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CSU, East Bay Lockout/Tagout PERIODIC INSPECTION FORM Lockout/Tagout Date Inspector?s Name Employee?s Name Job Title Location Machine or Process Involved Lockout/Tagout Procedures & Processes.

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How to fill out the Lockout Tagout Audit Form online

Filling out the Lockout Tagout Audit Form online is a critical step in ensuring workplace safety and compliance with procedures. This guide provides a clear, step-by-step process to assist users in accurately completing the form with ease.

Follow the steps to effectively complete the Lockout Tagout Audit Form.

  1. Click the ‘Get Form’ button to access the Lockout Tagout Audit Form and open it in your browser.
  2. Fill in the 'Date' field with the current date. This ensures that the audit is time-stamped for record-keeping purposes.
  3. Enter the 'Inspector’s Name' in the designated field. This identifies the individual conducting the inspection.
  4. Input the 'Employee’s Name' of the person being audited. This links the audit directly to the employee involved.
  5. Provide the 'Job Title' of the employee. This offers context regarding their role and responsibilities.
  6. Specify the 'Location' where the audit is taking place. Accurate location details facilitate inspections and follow-ups.
  7. Detail the 'Machine or Process Involved' in the audit. This should include the name or description for easy reference.
  8. In the 'Lockout/Tagout Procedures & Processes' section, list the observable steps taken or demonstrated by the employee, filling in each step clearly.
  9. Indicate whether affected employees were notified, if applicable. Documenting this is crucial for compliance and safety awareness.
  10. Follow the detailed instructions provided in the subsequent fields about preparing equipment for shutdown and isolating energy sources.
  11. Apply lockout/tagout devices as necessary, ensuring to fill this out based on procedures followed during the audit.
  12. Verify that the machine or equipment is completely de-energized, documenting the challenges, attempts, and tests performed.
  13. Record all operational controls returned to the 'neutral' or 'off' position and make notes in the inspector's comments section.
  14. Check the boxes confirming the review of Lockout/Tagout procedures, deficiencies, and employee responsibilities.
  15. Sign and date the 'Inspector’s Signature' and 'Employee’s Signature' fields to validate the audit.
  16. Once all fields are completed, review the form for accuracy before saving changes, downloading, printing, or sharing.

Begin filling out the Lockout Tagout Audit Form online to enhance workplace safety and compliance.

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Periodic inspections must be performed annually; however, energy control procedures used less than once a year need be inspected only when used.

Standard lockout/tagout process Open disconnecting device(s) for each source of power supply. Visually verify that all blades of the disconnecting devices are fully open or that circuit breakers are in the fully disconnected position.

The OSHA standard for The Control of Hazardous Energy (Lockout/Tagout), Title 29 Code of Federal Regulations (CFR) Part 1910.147, addresses the practices and procedures necessary to disable machinery or equipment, thereby preventing the release of hazardous energy while employees perform servicing and maintenance ...

The periodic inspection must be performed by an authorized employee other than the one(s) who is using the energy control procedures. This individual will be referred to as the "inspector." The inspector must be able to determine: Whether the steps in the energy control procedure are being followed.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232