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    Manual Hse: Designación de Responsabilidades de LOTOTO

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    Danielito Aedo Quiroz
    This document designates responsibilities for lockout/tagout (LOTO) procedures on a construction project. It lists the site manager, pre-operations manager, LOTO administrators and their represented companies. Primary authorized employees and system authorized employees are also listed along with the systems or equipment they are authorized for. The form is signed by the primary authorized employee and maintained by the LOTO administrator in the project's active LOTO logbook.

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    Manual Hse: Designación de Responsabilidades de LOTOTO

    Uploaded by

    Danielito Aedo Quiroz
    13 views4 pages
    This document designates responsibilities for lockout/tagout (LOTO) procedures on a construction project. It lists the site manager, pre-operations manager, LOTO administrators and their represented companies. Primary authorized employees and system authorized employees are also listed along with the systems or equipment they are authorized for. The form is signed by the primary authorized employee and maintained by the LOTO administrator in the project's active LOTO logbook.

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    Original Title

    2.21_Anexo5

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    This document designates responsibilities for lockout/tagout (LOTO) procedures on a construction project. It lists the site manager, pre-operations manager, LOTO administrators and their represented companies. Primary authorized employees and system authorized employees are also listed along with the systems or equipment they are authorized for. The form is signed by the primary authorized employee and maintained by the LOTO administrator in the project's active LOTO logbook.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    13 views4 pages

    Manual Hse: Designación de Responsabilidades de LOTOTO

    Uploaded by

    Danielito Aedo Quiroz
    This document designates responsibilities for lockout/tagout (LOTO) procedures on a construction project. It lists the site manager, pre-operations manager, LOTO administrators and their represented companies. Primary authorized employees and system authorized employees are also listed along with the systems or equipment they are authorized for. The form is signed by the primary authorized employee and maintained by the LOTO administrator in the project's active LOTO logbook.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 4

    MANUAL HSE

    Anexo 5
    Seguridad, Salud Ocupacional Procedimiento HSE 2.21
    y Medio Ambiente Revisión B, Agosto 2012
    Pagina 1 de 4

    Designación de Responsabilidades de LOTOTO

    Designation of LOTO Responsibilities Attachment EHS-004E

    Project Name / Location: : CVPUE / Arequipa Project Number: A6CV

    Site Manager Representing Company: Shift

    Pre-operations Manager: Representing Company: Shift

    LOTO Administrator: Representing Company: Shift

    LOTO Administrator: Representing Company: Place Locks Systems/Equipment Shift

    Y  N 

    Y  N 

    Y  N 

    Primary Authorized Employee / Site/Construction Manager / Pre-operations Manager

    I certify that the designated LOTO Administrator(s) possesses the specific equipment knowledge to place locks and tags on the system(s) listed above without
    direct supervision from a Primary Authorized Employee.

    Sign: Date:

    Comments or Additions:

    Lock Description

    Company Name (and discipline) Color of Lock

    Note: Primary, System, and Authorized Employee listings are located on pages 2, 3 and 4.

    This form is maintained by the LOTO Administrator in the Active LOTO logbook.

    /CONVERSION/TMP/ACTIVITY_TASK_SCRATCH/572777228.DOC
    MANUAL HSE
    Anexo 5
    Seguridad, Salud Ocupacional Procedimiento HSE 2.21
    y Medio Ambiente Revisión B, Agosto 2012
    Pagina 2 de 4

    Designación de Responsabilidades de LOTOTO

    Designation of LOTO Responsibilities Attachment EHS-004E

    Project Name / Location: : CVPUE / Arequipa Project Number: A6CV

    Primary Authorized Employee Representing Company: Systems/Equipment Shift

    Comments or Additions:

    This form is maintained by the LOTO Administrator in the Active LOTO logbook.

    /CONVERSION/TMP/ACTIVITY_TASK_SCRATCH/572777228.DOC
    MANUAL HSE
    Anexo 5
    Seguridad, Salud Ocupacional Procedimiento HSE 2.21
    y Medio Ambiente Revisión B, Agosto 2012
    Pagina 3 de 4

    Designación de Responsabilidades de LOTOTO

    Designation of LOTO Responsibilities Attachment EHS-004E

    Project Name / Location: : CVPUE / Arequipa Project Number: A6CV

    System Authorized Employee Representing Company: Systems/Equipment Shift

    Comments or Additions:

    This form is maintained by the LOTO Administrator in the Active LOTO logbook.

    /CONVERSION/TMP/ACTIVITY_TASK_SCRATCH/572777228.DOC
    MANUAL HSE
    Anexo 5
    Seguridad, Salud Ocupacional Procedimiento HSE 2.21
    y Medio Ambiente Revisión B, Agosto 2012
    Pagina 4 de 4

    Designación de Responsabilidades de LOTOTO

    Designation of LOTO Responsibilities Attachment EHS-004E

    Project Name / Location: : CVPUE / Arequipa Project Number: A6CV

    Authorized Employee Representing Company: Systems/Equipment Shift

    Comments or Additions:

    This form is maintained by the LOTO Administrator in the Active LOTO logbook.

    /CONVERSION/TMP/ACTIVITY_TASK_SCRATCH/572777228.DOC

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