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General • Inspections

Equipment Specific LOTO Procedure

This procedure establishes the minimum annual inspection 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.
MaintainX
07/26/2022

Equipment Specific LOTO Procedure

This procedure establishes the minimum annual inspection 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.

    Building or Location:

    Intended Use:

    Manufacturer and Equipment Name:

    Asset Number(s)/Equipment ID(s):

    Required Device:

    Permit(s) Required

    Hazardous Energy Identification

    Shutdown Overview

    Shutdown Procedure

    Energy Source(s)

    Control Method and Location(s)

    Required Devices

    Verification Method and Location(s)

    Picture(s) (optional

    Final step

    IF THE SYSTEM CANNOT BE LOCKED OUT OR IF SYSTEM FAILS VERIFICATION, CONTACT YOUR SUPERVISOR.

    Startup Procedure

    Final step

    Version History and Approvals

    Date:

    Name and Position:

    Status: (Created/Approved/Annual Review*)

    *Procedure must be annually reviewed

Source: MaintainX (Community Member)

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