Canada HPEDSB Lockout Record Log 2017-2025 free printable template
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LOCKOUT RECORD LOG FORM 420F1 LOCATION: After proper shut down and lockout of machinery, all employees/contractors are required to record each lockout. Adopted Last Revised Review Date LOCKOUT Date
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How to fill out Canada HPEDSB Lockout Record Log
01
Start by gathering all necessary equipment and lockout tags.
02
Identify the equipment to be locked out and ensure it is shut down properly.
03
Attach lockout devices to the energy isolating mechanisms to prevent accidental activation.
04
Fill out the date, time, and details of the lockout on the Record Log.
05
Include the names of all personnel involved in the lockout process.
06
Clearly state the reason for the lockout on the Record Log.
07
Conduct a safety check to confirm that the equipment is in a zero-energy state.
08
Maintain the Record Log throughout the duration of the lockout.
09
Once work is complete, remove lockout devices and record the date and time of removal.
Who needs Canada HPEDSB Lockout Record Log?
01
Employees working with potentially hazardous machinery or equipment during maintenance.
02
Supervisors and safety officers responsible for ensuring compliance with safety regulations.
03
Contractors and external workers who must perform work on the machinery or equipment.
04
Any personnel involved in the lockout/tagout process to ensure their safety and accountability.
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What is Canada HPEDSB Lockout Record Log?
The Canada HPEDSB Lockout Record Log is a documentation tool used to record instances of lockout procedures implemented in schools or workplaces under the Hastings and Prince Edward District School Board (HPEDSB) to ensure the safety of staff, students, and visitors.
Who is required to file Canada HPEDSB Lockout Record Log?
Any staff member who initiates a lockout procedure or supervises a situation where a lockout occurs is required to file the Canada HPEDSB Lockout Record Log.
How to fill out Canada HPEDSB Lockout Record Log?
To fill out the Canada HPEDSB Lockout Record Log, you must provide details such as the date and time of the lockout, location, reason for the lockout, duration, individuals involved, and any follow-up actions taken.
What is the purpose of Canada HPEDSB Lockout Record Log?
The purpose of the Canada HPEDSB Lockout Record Log is to maintain a record of lockout procedures for safety compliance, review, and improvement of safety protocols, as well as to ensure accountability during emergency situations.
What information must be reported on Canada HPEDSB Lockout Record Log?
The Canada HPEDSB Lockout Record Log must report information including the date, time, location, nature of the lockout, individuals involved, reason for the lockout, any incidents that occurred during the lockout, and the duration of the lockout.
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