Personnel recognize all type of energy sources requiring isolation through LOTO
Other Observations
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Additional comments
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Add relevant photos
Sign-off
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Auditor
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Site Manager