Lock Out Tag Out Form Sample

5 2 sequence of lockout or tagout system procedure notify affected employees that a lock out or tag out system is going to be utilized and the reason.

Lock out tag out form sample.

Pub 3000 chapter 18 work process n addresses loto procedures. Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. It documents the scope of work permitted under the loto. It is specific both to the equipment or system and to the scope of work.

A loto procedure is required for all complex lotos. Each worker shall have the only key to the lock. Osha estimates that complying with loto standards helps prevent 120 fatalities and 50 000 injuries each year. A sample lockout tagout procedure a good lockout tagout procedure at a minimum should contain the following elements.

All maintenance personnel shall be provided with a good lock. The lock shall have the individual workers name and other identification on it. Following osha lock out tag out procedure standards by using a procedures template and safety checklist will help ensure that all dangerous machinery and equipment are properly shut off locked out and tagged before performing maintenance checks. The authorized employee shall know the type and magnitude of energy that the machine or equipment utilizes and shall understand the hazards thereof.

A loto procedure is a formal document detailing all the steps required to establish the lockout. The osha standard for the control of hazardous energy lockout tagout 29 cfr 1910 147 for general industry outlines measures for controlling different types of hazardous energy.