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SPA LOTO & Machine Guarding QUALIFICATION STEP UP CARD

Plant BIC Equipment: s


Qualifier Ali Abbas Date:
5 Suitable to be a SPA
4 Has substantial Experience - Can Teach and Coach Others
3 Theoretical Training and Practical Experience - Can do Alone
Nadeeshan 2 Basic Knowledge - Can do it with Help
1 Do Not Know - Cannot Do it

Activity Key qualification Points Weight Rate Score Comments

1.Is the SPA team member attended the LOTO & MG training and qualified
2 5 4%
Develop training and
technical capabilities
2.Is he be able to train the others on LOTO & MG safety procedures 5 5 10%

1.Is he capable to find out the abnormalities associated with LOTO & MG 4 5 8%

Prepare Equipment Logs


2.Is he capable to perfom PM and AM activities related to LOTO & MG on his
area
5 5 10%

1.Is he capable to perform the risk assessemnt for each point related to LOTO &
MG
5 4 8%

2.Is he able to identify the critical safety devices in all equipments on MG 5 5 10%

Evaluate Equipment
3. All components related LOTO and MG have been labled in both Machine and
safety map / LOTO Map.
2 4 3%

4. is SPA member able to inspect all guards and interlocks are working well 2 5 4%

1.Is he capable to perform proper & high quality RISK Assessment 5 5 10%

Risk assessment 2.Is he capable to perform to actions closers comes from RA evaluation 5 5 10%

3. Is he Capable to make right BOS/OPL related to LOTO & MG. 2 5 4%

1. Is he capable to lead the RCA for any NM/FA/LTI related to LOTO & MG 2 5 4%

Understanding the 2 5
2. is SPA member knows about LOTO exception procedure 4%
conditions / Action plan

3. is he capable to explain LOTO requirements for the different activities and


equipment
4 4 6%

Final Score 96%

QUALIFIED : YES / NO

QUALIFIER SIGN

* Note: SPA is qualified if he exceeds 80% of grade in this qualification sheet


SPA LOTO & Machine Guarding QUALIFICATION STEP UP CARD

Plant BIC Equipment: Utility


Qualifier Ali Abbas Date:
5 Suitable to be a SPA
4 Has substantial Experience - Can Teach and Coach Others
3 Theoretical Training and Practical Experience - Can do Alone
Ananad 2 Basic Knowledge - Can do it with Help
1 Do Not Know - Cannot Do it

Activity Key qualification Points Weight Rate Score Comments

1.Is the SPA team member attended the LOTO & MG training and qualified
2 4 3%
Develop training and
technical capabilities
2.Is he be able to train the others on LOTO & MG safety procedures 5 3 6%

1.Is he capable to find out the abnormalities associated with LOTO & MG 4 4 6%

Prepare Equipment Logs


2.Is he capable to perfom PM and AM activities related to LOTO & MG on his
area
5 5 10%

1.Is he capable to perform the risk assessemnt for each point related to LOTO &
MG
5 3 6%

2.Is he able to identify the critical safety devices in all equipments on MG 5 4 8%

Evaluate Equipment
3. All components related LOTO and MG have been labled in both Machine and
safety map / LOTO Map.
2 4 3%

4. is SPA member able to inspect all guards and interlocks are working well 2 5 4%

1.Is he capable to perform proper & high quality RISK Assessment 5 4 8%

Risk assessment 2.Is he capable to perform to actions closers comes from RA evaluation 5 4 8%

3. Is he Capable to make right BOS/OPL related to LOTO & MG. 2 5 4%

1. Is he capable to lead the RCA for any NM/FA/LTI related to LOTO & MG 2 4 3%

Understanding the 2 5
2. is SPA member knows about LOTO exception procedure 4%
conditions / Action plan

3. is he capable to explain LOTO requirements for the different activities and


equipment
4 5 8%

Final Score 82%

QUALIFIED : YES / NO

QUALIFIER SIGN

* Note: SPA is qualified if he exceeds 80% of grade in this qualification sheet


SPA LOTO & Machine Guarding QUALIFICATION STEP UP CARD

Plant BIC Equipment: Tang


Qualifier Ali Abbas Date:
5 Suitable to be a SPA
4 Has substantial Experience - Can Teach and Coach Others
3 Theoretical Training and Practical Experience - Can do Alone
Ajit Vangare 2 Basic Knowledge - Can do it with Help
1 Do Not Know - Cannot Do it

Activity Key qualification Points Weight Rate Score Comments

1.Is the SPA team member attended the LOTO & MG training and qualified
2 5 4%
Develop training and
technical capabilities
2.Is he be able to train the others on LOTO & MG safety procedures 5 5 10%

1.Is he capable to find out the abnormalities associated with LOTO & MG 4 5 8%

Prepare Equipment Logs


2.Is he capable to perfom PM and AM activities related to LOTO & MG on his
area
5 5 10%

1.Is he capable to perform the risk assessemnt for each point related to LOTO &
MG
5 5 10%

