Lock out tag out form

Activating the equipment or power source before these tasks are complete puts the person maintaining or servicing it at risk. Supervisory personnel may authorize removal of the lock and tags once. Lock out tag out also known as lock and tag or loto is a procedure which companies and people working in the industries use to ensure dangerous machines and equipment are properly shut off, isolated, and not able to start up again prior to the completion of work which can be maintenance, research or any other form of work. The lock out tag out agreement shall notify all trade personnel working on site of the electrical system becoming energized, and what method of safety is being employed. A well designed lockout tag the keys to a successful. Tagout without a lock is allowed only when machinery or equipment is incapable of being locked out. Lock out, tag out loto, lock out, tag out, try out lototo or lock and tag is a safety. Was the meter verified prior to and after verification checks. Ttool d lockouttagout procedure auditool d lockout. Its fair to say that this entire sixstep process takes its name from this step. Author custom procedures to ensure every lockouttagout event is completed in the correct sequence.

The lockout tagout standard requires that hazardous energy sources be isolated and rendered inoperative before maintenance or servicing work can begin. Pub3000, chapter 18, work process n addresses loto procedures. Lock outtag out the energy isolating devices with assigned individual locks or tags. Tagout may be implemented only with the prior knowledge and approval of the appropriate supervisor, using the following procedures. Tag out is a labelling process that is always used when lockout is required. A loto procedure is a formal document detailing all the steps required to establish the lockout. Use this form to document an inspection of a written lockout or tagout procedure. Pub3000, chapter 18, work process o addresses special condition loto lock removal. All maintenance personnel shall be provided with a good lock. Lockout tagout loto kits and devices grainger industrial. They do not provide they physical restraint of a lock.

Personal loto lock removal in the event the key to a lock is lost or misplaced, the lock may be cut by the loto. Measures must be taken to disable machinery to prevent. Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. Lock outtag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or. In the event that a loto authorized person is absent, or otherwise unavailable to remove his or her personal. When production is ready, verify that equipment is operating correctly. Osha lockouttagout assessment worksheet selfexplanatory assessment worksheet from osha. Lock out, tag out loto, lock out, tag out, try out lototo or lock and tag is a safety procedure used in industry and research settings to ensure that dangerous machines are properly shut off and not able to be started up again prior to the completion of maintenance or repair work. Ttool d lockouttagout procedure auditool d lockouttagout procedure audit complete form each time an energy control procedure is inspected. Safety and health topics control of hazardous energy. This booklet presents oshas general requirements for controlling hazardous energy during service or maintenance.

This applies only if electricity is the only form of hazardous energy to which employees may be exposed. This booklet presents oshas general requirements for controlling hazardous energy during service or maintenance of machines or equipment. Lock out tag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or other area where operating equipment poses a hazard to the entrant. Measures must be taken to disable machinery to prevent the release of hazardous energy during maintenance procedures. A sample lockouttagout procedure a good lockouttagout procedure, at a minimum, should contain the following elements. Standard form for lockouttagout procedures bizfluent. The top section identifies the equipment, its location, the scope of the work and the contact person. It is specific both to the equipment or system and to the scope of work. Lock out tag out procedure template free and customisable. Theyre commonly used on machinery, electrical equipment, and plumbing systems to reduce the risk of injuries from unexpected startups. The lock outtag out agreement shall notify all trade personnel working on site of the electrical system becoming energized, and what method of safety is being employed. Lockout is defined in the canadian standard csa z460 control of hazardous energy lockout and other methods as the. Procedure ends, exit procedure, file form for future reference.

Lockouttagout checklist employees who work with hazardous energy must be trained in energy control procedures, also known as lockouttagout. Ttool d lockouttagout procedure auditool d lockouttagout procedure audit complete form each time an energy control procedure is inspected specify equipmentprocedure audited. Lockout tagout loto is a safety procedure that ensures that dangerous machinery and energy sources are properly shut off and are not started up unexpectedly while maintenance or service work is being. Lockout tagout safety program agricultural safety and health. Lock out tag out software loto training tool field id. Prior to startup of the equipment, inspect the area to ensure that all employees. It documents the scope of work permitted under the loto. The authorized employee will advise the supervisor that lockout is not possible. With the machine or equipment isolated from its energy source the next step of lockouttagout is to actually lock and tag out the machine. Lockouttagout regulations lockouttagout, or loto, is the second most cited osha violation.

