SIGN DESIGN & FABRICATION, INC. Machinery Tag-Out Program Inspection Form
This form will be used when inspecting the Tag-Out/ Lock Out Procedure Inspector’s Name _______________________________ Date __________________ MACHINERY / EQUIPMENT INSPECTED COMMENTS
I hereby certify that I have inspected the Lock Out/Tag-Out procedure for the above listed equipment, have interviewed operators of such equipment and determined that compliance with SIGN DESIGN & FABRICATION, INC. Lock Out/Tag-Out procedure is satisfactory.
Inspectors Signature Date