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SUPERVISOR & EMPLOYEE LOCKOUT/RAGOUT ANNUAL EVALUATION FORM Supervisors Name Employees name Signature Evaluation Date / / Equipment or system being worked on: Process being evaluated: Work Order #
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How to fill out supervisor employee lockouttagout annual
How to fill out supervisor employee lockouttagout annual:
01
Start by collecting all necessary information such as the supervisor's name, employee details, and lockout/tagout procedures.
02
Review the previous year's lockout/tagout records and make any necessary updates or corrections.
03
Provide a detailed description of the lockout/tagout procedures followed by the employees under the supervisor's supervision.
04
Ensure that all employees have received the required training on lockout/tagout procedures and update the records accordingly.
05
Document any incidents or near misses related to lockout/tagout procedures that occurred during the year.
06
Sign and date the form to indicate that it has been completed and reviewed.
Who needs supervisor employee lockouttagout annual:
01
Companies that utilize lockout/tagout procedures in their operations.
02
Supervisors responsible for overseeing employees who perform lockout/tagout procedures.
03
Employees involved in maintenance or servicing activities that require lockout/tagout procedures.
04
Regulatory bodies and auditors may also require documentation of the supervisor employee lockouttagout annual form.
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