NEW Cooperative - Fertilizer & Chemical Areas

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Liquid Fertilizer & Chemical Areas

2.0 Dry Fertilizer Storage Areas

3.0 Lockout Tagout Safety Program

• 3.1 LOTO / Initial and annual training documented for LOTO program?

  Yes

  No

  N/A

• 3.2

  Yes

  No

  N/A

• 3.3

  Yes

  No

  N/A

• 3.4

  Yes

  No

  N/A

• 3.5

  Yes

  No

  N/A

• 3.6

  Yes

  No

  N/A