Multiple Lockout Job Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

  Sonoco Birmingham

• Who are you auditing today?

• What is the employee position?

• Which machine are you auditing?

• The employee knows where and how to find the specification sheet that corresponds to the task at hand?

  Yes

  No

• The employee marks or identifies the task for which he uses the specification sheet?

  Yes

  No

  N/A

• The employee chooses a series of locks that contains a number of locks equal or superior to the required amount of locks needed?

  Yes

  No

• What is the amont of serial locks required for this multiple lockout?

• The employee asks the operator to shut the equipment down and dissipate any residual energy?

  Yes

  No

  N/A

• The employee walks to every element to lock out and affixes serial locks and hasps?

  Yes

  No

• Take photo of all affixed serial lock with a hasp

  Media

• Why the procedure have not been followed?

• The employee validates the lock out by trying to start the equipment in the presence of another qualified employee? (validation test)

  Yes

  No

• The employee and the operator jointly sign the LOTO specification sheet to attest that the validation was completed?

  Yes

  No

• Take a photo of the sign specification sheet

  Media

• The employee puts the specification sheet along with the serial lock key into the lockbox located at the LOTO station?

  Yes

  No

• Take a photo of the lockbox

  Media

• Why the procedure have not been followed?

• The departmental lock is applied at the lockbox and the proper lending ticket is filled correctly?

  Yes

  No

  N/A

• The employee affixes his personal lock on the lockbox using a hasp?

  Yes

  No

• Take a photo of the lockbox

  Media

• Why the procedure have not been followed?

  Yes

  No

  N/A

Maintenance Job Completed - Unlocking Process

• Before reenergizing equipment: the employee conducts tests and visual inspections, as necessary, to verify that all tools and employees are absent from work area?

  Yes

  No

• The employee removes personal lock from lockout box?

  Yes

  No

• Employee takes specification sheet and serial key from lockout box to remove locks in reverse order as listed on specification sheet?

  Yes

  No

• The employee reenergizes equipment?

  Yes

  No

  N/A

• The employee returns the used specification sheet into the LOTO register once the job is completed?

  Yes

  No