Get the free Lockout Tagout Procedure Creation Form - sjsu

This document is designed for creating lockout/tagout procedures for equipment maintenance, ensuring safety during servicing by identifying isolation devices and verification test methods.

How to fill out lockout tagout procedure creation

How to fill out Lockout Tagout Procedure Creation Form

1. Identify the equipment that requires Lockout Tagout (LOTO) procedures.
2. Gather relevant documentation such as equipment manuals and previous safety procedures.
3. List all energy sources associated with the equipment (e.g., electrical, mechanical, hydraulic).
4. Determine the methods to control these energy sources (e.g., circuit breakers, valves).
5. Outline the steps for shutting down, isolating, and securing the equipment.
6. Include steps for verifying that the equipment is in a zero-energy state.
7. Define procedures for placing and removing lockout/tagout devices.
8. Assess any potential hazards related to the maintenance or servicing of the equipment.
9. Ensure that the procedure is reviewed by safety personnel and operators for effectiveness.

Who needs Lockout Tagout Procedure Creation Form?

1. Maintenance personnel responsible for servicing or repairing machinery.
2. Safety officers overseeing workplace safety regulations.
3. Supervisors and managers accountable for ensuring compliance with safety protocols.
4. Any employee involved in operations that could potentially interact with hazardous energy.

People Also Ask about

Does OSHA require a written LOTO program?

The LOTO standard does not require a written energy control program; however, the standard does have several requirements regarding documentation and certification of records: Energy Control Procedure.

Does OSHA require written LOTO procedures?

Eight Exemptions to Lockout/Tagout as Defined by OSHA Most machines in your facility likely need a documented lockout/tagout procedure. However, some machines are not required to have outlined lockout procedures in place. As you go through your annual audit, review any machine that does not have a documented procedure.

Does OSHA require a written safety program?

Not all OSHA regulations require written plans, but many do. When OSHA considers a safety or health hazard to be serious, the agency usually requires written documentation of the steps an employer takes to reduce the risk of injury or protect workers from the hazard.

What are the 7 steps of lockout tagout?

How LOTO Works. #1: Notify Employees. #2: Identify Energy Sources. #3: Shut Down Equipment. #4: Deactivate Energy Isolating Devices. #5: Apply Applicable LOTO Devices. #6: Dissipate Stored Energy. #7: Verify Energy Isolation.

How to write a lockout tagout procedure?

Lockout/Tagout Procedures — Keep it Simple, Keep it Safe Controlling Hazardous Energy. Prepare for the shutdown. Notify affected employees. Shut down the equipment. Isolate energy sources. Apply LOTO devices to energy sources. Release/control all stored energy. Verify the lockout.

Does OSHA require a written confined space program?

If the employer decides that its employees will enter permit spaces, the employer shall develop and implement a written permit space program that complies with this section. The written program shall be available for inspection by employees and their authorized representatives.

What should be written on a lockout tag?

Tag machine controls, pressure lines, starter switches and suspended parts. Tags should include your name, department, how to reach you, the date and time of tagging and the reason for the lockout.

Does OSHA require a written forklift program?

Forklift certification requirements dictate that all operators be trained and certified before starting work. This involves a written test and a skills test where the operator must demonstrate their knowledge of safe forklift operation. The certification must be renewed every three years.

For pdfFiller’s FAQs

What is Lockout Tagout Procedure Creation Form?

The Lockout Tagout Procedure Creation Form is a document used to outline the procedures for locking out and tagging out equipment to ensure that it is properly shut down and unable to be started up again before maintenance or servicing work is completed.

Who is required to file Lockout Tagout Procedure Creation Form?

Typically, employees involved in maintenance, repair, or servicing of machinery and equipment that could potentially release hazardous energy are required to file the Lockout Tagout Procedure Creation Form.

How to fill out Lockout Tagout Procedure Creation Form?

To fill out the Lockout Tagout Procedure Creation Form, individuals should provide details such as the equipment identification, the specific lockout/tagout procedures to be followed, the types of energy sources involved, and the names of authorized employees responsible for the lockout process.

What is the purpose of Lockout Tagout Procedure Creation Form?

The purpose of the Lockout Tagout Procedure Creation Form is to ensure safety by preventing accidental startup of equipment during maintenance, to comply with regulatory requirements, and to provide clear instructions to employees on how to safely operate lockout/tagout procedures.

What information must be reported on Lockout Tagout Procedure Creation Form?

Information that must be reported on the Lockout Tagout Procedure Creation Form includes the description of the equipment, energy sources present, lockout/tagout points, procedures for isolation, and authorization signatures from responsible personnel.