Template For Control Of Hazardous Energy Procedure (Lockout/tagout) Page 16

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ATTACHMENT E
Periodic Review Templates
Lockout - Tagout (LOTO) Annual Inspection
Authorized Employees Observed
NAME
Location/Machine Observed
Deficiencies Observed & Corrective Actions:
Inspected By__________________________
Date____________
Page 2 of 2
April 2015
Page 2 of 2

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