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TAG-OUT BILL

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE

SERIAL ISSUED (Danger/ (System COMPLETE


Components, Test D
Caution)
Reference, etc.)

Cracked or blistered
2014-001 2/15/14 Danger hose of gas range 02/17/14

2014-002 3/30/14 Danger/Out of Kitchen aid 04/02/14


order

2014-003 4/14/14 Out of Refrigerator 04/16/14


Calibration

2014-004 5/3/14 Out of 05/05/14


Calibration Air condition

Reported by: Approved by:


Maritess M. Tapitan Mrs. Joy Petrona Alngohuro
Trainer supervisor

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