Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
LOTO
-
Has the permit been fully completed and signed off.
-
Is the permit present at the work area or stored in a designated area.
-
All employees working on the system / equipment have locks applied to the LOTO.
-
LOTO performed as per asset specific LOTO procedure.
-
Are all Points LOTO'd identified on the permit.
-
Assets specific procedures were followed (if applicable).
-
LOTO has been approved by at least 2 employees.
-
Have LOTO devices been properly installed.
Pressure Safety
-
All ports are capped.
-
Pressure bleed valves are in place on the transfer panel(s).
-
Bleed valves installed on jumper elbows.
-
Pressure gauges are present with current calibration.
-
Pressure state verified prior to breaking connection(s).
-
Hoses and components appropriate for task.
-
Appropriate state of equipment identified (signage).
-
Goggles and face shields worn for breaking connections formerly pressurized with chemicals.
Material Handling
-
Transport means are appropriate for size and weight of material.
-
Appropriate number of personnel involved in material movement.
-
Employee positioning during exertion is appropriate.
-
Material is sufficiently secured to prevent movement during transport.
-
Sufficient clearance around material is maintained.
-
Mechanical means of movement available and / or in use.
-
Chemicals for material transfer into clean areas are used appropriately.
PPE
-
Safety glasses are being worn.
-
Goggles, face shield, chemical gloves, chemical aprons being worn for chemical additions / transfers.
-
PPE properly stored when not in use.
-
PPE is in good working order.
