Information

  • Site

  • Conducted on

  • Prepared by

  • Location

PROCESS

  • The Lock Out - Tag Out process is systematically applied when working on energized equipment

  • There is evidence / examples of recent LOTO

  • LOTO Procedure is well understood by Managers and Supervisors

  • LOTO Procedure is well understood by the Site Team

  • A list of activities subjected to LOTO is visibly posted, the personnel are aware and understand the list

  • All LOTO certificates are formally authorized by the Person In Charge

  • Contractors follow the LOTO procedure for services rendered on site.

  • LOTO is always completed before and referenced when Work is performed.

LOTO DEVICES

  • LOTO equipment (board) is readily available at all times?

  • Tags are waterproof to prevent tag from deteriorating or becoming illegible due to wet conditions and weather

  • Tags include legend such as Do Not Start, Do Not Open, Do Not Close, Do Not Energize, Do Not Operate

  • All isolation points are able to be isolated by positive means of locking

TRAINING

  • Personnel know the purpose and the use of the LOTO procedure

  • Energy isolation incidents / lessons learned are reviewed

  • All personnel are familiar with the LOTO supplemental checklists

  • Personnel recognize all type of energy sources requiring isolation through LOTO

Auditor Observations

  • undefined

  • undefined

Sign-off

  • Auditor

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