LOTO Training Record — LEO-LOTO-002
Topics covered (Program Section 10)
☐ Purpose and use of the LEO LOTO program
☐ Recognizing hazardous energy — electrical, hydraulic, pneumatic, mechanical, gravity, thermal, stored
☐ Energy at LEO sites: conveyors, presses, IMM/HPU hydraulics, pneumatics, panels to 480 V
☐ Isolation and control; releasing stored energy (accumulators, trapped air, gravity, springs)
☐ Verifying zero energy (try-start, test instruments)
☐ Hands-on demonstration of the 10-step LEO LOTO procedure
☐ Group lockout with hasp; shift/personnel change continuity
☐ Restoring to service; never remove another worker's lock; emergency lock removal
☐ Tagout limits — never tags alone on electrical sources
☐ Coordinating with client-site LOTO programs (the more protective applies)
Employee certification
I certify that I have received training on the LEO Industrial Services Lockout/Tagout Program, LEO-LOTO-002. I understand its purpose and scope, how to recognize hazardous energy, the methods for isolating and controlling energy, and the step-by-step LOTO procedure. I understand that failing to follow LOTO can result in severe injury or death and may result in immediate removal from work.
| Employee | Type (Initial / Refresher / Retraining) | Date | Hands-on demo (Y/N) | Signature | Instructor |
|---|---|---|---|---|---|
| Neil Inabnitt | Neil Inabnitt | ||||
| Dalton Inabnitt | Neil Inabnitt | ||||
| James Morgan | Neil Inabnitt | ||||
| Adrian Roberts | Neil Inabnitt | ||||
| Albert Dunaway | Neil Inabnitt | ||||
| Sheldon Rish | Neil Inabnitt | ||||
| Dustin Inabnitt | Neil Inabnitt | ||||
| Andrew Azbill | Neil Inabnitt | ||||
Instructor certification
I certify the employees above received the training indicated and demonstrated the LOTO procedure.
Instructor: Neil Inabnitt, Owner / Director of Safety Signature: ____________________ Date: __________
Retrain when the annual review finds a deficiency; when job assignments, machines or energy control procedures change; or when knowledge appears inadequate.