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Clemson University Facilities LOCKOUT/RAGOUT INSPECTION FORM: Date:Machine or Equipment Name:Location:Name of Employee performing LOT 1. ___ 2. ___ 3. ___ 4. ___Inspectors NameInspectors SignatureQUESTIONS:

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How to fill out lockout-tagout supervisor inspection form

01

Review the lockout-tagout procedures with the team.

02

Inspect each lockout device to ensure it is in good working condition.

03

Verify that all necessary equipment has been properly locked out.

04

Check that all team members are trained on lockout-tagout procedures.

05

Document all findings on the supervisor inspection form.

Who needs lockout-tagout supervisor inspection form?

01

Any supervisor responsible for overseeing lockout-tagout procedures in the workplace.

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What is lockout-tagout supervisor inspection form?

The lockout-tagout supervisor inspection form is a document used to verify that proper lockout-tagout procedures are being followed in a workplace.

Who is required to file lockout-tagout supervisor inspection form?

The lockout-tagout supervisor inspection form is typically filed by supervisors or managers responsible for overseeing lockout-tagout procedures.

How to fill out lockout-tagout supervisor inspection form?

The form should be filled out with details of the inspection, including date, time, location, equipment involved, and any issues or concerns found.

What is the purpose of lockout-tagout supervisor inspection form?

The purpose of the form is to ensure that all lockout-tagout procedures are being followed correctly to prevent accidents and injuries related to the release of hazardous energy.

What information must be reported on lockout-tagout supervisor inspection form?

Information such as date, time, location, equipment involved, any issues or concerns found, and actions taken should be reported on the form.

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