Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Machine

  • Full LOTO posted?

  • LOTO hardware available (Correct number or locks, Group tags, LOTO devices, no extra items)

  • LOTO tracking log posted?

  • Alternative LOTO posted (Task inventory and Alternative Procedures for each task approved)?

  • Tracking log reflects Full LOTO and Approved Alternatives?

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