Lock Out Tag Out Form Sample

The authorized employee shall know the type and magnitude of energy that the machine or equipment utilizes and shall understand the hazards thereof.

Lock out tag out form sample.

Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. A sample lockout tagout procedure a good lockout tagout procedure at a minimum should contain the following elements. A loto procedure is required for all complex lotos. Osha s lockout tagout fact sheet describes the practices and procedures necessary to disable machinery or equipment to prevent hazardous energy release.

It documents the scope of work permitted under the loto. Each worker shall have the only key to the lock. 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. Osha estimates that complying with loto standards helps prevent 120 fatalities and 50 000 injuries each year.

All maintenance personnel shall be provided with a good lock. Lock out tag out procedures are to be completed before any service or maintenance work on equipment or machinery and or before entry into any grain bin or other area where operating equipment poses a hazard to the entrant. The lock shall have the individual workers name and other identification on it. 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.

It is specific both to the equipment or system and to the scope of work. Pub 3000 chapter 18 work process n addresses loto procedures.