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Inspection Form  \nFacilities Supervisors (with the help of EHS if requested) will annually conduct this inspection with their employees to ensure that the energy control procedures continue to be implemented properly, that the employees are familiar with their responsibilities, and that any deviations or procedural inadequacies that are observed are corrected.  \nDate, Building, and Location:  \nName, Title, & Signature of Inspectors (Print & Sign):  \nName of Employee(s) performing procedure:  \nInspection Checklist  \n□ Review each employee’s responsibilities under LO/TO plan & procedure being used  \n□ Observe as each employee performs LO/TO procedure  \n□ Immediately identify & correct any procedural problems with each employee  \n□ Note any LO/TO equipment needs or any deficiencies:  \n\n|  |\n| --- |\n|  |","cbCaie2O3RzBWdNZ","https://ap.wps.com/l/cbCaie2O3RzBWdNZ","pdf",138957,"English","# Date, Building, and Location\n# Inspectors (Print & Sign)\n# Employee Performing Procedure\n# Inspection Checklist","[{\"question\":\"Who conducts the annual Lockout/Tagout inspection?\",\"answer\":\"Facilities Supervisors conduct the inspection annually with employees, with help from EHS if requested.\"},{\"question\":\"What does the inspection checklist require?\",\"answer\":\"It includes reviewing employee responsibilities under the LO/TO plan, observing employees performing the LO/TO procedure, correcting procedural problems immediately, and noting equipment needs or deficiencies.\"},{\"question\":\"What information is collected on the form?\",\"answer\":\"The form records date, building, and location, inspector names/titles/signatures, and the name(s) of employee(s) performing the procedure.\"}]","RWU Lockout/Tagout Annual Inspection Form - Annual Inspection Checklist | PDF"]