OCRI-Hazardous Energy Control (ENG)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an initial assessment of the workplace to identify tasks, machinery and equipment in which the energization of release energy could result in injury to workers been carried out?

  Yes

  No

  N/A

• 3. Have documented procedures for the control hazardous energy for each applicable piece of equipment been implemented?

  Yes

  No

  N/A

• 4. Is there a permit program to control work on line-breaking and work on chemical process systems and for which there is no specific hazardous energy control procedure?

  Yes

  No

  N/A

• 5. Is there an effective lock out process developed and implemented as per requirements?

  Yes

  No

  N/A

• 6. Is there an effective tag out process developed and implemented as per the requirements?

  Yes

  No

  N/A

• 7. In the absence of the possibility to lock out, is the tag out system managed correctly according to the requirements?

  Yes

  No

  N/A

• 8. Is re-energization of the machine or equipment managed in a manner that protects all personnel from injury (following completion of the task)?

  Yes

  No

  N/A

• 9. Are all precautions taken for removal of another person's lock and tag when the individuals is not on site (NOTE: it is not permissible to remove another person's lock while that person is still on site)?

  Yes

  No

  N/A

• 10. Are the energy isolation devices, including locks and tags durable and suited for their intended use?

  Yes

  No

  N/A

• 11. Are affected personnel whose work operations are/may be in an area where energy control procedures apply adequately trained with regard to hazardous energy control?

  Yes

  No

  N/A

Recommendation & Evaluation

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