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LOTO List

This document is a lockout/tagout (LOTO) list with information about equipment requiring isolation for work, including location, isolation point, lock/tag numbers, and sign offs.

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sathish
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463 views2 pages

LOTO List

This document is a lockout/tagout (LOTO) list with information about equipment requiring isolation for work, including location, isolation point, lock/tag numbers, and sign offs.

Uploaded by

sathish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

LOTO LIST

PTW #: Total # Of Total # Of


Locks: Tags: Page 1 of 2

Date of LOTO Verified by Date of


Sr. Equipment Isolation- Position
Location LOTO lock/Tag LOTO Remarks LOTO Remarks
No. Name/ID Point (Open/Close)
Installation No. Coordinator Removal

Sr. Equipment Location Isolation- Position Date of LOTO Verified by Remarks Date of Remarks
No. Name/ID Point (Open/Close) LOTO lock/Tag LOTO LOTO

Authorization LOTO Permit Receiver LOTO Coordinator L&T HSSE Practitioner

Name

Signature
LOTO LIST

PTW #: Total # Of Total # Of


Locks: Tags: Page 2 of 2

Installation No. Coordinator Removal

Authorization LOTO Permit Receiver LOTO Coordinator L&T HSSE Practitioner

Name

Signature

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