Train Affected

persons
Control of Hazardous EHS57
Energy [LOTO]
D0000116280
Inspections & Periodical Review for
Audits Conitnual Improvement

Implementation [5.1]
Guide D0000210410 Implement Site specific
Procedure for LOTO

Potential
stored, residual,
re-accumulation
of energy after
shutdown Affected
[5.2]
Equipment person(s) Follow Safe
Maintain Inventory More than one
Requiring potential Work
of Equipment requiring energy source
exposure to
LOTO practice
LOTO energy
Group LOTO
Conditions

[5.3] Equipment Inventory

Complete Equipment D0000210423
Specific LOTO
Procedure

Complete
Training EHS58 Equipment Specific
[5.4] LOTO Procedure
Identify Authorized Training D0000210418
Persons
Complete
equipment
training

Isolate &
[5.5] Plan & Shutdown Verify
LOTO energy
Follow LOTO Sequence Prepare equipment lockout
sources

[5.6] Restore/
Use Standard LOTO Notify Service
start-up.
device(s) and provide
appropriate Signage

Authorized
[5.7] person is
Ensure LOTO is absent
maintained for all shift Emeregncy LOTO
changes Device Removal Form
D0000210430

Lock key is
[5.8]
missing
Ensure standard
practice for emergency
LOTO Removal

a. Site Specific LOTO Procedure. e. Inspection Checklist.

b. Equipment Specific LOTO f. Audit report(s).
Procedure. g. Improvement plan(s).
c. LOTO Equipment Inventory. h. Training record(s).
d. Emergency LOTO Device i. Incident report(s) and
Removal Form (as applicable). corrective action(s).
 Powered Industrial Truck [PIT]

Train Affected
persons
Powered Industrial
Truck [PIT]
D0000xxxx
Periodical Review for
Audits
Conitnual Improvement

Implementation Control
Guide [5.1] Preventive
Roles & Equipment Measures &
D0000xxxx Implement Site specific Responsibilities Selection Safe Work
Maintenance &
Procedure for PIT Inspections
Practices

PIT Inventory
[5.2] D0000210423
Maintain PIT Inventory

[5.3] Conduct Risk Control Measures

Identify PIT Hazards Assessment & Safe Work
Practices

[5.4] Complete Trained Operator Pre-Start

Ensure Trained & Training as per Person(s) Inspection
Authorized Persons local Authorized to D0000xxx
Operate PIT regulations operate PIT

Operator Use Equipment for

Pre-Start Operations
[5.5] Inspection
Equipment Yes
Develop & Implement Fit to work
Ongoing Program
Management Process
No Do Not use
Preventive
Equipment.
Maintenance Fix Defect.

Develop & Implement Follow Safe

Traffic Management Work
Plan practice

f. Inspection report(s)
a. Site Specific PIT Procedure
g.Audit report(s)
b. PIT - Equipment Inventory
h. Improvement plan(s)
c. Pre-Start Operator Checklist
i. Training record(s)
d. Preventive maintenance report(s)
j. Incident report(s) and corrective
e. PIT-Traffic Management Layout
action(s)

Legend: Roles | Responsibilities

Standard Owner Managers & Supervisors EHS Point of Contact

Advanced Operations /
Engineering / R&D / Affected Person(s) Authorized Person(s)
Facility Maintenance