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130-BPS-14-IGOT © 2024, Workplace Safety & Prevention Services (WSPS)
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SUPERVISOR
Inspections Checklist:
MATERIAL HANDLING SYSTEM LOTO INSPECTION ITEMS YES NO N/A NOTES
1 Are lockout/tagout devices being used as required?
2 Is a list of authorized/affected employees (on-shift) available?
3 Are lockout procedures being followed?
4 Are LOTO placards posted and legible?
5 Has all stored energy been blocked? Released?
6 Are workers effectively managing lock keys?
7
Is equipment being properly maintained to help reduce
potential LOTO complications?
8
Is the general area around the equipment being kept free
of debris to help reduce potential LOTO complications?
9
Are outside contractors involved in LOTO aware of and
working to company LOTO program requirements?
COMMENTS:
© 2024 Workplace Safety & Prevention Services (WSPS)
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WSPS extends no warranty to materials amended or altered by the end user. Under no circumstances is this document, or any portion
thereof, to be duplicated for purposes of sale or for external reproduction or distribution. The information contained in this reference
material is distributed as a guide only. It is generally current to the best of our knowledge as at the revision date, having been compiled
from sources believed to be reliable and to represent the best current opinion on the subject. No warranty, guarantee, or representation
is made by WSPS as to the absolute correctness or saliency of any representation contained in this reference material. WSPS assumes
no responsibility in connection therewith; nor can it be assumed that all acceptable safety measures are contained in this reference
material, or that other or additional measures may not be required in particular or exceptional conditions or circumstances.
