cskh@atld.vn 0917267397
LOTO checklist
Nội dung Tải về
  SAFETY STANDARD
 LOCKOUT/TAGOUT (LO/TO)
 Questionnaire		 COMPLIANCE
Site    
1 Has a person been nominated as being responsible for the management overview of all plant and equipment isolations on site Yes
2 Has the nominated person sufficient information and training to enable them to manage their responsibilities competently.  Yes
3 Has a Risk assessment been carried out to identify all situations where energy isolation of plant and equipment would be required?   Yes
4 Is there a written procedure for the safe energy isolation of all plant and equipment? Yes
5 Have all relevant employees been trained and had supervised practice at implementing the safe energy isolation of the relevant plant and equipment? Yes
6 Is their a list of trained personnel kept and updated on a regular basis> No
7 Are appropriate there suitable and sufficient LOT devices (pad-locks, LOTO tool kits, valve, covers, etc.)  available. Yes
8 Is there a system and procedure to ensure that the locks of employees and others cannot be removed without a thorough search and investigation by the nominated responsible person. No
9 Has each installation been equipped with suitable and sufficient energy isolating devices so that equipment can be effectively locked out Yes
10 Have all relevant managers and supervisors been trained on the procedures and their obligations to ensure the safe energy isolation of plant and equipment. Yes
11 Has the Risk Assessment procedure identified where a Permit to Work procedure should be applied? ( where more than 3 isolation points for sources of energy) Yes
12 Do your procedures require every employee who is 'at risk' applies an individual Lockout device to each source of hazardous energy, thereby ensuring his/her personal safety.  One Lock - One Key! No
13 Have the procedures determined the type and number of safety Lockout and Tag devices required, Yes
14 Is there a procedure to ensure that all safety Lockout devices are safely stored in designated locations and condition checked on a regular basis. No
15 Do your procedures specifically require that stored or residual energy is dissipated or restrained by an approved method? Yes
16 Do your procedures require that isolation is verified by trying to start the equipment after isolation (provided it is safe to do so!) No
17 Do your procedures require that a Dynamic Risk Assessment (60 seconds to think) before work commences on isolated equipment, No
18 Does your procedure require that for any  equipment that is locked out and left unattended, there is a verification check that the locks have not been damaged or removed before work recommences Yes
19 Do your procedures require a safety check of the work area to ensure the safe removal of personnel, equipment and tools from the area before energy is restored.  Yes
20 Does your procedure require that all safety components such as interlocks and guards are fully restored to service before the energy source is reconnected. Yes
21 Does your procedure require that all affected employees are informed that the energy resources have been restored and that the equipment is ready for use. Yes
22 Is there a requirement that all contractors who work under a Lockout/Tagout system have an Authorised Status or are subject to Permit to Work requirements.  Yes
23 If Risk Assessments have identified that Production Employees will have to make frequent access of short duration to equipment during normal production without full Lo/To provision, have they received specialised training on safe working procedures that will ensure their safety.  Not Applicable
24 Is there a procedure to ensure that all temporary staff, agency staff or contractors are informed and trained where necessary on the local requirements for energy isolation?  Yes
25 Do your procedures ensure that Lo/To is continuous for shift and personnel changes No
26 Do you have a procedure for the safe removal of Lo/To devices in the event of someone accidentally leaving them in place?  No
27 Have you an audit and review procedure to ensure that all the requirements of your Plant and Equipment Isolations are effective?. Yes
Tài liệu liên quan:
Biểu mẫu: Checklist kiểm tra an toàn máy may (tham khảo)
ISO 14001:2015 Audit Checklist (VN)
Biểu mẫu: Job Safety Analysis (JSA)
Biểu mẫu: Quyết định thành lập Hội đồng ATVSLĐ cơ sở (Tham khảo)
Biểu mẫu: Biên bản họp đình kỳ của mạng lưới An toàn vệ sinh viên
  • Số CNĐKKD: 3702404496 cấp ngày 13/10/2015
    Nơi cấp: Sở KH-ĐT tỉnh Bình Dương
  • Địa chỉ: 502 Đỗ Xuân Hợp, P. Phước Bình
    TP. Thủ Đức, TP. Hồ Chí Minh
Về chúng tôi
Hỗ trợ
  • Người đại diện: Nguyễn Thị Mỹ
  • Số điện thoại: 0917267397
  • Email: cskh@atld.vn
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