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LEO INDUSTRIAL SERVICES LLC · Goshen, OH · service@leoindustrialservices.com
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.

EmployeeType (Initial / Refresher / Retraining)DateHands-on demo (Y/N)SignatureInstructor
Neil InabnittNeil Inabnitt
Dalton InabnittNeil Inabnitt
James MorganNeil Inabnitt
Adrian RobertsNeil Inabnitt
Albert DunawayNeil Inabnitt
Sheldon RishNeil Inabnitt
Dustin InabnittNeil Inabnitt
Andrew AzbillNeil 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.