TAG-OUT BILL
DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS
LOG DATE TYPE DESCRIPTION DATE
SERIAL ISSUED (Danger/ (System COMPLETE
Components, Test D
Caution)
Reference, etc.)
Cracked or blistered
2014-001 2/15/14 Danger hose of gas range 02/17/14
2014-002 3/30/14 Danger/Out of Kitchen aid 04/02/14
order
2014-003 4/14/14 Out of Refrigerator 04/16/14
Calibration
2014-004 5/3/14 Out of 05/05/14
Calibration Air condition
Reported by: Approved by:
Maritess M. Tapitan Mrs. Joy Petrona Alngohuro
Trainer supervisor