Title Page
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Location
- OV Dallas, Building 1, 3210 Innovative Way
- OV Dallas, Building 2, 3717 Executive Blvd.
- OV Dallas, Building 3, 3638 Executive Blvd
- OV Chicago
- OV Orange County
- OV New Jersey, Building 1
- OV New Jersey, Building 2
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Conducted on
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Prepared by
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Department
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Machine
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Is LOTO posted on machine?
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Where is LOTO posted?
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Is LOTO current?
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Does LOTO have signatures?
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Are LOTO devices available for the equipment?
LOTO Posting
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How many LOTO Points are listed?
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Types of Energy sources
- Electrical
- Hydraulic
- Pneumatic
- Potential Energy
- Kinetic Energy
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Are photos included of LOTO points?
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Are LOTO points marked at the source
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Are clear instructions posted how to perform LOTO?
Team Members
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How many Team Members are assigned to the machine?
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Have the Team Members been trained in LOTO?
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When was Team Member last trained?
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What classification of training have the Team Members been trained for?
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Have Team Members demonstrate knowledge of LOTO, hands on performance
Verification
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Have Team Member training been verified by documented training records?
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Comments: