Tyler Walters

LOTO

MV IN VOLTAGE: 34,500v, OUT: 900v INVERTER IN VOLTAGE: 1500vdc AUX VOLTAGE: 480v

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Information

Client / Site
Conducted on
Prepared by
Case #
Equipment
INV #

Awareness

LOTO
Photos of Locks on MV
# of Feeders inside unit being worked on
# of Locks used on LBD's
Photos of Locks on LBD Boxes
Keys stored in lockbox
Personnel
Personnel
Personnel
Personnel
Personnel

Loto Lifted

Boxes being Lifted
Time Lifted

Loto Reinstated

Boxes Reinstated
Time Reinstated
Personnel
Personnel
Personnel
Personnel
Personnel

Tyler Walters

LOTO

MV IN VOLTAGE: 34,500v, OUT: 900v INVERTER IN VOLTAGE: 1500vdc AUX VOLTAGE: 480v

Use this Template

Print as PDF

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.