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General • Inspections

LOTO - Lock Out / Tag Out Removal Form

Lock Out / Tag Out serves as a critical safety procedure to protect workers from hazardous energy sources during maintenance and repair work on machinery and equipment
PNS - Quikret
08/20/2024

LOTO - Lock Out / Tag Out Removal Form

Lock Out / Tag Out serves as a critical safety procedure to protect workers from hazardous energy sources during maintenance and repair work on machinery and equipment

    Plant Manager / Designee

    Location of Lock to be Removed

    Date

    Reason for removing Lockout/ Tagout

    Plant Manager / Designee Signature

    Click here to sign
Source: PNS - Quikret (Community Member)

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