Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Do employees know to capture all LOTO steps on the JSA?
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Do employees remove keys from ignition for servicing equipment and/or when they leave the machine?
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Do employees shut the equipment off when dismounting?
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Is all equipment secured (saws, heavy equipment, etc.)?
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Do employees know that sub contractors need to follow a LOTO program as stringent or more stringent than ours?
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Are doors locked when out of line of site?
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Do employees know how to check for pressure leaks (hydraulic, air etc.) safely?
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Do employees place all emergency stops in the safe position when not operating?
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Can the employees explain the hazards of heat and the need to cool machinery off prior to service?
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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.
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Do employees understand what stored/potential entergy is and can they point out those entergy sources on their assigned piece of equipment?
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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
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Do employees know where "Do not Operate tags are located"?
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Do PM's have LOTO tags and red danger tape on their truck?
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Can employees point out the isolation points (valves, disconnects etc.) on their respective piece of equipment?
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Do employees know to secure valve handles with chains or similar to secure them when isolating and performing service?
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Employee signature