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Lockout Tagout ( LOTO) <br /> Log Each LOTO Procedure: <br /> LOTO Log Sheets can be obtained by your Supervisor or Safety department. Blank copies of the logs are <br /> also found on the PH site under Forms - Safety. <br /> 1,111TV11,11 VIM LOTO Log Sheet/Hoja de LOTO <br /> Documentation Instruct!ons/Instruccian es de Documento: <br /> 1 Document the timethat the equipmentwas lucked out and when lockwasremoved./Documente la hors en clue el equipo estuvo <br /> Submita I I completed hloqueado y`°quip se nt bei el t o locked 2 DocumeM the equipment being lucked out/Documente el equipo clue est561oqueado. <br /> 3 Document the reason forthe LOTO and record lock number/operator name./Documente el motnio de el LOTOY registre <br /> logs t o the safety el name-to 6luqueo/nomhre de el d,el . <br /> 4 Supervisor to sign off/ohtener firma de el supervisor_ <br /> 5 Use the bottom space to record any additional comments/Use el espacio inferior pare registrar cualquier comentario adicional_ <br /> department each Facility/Instalaci6n: Department/Departamentu: ShffVrumo: 1 2 3 <br /> I nstalled/Instalad° fte moved/Retlradv <br /> month. Type of work Being Completed on won{if <br /> Associate Name/Nvmb-de Date/Fecha Date/Fecha <br /> Equip mentfEquipo Mechine/Tipo de Trahaj°clue se este psuciada MM/DD/YY TimefHora MM/DD/YY TimefHors applicable/si <br /> Reali-ndu en la Wquina aplic.l <br /> Additional Comments. <br /> Manager/Supervisor Sign OH/Firma de Cerente/Supervisor: Rerai°n Date:02/21/2023 <br />