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TAG-OUT BILL

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE

SERIA ISSUED (Danger/Cautio (System COMPLETE


L n) Components, Test D
Reference, etc.)

Gas Tank Leak


001 2/15/1 Danger 02/20/14
4

002 3/30/1 Danger Range Leak 04/2/14


4

003 4/14/1 Danger Hose Leak 04/15/14


4

Reported by: Approved by:

Chrislyn O. Ilagan Sheila Gungob


Trainer Supervisor

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