Standard 11 - Practical Isolation

• Audit Title

• Client / Site

• Conducted on

  Date

• Trainee Name

• Trainee Anglo I.D No.

• Assessor's Name

• Assessor's Anglo I.D No.

PRACTICAL ISOLATION

SLAM completed before commencement of the task.

• Tap to enter information

  Yes

  No

• Copy of trainee SLAM

  Media

Step 1 - Identify the appropriate isolation point s

• Using the SLAM process, identify any additional plant, equipment or parts that could create a hazard.

  Yes

  No

• Walk around to identify all energy sources and confirm their isolation points. (Battery & Starter)

  Yes

  No

Step 2 - Isolate and secure energy sources.

• Isolate and secure energy sources.

  Yes

  No

Step 3 - Apply locks and tags

• Complete details on DANGER TAG.

  Yes

  No

• Place your personal lock and tag on the appropriate isolation point.

  Yes

  No

• Photo showing filled out tag

  Media

Step 4 - Test Isolation (test for dead)

• Verify that the isolation is effective, by attempting to start the equipment.

  Yes

  No

• What is another way to confirm the isolation?

  Yes

  No

Step 5 - Commence work

• Monitor work area for any new or introduced, and re-assess isolation requirements if new hazards are identified. (Turn power switch)

  Yes

  No

Step 6 - Restore energy

• Complete area walk around to ensure that equipment is safe to energise

  Yes

  No

• Remove lock and tag associated with work being done (destroys tag)

  Yes

  No

• Communicate your intention to restore energy.

  Yes

  No

Answer the following question

• How would you tag out if more than one person needs to work on a vehicle?

  A. Get a complex isolator.

  B. Use a black lock

  C. Use a scissor hasp, multi locking device.

  D. Don't tag out

  E. See your supervisor

• Trainee Signature

  Sign

• Assessor's signature

  Sign