2.Is he able to identify the critical safety devices in all equipments on MG 5 5 10%

Evaluate Equipment
3. All components related LOTO and MG have been labled in both Machine and
safety map / LOTO Map.
2 5 4%

4. is SPA member able to inspect all guards and interlocks are working well 2 5 4%

1.Is he capable to perform proper & high quality RISK Assessment 5 5 10%

Risk assessment 2.Is he capable to perform to actions closers comes from RA evaluation 5 5 10%

3. Is he Capable to make right BOS/OPL related to LOTO & MG. 2 5 4%

1. Is he capable to lead the RCA for any NM/FA/LTI related to LOTO & MG 2 4 3%

Understanding the 2 5
2. is SPA member knows about LOTO exception procedure 4%
conditions / Action plan

3. is he capable to explain LOTO requirements for the different activities and


equipment
4 4 6%

Final Score 98%

QUALIFIED : YES / NO

QUALIFIER SIGN

* Note: SPA is qualified if he exceeds 80% of grade in this qualification sheet


SPA LOTO & Machine Guarding QUALIFICATION STEP UP CARD

Plant BIC Equipment: Biscuit Packing


Qualifier Ali Abbas Date:
5 Suitable to be a SPA
4 Has substantial Experience - Can Teach and Coach Others
3 Theoretical Training and Practical Experience - Can do Alone
Kannan 2 Basic Knowledge - Can do it with Help
1 Do Not Know - Cannot Do it

Activity Key qualification Points Weight Rate Score Comments

1.Is the SPA team member attended the LOTO & MG training and qualified
2 5 4%
Develop training and
technical capabilities
2.Is he be able to train the others on LOTO & MG safety procedures 5 4 8%

1.Is he capable to find out the abnormalities associated with LOTO & MG 4 5 8%

Prepare Equipment Logs


2.Is he capable to perfom PM and AM activities related to LOTO & MG on his
area
5 5 10%

1.Is he capable to perform the risk assessemnt for each point related to LOTO &
MG
5 4 8%

2.Is he able to identify the critical safety devices in all equipments on MG 5 5 10%

Evaluate Equipment
3. All components related LOTO and MG have been labled in both Machine and
safety map / LOTO Map.
2 4 3%

4. is SPA member able to inspect all guards and interlocks are working well 2 5 4%

1.Is he capable to perform proper & high quality RISK Assessment 5 3 6%

Risk assessment 2.Is he capable to perform to actions closers comes from RA evaluation 5 5 10%

3. Is he Capable to make right BOS/OPL related to LOTO & MG. 2 5 4%

1. Is he capable to lead the RCA for any NM/FA/LTI related to LOTO & MG 2 3 2%

Understanding the 2 5
2. is SPA member knows about LOTO exception procedure 4%
conditions / Action plan

3. is he capable to explain LOTO requirements for the different activities and


equipment
4 4 6%

Final Score 88%

QUALIFIED : YES / NO

QUALIFIER SIGN

* Note: SPA is qualified if he exceeds 80% of grade in this qualification sheet


SPA LOTO & Machine Guarding QUALIFICATION STEP UP CARD

Plant BIC Equipment: warehouse Packing


Qualifier Ali Abbas Date:
5 Suitable to be a SPA
4 Has substantial Experience - Can Teach and Coach Others
3 Theoretical Training and Practical Experience - Can do Alone
Faisal 2 Basic Knowledge - Can do it with Help
1 Do Not Know - Cannot Do it

Activity Key qualification Points Weight Rate Score Comments

1.Is the SPA team member attended the LOTO & MG training and qualified
2 5 4%
Develop training and
technical capabilities
2.Is he be able to train the others on LOTO & MG safety procedures 5 5 10%

1.Is he capable to find out the abnormalities associated with LOTO & MG 4 5 8%

Prepare Equipment Logs


2.Is he capable to perfom PM and AM activities related to LOTO & MG on his
area
5 4 8%

1.Is he capable to perform the risk assessemnt for each point related to LOTO &
MG
5 4 8%

2.Is he able to identify the critical safety devices in all equipments on MG 5 5 10%

Evaluate Equipment
3. All components related LOTO and MG have been labled in both Machine and
safety map / LOTO Map.
2 4 3%

4. is SPA member able to inspect all guards and interlocks are working well 2 5 4%

1.Is he capable to perform proper & high quality RISK Assessment 5 4 8%

Risk assessment 2.Is he capable to perform to actions closers comes from RA evaluation 5 4 8%

3. Is he Capable to make right BOS/OPL related to LOTO & MG. 2 5 4%

1. Is he capable to lead the RCA for any NM/FA/LTI related to LOTO & MG 2 4 3%

Understanding the 2 3
2. is SPA member knows about LOTO exception procedure 2%
conditions / Action plan

3. is he capable to explain LOTO requirements for the different activities and


equipment
4 4 6%

Final Score 87%

QUALIFIED : YES / NO

QUALIFIER SIGN

* Note: SPA is qualified if he exceeds 80% of grade in this qualification sheet

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