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Lock Out and Tag Out Policy

This lockout-tagout (LOTO) procedure is a safety system used to prevent accidental or unauthorized access to electrical power sources that are undergoing maintenance or other work. With this secured process, all individuals working on the same circuit or equipment have individual locks that they secure onto a disconnect device before working on the system.
MaintainX
07/26/2022

Lock Out and Tag Out Policy

This lockout-tagout (LOTO) procedure is a safety system used to prevent accidental or unauthorized access to electrical power sources that are undergoing maintenance or other work. With this secured process, all individuals working on the same circuit or equipment have individual locks that they secure onto a disconnect device before working on the system.

    Purpose: This procedure establishes the minimum requirements for the lockout of energy isolating devices whenever maintenance or servicing is done on machines or equipment. It shall be used to ensure that the machine or equipment is stopped, isolated from all potentially hazardous energy sources and locked out before employees perform any servicing or maintenance where the unexpected energizing or start-up of the machine or equipment or release of stored energy could cause injury.

    Who: All employees are required to comply with the restrictions and limitations imposed upon them during the use of lockout. The authorized employees are required to perform the lockout in accordance with this procedure. All employees, upon observing a machine or piece of equipment which is locked out to perform servicing or maintenance shall not attempt to start, energize, or use that machine or equipment.

    RESPONSIBILITIES

    SAFETY LEADERSHIP TEAM

    SUPERVISORS

    EMPLOYEES

    SPECIFIC PROCEDURES

    PREPARATION FOR LOCKOUT AND TAGOUT

    SEQUENCE OF LOCKOUT OR TAGOUT SYSTEM PROCEDURE

    RESTORING MACHINES OR EQUIPMENT TO NORMAL OPERATIONS

    PROCEDURE INVOLVING MORE THAN ONE PERSON

    TEMPORARY REMOVAL OF LOCKOUT AND TAGOUT DEVICES

    In situations where lockout and tagout devices must be temporarily removed from the energy isolating device and the machine or equipment energized to test or position the machine, equipment or component thereof, the following sequence of actions will be followed:

    Where maintenance, repairing, cleaning, servicing, adjusting, or setting up operations cannot be accomplished with the prime mover or energy source disconnected, such operations may only be performed under the following conditions:

    MAINTENANCE REQUIRING UNDISRUPTED ENERGY SUPPLY

    Where maintenance, repairing, cleaning, servicing, adjusting, or setting up operations cannot be accomplished with the prime mover or energy source disconnected, such operations may only be performed under the following conditions:

    EMPLOYEE TRAINING

    RECORDKEEPING

    INSPECTION RECORDS

    TRAINING RECORDS

    MODEL LOCKOUT AND TAGOUT INSPECTION FORM

    Inspection date:

    Inspector:

    Employee(s):

    Machine/equipment on which the energy control procedure was being utilized:

    Does employee have or have access to adequate lock out/tag out devices?

    • Yes
    • No
    • N / A

    Has employee tested the effectiveness of his/her lock out/tag out devices?

    • Yes
    • No
    • N / A

    Has employee received lockout and tagout training in the last year?

    • Yes
    • No
    • N / A

    If this is an outside contractor, has a supervisor informed him necessity for adhering to these procedures?/her of the

    • Yes
    • No
    • N / A

    Have all procedures been followed?

    • Yes
    • No
    • N / A

    Were tagouts legible and clearly displayed?

    • Yes
    • No
    • N / A

    Comments/Observations:_

Source: MaintainX (Community Member)

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