Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Do employees know to capture all LOTO steps on the JSA?

  • Do employees remove keys from ignition for servicing equipment and/or when they leave the machine?

  • Do employees shut the equipment off when dismounting?

  • Is all equipment secured (saws, heavy equipment, etc.)?

  • Do employees know that sub contractors need to follow a LOTO program as stringent or more stringent than ours?

  • Are doors locked when out of line of site?

  • Do employees know how to check for pressure leaks (hydraulic, air etc.) safely?

  • Do employees place all emergency stops in the safe position when not operating?

  • Can the employees explain the hazards of heat and the need to cool machinery off prior to service?

  • Can the employee explain to you how to properly verify isolation?<br>Turn it to the off position and then test it for function before service.

  • Do employees understand what stored/potential entergy is and can they point out those entergy sources on their assigned piece of equipment?

  • Ask the employee who can remove a Do not operate tags, valve isolations, red danger tape etc?<br>Affected employees only with approval of PM

  • Do employees know where "Do not Operate tags are located"?

  • Do PM's have LOTO tags and red danger tape on their truck?

  • Can employees point out the isolation points (valves, disconnects etc.) on their respective piece of equipment?

  • Do employees know to secure valve handles with chains or similar to secure them when isolating and performing service?

  • Employee signature

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