Safety training
Control of Hazardous Energies Standard / V3 2023-12-04
• Adequate PPE worn by all concerned person
All PPEs in good condition
•
Work area clear and demarcated
•
• Nearby workers informed of work to be performed
• Means for preventing access to unqualified persons from the work area in place Additional safety measures in place - Yes: ☐ , No: ☐ . If yes, please describe below in detail. Note Examples of situations where additional safety measures could be needed:
Lightning risk on the day
Working at heights in certain areas
Requirements for other permits such as hot work permits
Other tasks being carried
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Signature (of the Qualified Person):…………………… Time:…………………………………
Date:…………………….. TECHNICIANS PERSONAL INFORMATION (signing to do a task) Name Company
Initials
Completion of work: Do you confirm that the following elements are implemented? ☐ • All works requiring the lock out / tag out process are finished
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