DANGER / CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION (System DATE

SERIAL ISSUED (Danger/Caution) Components, Test COMPLETED
Reference, etc.)
SC6780 Do not use Oven
August -out of order When preheated no July 15, 2019
15, 2018 leaking of gas

SC6781 August insufficient gas Gas Range

20, 2018 July 15, 2019
TAG – OUT BILL

Prepared by: Checked by:

MA. JASETH F. SALAZAR __________________________________

Trainer Maintenance Head

Approved by:

________________________________
Head Teacher I/OIC