AGREEMENT between BROWARD COUNTY and Cummings ...

Exhibit 2
Page 199 of 379
LOCK-OUT DOCUMENTATION
Contractor Number:
Location:
Contractor’s Authorized Employee:
Date:
Machine/Equipment Utilized:
Employees/Contractors Included In Lock-out Procedure:
Energy Source(s) Identified:
Precautions Taken:
Authorized Employee:
Shift Change Lock-out Status:
Signature
Date:
Adequate
N I *
Adequate
N I *
Adequate
N I *
Adequate
N I *
Adequate
N I *
Adequate
N I *
Correction Date Authorized Person
Correction Date Authorized Person
Correction Date Authorized Person
Correction Date Authorized Person
Correction Date Authorized Person
Correction Date Authorized Person
M