• Ask coworker the most recent time a manager and/or supervisor spoke to him/her about Lockout-Tagout

  • Have all coworkers been trained on Lockout-Tagout?

  • Is training current? Review Lockout-Tagout training records/files

  • If more than one coworker, did all coworkers have a lock on equipment?

  • Name the 5 required components of Lockout-Tagout

  • Does the coworker understand the importance of Lockout Tagout?

  • Does coworker understand when it's required to lock out a machine?

  • Did the coworker follow the 7 steps for shutdown?

  • Does the coworker understand how to isolate each energy source?

  • Does coworker understand how to properly apply device and locks?

  • Does the coworker understand group lockouts? (Have them explain)

  • Did coworker properly follow Lockout-Tagout procedure?
    * Locate all energy source?
    * Close and isolate all energy?
    * Lock and test for zero energy?

  • Have the coworker explain what to do if procedure is incorrect or incomplete

  • Did the coworker follow the 5 steps for startup?

  • Is further retraining needed, or any weaknesses identified that must be addressed for this and other coworker/s?

  • Person performing audit

  • Name of Coworker

  • Department

  • Machine or equipment audit was performed

  • Add signature

  • Photo of LOTO being performed

  • Note any deficiencies and/or comments

  • The LOTO audit was conducted and results discussed with associate.

  • Signature of authorized employee

Has Coworker been trained on specific machine/equipment assigned.

  • Signature of auditor

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