Lockout tagout procedures protect maintenance employees from injuries that could occur if machines or equipment start up or release stored energy while being serviced. Prior to startup of the equipment, inspect the area to ensure that all employees, contractors and any other personnel are safely positioned. Lock out tag out also known as lock and tag or loto is a procedure which companies and people working in the industries use to ensure dangerous machines and equipment are properly shut off. Number, location name phone date applied released date initials. Personal loto lock removal in the event the key to a lock is lost or misplaced, the lock may be cut by the loto authorized person after obtaining verbal permission from the person in charge of the loto. Lock out tag out loto procedure are the steps taken in the workplace by different industries to help keep machines and equipment from unintentionally. Absent person loto lock removal form electrical safety. Trade personnel shall acknowledge the receipt of the lock out tag out agreement form by signing a copy of the form which will be kept in the construction office, or other.

Ensure the following steps are taken to lock tag out the machineequipment explain any deficiencies shutdown preparation employee familiar w procedure, equipment, energy sources. Lockouttagout fact sheet employees need to be trained to ensure that they know, understand, and follow the applicable provisions of the hazardous energy control procedure. For the lock outtag out loto program policy please click here. Lockouttagout employee verification form continued 4. Lockout tagout this requires, in part, that a designated individual turns off and isolates the equipment from its energy sources before performing service or maintenance. Was an approved meter utilized to verify a zero energy state. Perform the locking and unlocking of each isolation point in the procedure.

Yes m no m was there something supplementing the tag to prevent energizing. Some lockout tagout devices fit specific equipment such as gas cylinders, ladders. Employees authorized to perform lockout shall be certain as to which switch, valve, or other energy isolating devices apply to the equipment being locked out. Supervisor and employee lockouttagout annual evaluation form. The second section indicates what types of energy, such as steam, electricity, moving parts or compressed air, that the lockout tagout controls. Hazardous energy control lockouttagout program template. Remove all locks and tags following the lock out i tag out program instructions. When machines or equipment are being prepared for service or maintenance, they often contain some form of hazardous energy that can cause. Lock out tag out procedure 6 steps 6 steps for a safe loto. Why the lockouttag out is required repair, maintenance, etc. If a tag only or a control circuit was used in the isolation, was a second method. Lockout tagout annual procedure inspection certification form.

The lock shall have the individual workers name and other identification on it. It is not intended to replace or to supplement osha standards regarding the control of hazardous energy. Ensure the following steps are taken to locktag out the machineequipment explain any deficiencies. Supervisor and employee lockouttagout annual evaluation. Lockouttagout loto procedure template electrical safety. Lock out tag out audit form equipment or circuit isolated. Theyre commonly used on machinery, electrical equipment, and. Lockout tagout commonwealth of massachusetts informationalawareness seminar. Lockouttagout loto products lock down equipment to keep it from being powered on down during maintenance and repair work. Lock out tag out is a way to protect yourself and others by ensuring that machines remain completely, temporarily off.

Loto is concerned with all forms of energy, not just electricity. Lockout tagout loto safety video why everyone needs to do. Lock outtag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or other area where operating equipment poses a. It should be expanded, personalized and tailored to your companies, places of business or worksites. Without a lock out tag out system there is the possibility that a machine will unexpectedly start up, either because of stored energy which was not correctly released or through the actions of someone starting the process. Lockout tagout university of california, santa cruz. A standard lockout form used for each machine or piece of equipment includes four main sections. Tagout may be implemented only with the prior knowledge and approval of the appropriate. Yes m no m was a work order put in to change the controls so they can be locked out. Occupational safety and health administration regulation cfr 1910.