Assured Grounding/Lockout Tagout Safety

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Name* This field is required.
First Name
Last Name
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Employee Number
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Branch* This field is required.Please select your branch
ABS
ABS/ARS New Braunfels TX
ARS Erie, KS
Augusta, GA
Castleton, ND
Cedar Rapids, IA
Clara City, MN
Clinton, IA
David City, NE
Decatur, Al
Decatur, IL
Des Moines, IA
Destrehan, LA
Fredonia, KS
Fredonia Shop, KS
Ft. Lawn, SC
Gastonia, NC
Gilman, IL
Lincoln, NE
Mankato, MN
Marshall, MN
Mexico, MO
Mitchell, SD
TFC
Urbana, IA
Valdosta, GA
West Monroe, LA
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Safety Instructor CR* This field is required.Please Select
Kris Catlin
Pat Roof
Chad Wieland
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Safety Instructor Please type the name of your safety instructor.
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Meeting Location CR* This field is required.
Dry Grind
Warehouse 2
Warehouse 4
Warehouse 9
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Meeting Location Please type where the Safety Instruction took place.
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You need to work on a conveyor and see several lockboxes with A-Lert locks. What do you do?* This field is required.
Assume the lockbox your co-worker is on is correct and put your lock on that box.
Pick the box with the most locks on it.
Stop. Each box is for a different piece of equipment. Only use the box your supervisor has verified for you to use.
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You are plugging in a cord and the outlet does not have a built in GFCI. Now what?* This field is required.
GFCI are lifesaving. Stop and get one before plugging in. These are required.
If you are using a good tool and not in a wet location the GFCI is not required.
Continue without the GFCI and keep your cords off the ground.
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You have to service a machine that is running. The machine has only one energy source. You have a lock and know how to shut the equipment off. What do you do?* This field is required.
Turn the machine off yourself. When it is at a safe state, put your lock on it, proceed to service the machine. precautions need to be considered.
Turn it off. If the on/off switch is within your control no need for the lock.
Only designated people are allowed to shutdown equipment. You may only apply your lock after proper procedures and verification by your supervisor.
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You are working with a new crew and see that your lockout lock is different than everyone else. Is this, OK?* This field is required.
Yes, as long as your name is on it and you have the key.
No, all locks used by each group must be the same to avoid confusion and mistakes.
It should be OK. There is no color requirement.
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You need to use a cord and grinder. The tools are in good shape but have no color-coded tape on them. What do you do?* This field is required.
Do not use. This equipment was not inspected quarterly. Return it to your supervisor.
Give the tools a visual inspection. If good, continue and use.
Not all tools need quarterly inspections. Do nothing.
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Initials* This field is required.Make sure to go to the next screen to submit
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PercentageTo be considered a passing score, you must achieve a 70% or better. If not, review material and try again.
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Should be Empty: