Get the free Attachment 1 LOCKOUT TAGOUT CERTIFICATE - sifacilities si

Attachment 1 LOCKOUT / RAGOUT CERTIFICATE DATE: AUTHORIZED EMPLOYEE: NAME OF MACHINES tested on: IDENTIFYING NUMBER or serial numbers of the machines: NAME OF REVIEWER: This is the required information

How to fill out attachment 1 lockout tagout

To fill out attachment 1 lockout tagout, follow these steps:

1. Identify the equipment or machinery that requires lockout tagout procedures. This can include electrical circuits, machines, or equipment that pose a potential risk to workers.
2. Gather all necessary information about the equipment or machinery, such as its location, specific hazards involved, and any special instructions or procedures for locking it out.
3. Fill in the relevant details on attachment 1 lockout tagout form. This typically includes fields for the equipment's identification number, description, location, and the names of authorized employees who will be performing the lockout tagout.
4. Provide a detailed description of the lockout tagout procedures to be followed. This should include step-by-step instructions on how to shut down the equipment, isolate its power sources, and secure it with lockout devices. Include any additional steps or precautions specific to the equipment.
5. Indicate the specific lockout devices and tagout devices to be used. This can include locks, padlocks, tags, and other devices that will physically prevent the equipment from being operated while maintenance or repairs are being performed.
6. Clearly state the date and time when the lockout tagout procedures will begin and end. Ensure that sufficient time is allocated for completing the necessary tasks and that all employees involved are aware of the schedule.
7. Sign and date the form to certify that it has been completed accurately and that all necessary steps have been taken to ensure the safety of personnel working on the equipment.
8. Finally, distribute copies of the filled-out attachment 1 lockout tagout form to all relevant parties, including authorized employees, supervisors, and any other individuals who need to be aware of the lockout tagout procedures.

Attachment 1 lockout tagout is required for any organization or workplace that follows lockout tagout procedures to safeguard employees working with hazardous energy sources. This can include industrial settings, construction sites, maintenance departments, and any other environments where machinery or equipment requires servicing, repairs, or maintenance. It is essential for ensuring the safety of employees and preventing accidents caused by the unexpected startup of equipment or machinery.

For pdfFiller’s FAQs

What is attachment 1 lockout tagout?

Attachment 1 lockout tagout is a safety procedure used to ensure that dangerous machines are properly shut off and not started up again prior to the completion of maintenance or servicing work.

Who is required to file attachment 1 lockout tagout?

Employees and employers in industries where equipment maintenance is necessary are required to file attachment 1 lockout tagout.

How to fill out attachment 1 lockout tagout?

Attachment 1 lockout tagout should be filled out by providing detailed information about the equipment being worked on, the date and time of the lockout procedure, and the names of the individuals involved.

What is the purpose of attachment 1 lockout tagout?

The purpose of attachment 1 lockout tagout is to protect workers from the unexpected startup of machinery while maintenance work is being performed.

What information must be reported on attachment 1 lockout tagout?

Information such as the location of the equipment, the reason for the lockout/tagout, and the identity of the authorized employee responsible for the lockout/tagout must be reported on attachment 1.

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