Lock out tag out form

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. Occupational safety and health administration regulation cfr 1910. All maintenance personnel shall be provided with a good lock. 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. 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. 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. Tagout without a lock is allowed only when machinery or equipment is incapable of being locked out. Ttool d lockouttagout procedure auditool d lockouttagout procedure audit complete form each time an energy control procedure is inspected specify equipmentprocedure audited. Lockout form a preprinted form to fill out for group loto procedure to document and communicate isolation and repair status. The loto procedure fulfills the following purposes. The lock shall have the individual workers name and other identification on it. For the lock outtag out loto program policy please click here. The top section identifies the equipment, its location, the scope of the work and the contact person.

Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. This applies only if electricity is the only form of hazardous energy to which employees may be exposed. Lock out tag out procedure template free and customisable. Its fair to say that this entire sixstep process takes its name from this step. Some lockout tagout devices fit specific equipment such as gas cylinders, ladders. Eight steps for safer lockouttagout programs safety.

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. Personal loto lock removal in the event the key to a lock is lost or misplaced, the lock may be cut by the loto. Ttool d lockouttagout procedure auditool d lockout. Tagout may be implemented only with the prior knowledge and approval of the appropriate supervisor, using the following procedures. Prior to startup of the equipment, inspect the area to ensure that all employees, contractors and any other personnel are safely positioned. A standard lockout form used for each machine or piece of equipment includes four main sections. Hazardous energy control lockouttagout program template. Supervisory personnel may authorize removal of the lock and tags once. Theyre commonly used on machinery, electrical equipment, and. 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 completed. Lockout tagout university of california, santa cruz. Lock outtag out the energy isolating devices with assigned individual locks or tags.

Ensure the following steps are taken to locktag out the machineequipment explain any deficiencies. Lock out tag out audit form equipment or circuit isolated. Lockouttagout loto products lock down equipment to keep it from being powered on down during maintenance and repair work. Lockout tagout loto kits and devices grainger industrial. Lockout tagout loto safety video why everyone needs to do. If a tag only or a control circuit was used in the isolation, was a second method. It should be expanded, personalized and tailored to your companies, places of business or worksites. Pub3000, chapter 18, work process n addresses loto procedures. Perform the locking and unlocking of each isolation point in the procedure. 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. Yes m no m was there something supplementing the tag to prevent energizing. 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.

A loto procedure is required for all complex lotos. The lockout tagout standard requires that hazardous energy sources be isolated and rendered inoperative before maintenance or servicing work can begin. Ttool d lockouttagout procedure auditool d lockouttagout procedure audit complete form each time an energy control procedure is inspected. 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. After ensuring that no personnel are exposed, and as a check on having disconnected the energy sources, operate the push button or other normal operating controls to make certain the equipment will not operate. Absent person loto lock removal form electrical safety. Lock out tag out is a way to protect yourself and others by ensuring that machines remain completely, temporarily off. Measures must be taken to disable machinery to prevent. It documents the scope of work permitted under the loto. 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. Lockout tagout procedures protect maintenance employees from injuries that could occur if machines or equipment start up or release stored energy while being serviced. The process of tagging out a system involves attaching or using an information tag or indicator usually a standardized label that includes the following information. Lock out, tag out loto, lock out, tag out, try out lototo or lock and tag is a safety.

Lockout tagout commonwealth of massachusetts informationalawareness seminar. Activating the equipment or power source before these tasks are complete puts the person maintaining or servicing it at risk. With the machine or equipment isolated from its energy source the next step of lockouttagout is to actually lock and tag out the machine. Theyre commonly used on machinery, electrical equipment, and plumbing systems to reduce the risk of injuries from unexpected startups. Lock out tag out software loto training tool field id. 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. Why the lockouttag out is required repair, maintenance, etc. This booklet presents oshas general requirements for controlling hazardous energy during service or maintenance of machines or equipment. 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. After ensuring that no personnel are exposed, and as a check on having disconnected the energy sources, operate the. Ensure the following steps are taken to lock tag out the machineequipment explain any deficiencies shutdown preparation employee familiar w procedure, equipment, energy sources. Remove all locks and tags following the lock out i tag out program instructions. It is specific both to the equipment or system and to the scope of work.

When machines or equipment are being prepared for service or maintenance, they often contain some form of hazardous energy that can cause. Was an approved meter utilized to verify a zero energy state. Remove all locks and tags following the lockout i tagout program instructions. Number, location name phone date applied released date initials. Tag out is a labelling process that is always used when lockout is required. Osha lockouttagout assessment worksheet selfexplanatory assessment worksheet from osha. Lockouttagout regulations lockouttagout, or loto, is the second most cited osha violation. It is not intended to replace or to supplement osha standards regarding the control of hazardous energy. This booklet presents oshas general requirements for controlling hazardous energy during service or maintenance. Tagout may be implemented only with the prior knowledge and approval of the appropriate.

Tagout use a tag without locks only if it is impossible to install a lock. Prior to startup of the equipment, inspect the area to ensure that all employees. Lock out tag out procedure 6 steps 6 steps for a safe loto. Safety and health topics control of hazardous energy. In the event that a loto authorized person is absent, or otherwise unavailable to remove his or her personal. Use this form to document an inspection of a written lockout or tagout procedure. A loto procedure is a formal document detailing all the steps required to establish the lockout. A well designed lockout tag the keys to a successful. Lockout tagout annual procedure inspection certification form. Loto is concerned with all forms of energy, not just electricity. Lockouttagout checklist employees who work with hazardous energy must be trained in energy control procedures, also known as lockouttagout.

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. Standard form for lockouttagout procedures bizfluent. Supervisor and employee lockouttagout annual evaluation. Lockouttagout employee verification form continued 4.

Author custom procedures to ensure every lockouttagout event is completed in the correct sequence. The authorized employee will advise the supervisor that lockout is not possible. Yes m no m was a work order put in to change the controls so they can be locked out. Lockout tagout safety program agricultural safety and health. A sample lockouttagout procedure a good lockouttagout procedure, at a minimum, should contain the following elements. 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. When production is ready, verify that equipment is operating correctly. 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. Was the meter verified prior to and after verification checks. Pub3000, chapter 18, work process o addresses special condition loto lock removal. They do not provide they physical restraint of a lock.