| Madison Ghormley | | Program Effectiveness Audit |
| OSH 410 |
| | | Lock Out-Tag Out for Press Machine |
| | | Management |
| Number | Reference | Criteria | Pass | Fail | Score (1-5) |
| 1 | Mgt | Have all associates been trained on Lock Out-Tag Out? |
| 1.1 | Mgt | Is Lock Out-Tag Out covered in Orientation? |
| 2 | Mgt | Does employees have correct equipment? |
| | | | | | Total: |
| | | Operational |
| Number | Reference | Criteria | Pass | Fail | Score (1-5) |
| 1 | Op | Spot check 5 machines for proper Lock Out-Tag Out steps |
| 1.1 | Op | Does Employees think press machine is safe? |
| 1.2 | Op | Is Lock Out-Tag Out being adherd too? |
| 2 | Op | Are devices on press machine reliable? |
| | | | | | Total: |
| | | Status |
| Number | Reference | Criteria | Pass | Fail | Score (1-5) |
| 1 | Per | Injuries due to Lock Out-Tag Out non compliance |
| 1.1 | Per | How many hazards on the press machine |
| 1.2 | Per | How many incidents occurred on the press machine |
| 1.3 | Per | How many violations on the press machine |
| | | | | | Total: |
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example_maghormleyprogrameffectivenessaudit.xlsx
