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APPENDIX E-1 <br />Lockout/Tagout Isolation Record <br />System: Isolation Record Status Tagging Authority <br />Equipment Tag: Equipment Description: El Construction <br />El Startup <br />El Operations <br />LOTO No . DNO Tag <br />No. <br />Equipment <br />Tag No. <br />Description Equipment Pos . LOTO Placed By: Date LOTO Removed BY: Date <br />Tagging <br />Authority <br />Approval: <br />Signature Date <br />Holder List: <br />PTW <br />No. <br />Signed Onto LOTO <br />Name <br />Date / Time Signed Off LOTO <br />Name <br />Date! Time