That crank has had it. It has come loose at some point and has rounded off ever so slightly so that it it will always , no matter how tight you do the bolt up, it will always come loose again.
You can easily get a replacement left crank of the same size, ie. 170/172.5/175, the size should be on the rear of the crank.
You may get an exact model, but something very similar would do.
Your local bike shop could provide one from it's parts bin, or there is always the Bay of E. As long as it is a Square taper crank.