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Environmental Health & Safety Office Lockout/Ragout Project Summary Form SECTION 1 LOCKOUT/RAGOUT INFORMATION Date: Time: Location: Supervisor: Equipment: Manufacturer: Model: Description of Work:
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How to fill out lockouttagout project summary form

How to fill out a lockout/tagout project summary form:
01
Start by gathering all the necessary information about the lockout/tagout project, such as the project name, location, and duration.
02
Fill in the details of the responsible person or team who will be implementing the lockout/tagout procedures. This includes their names, job titles, and contact information.
03
Provide a brief description of the equipment or machinery that will be locked out or tagged out as part of the project. Include relevant details such as model numbers, serial numbers, and any specific hazards associated with the equipment.
04
Indicate the start and end dates of the lockout/tagout project. This should reflect the actual time frame during which the equipment will be disabled or isolated.
05
Describe the specific lockout/tagout procedures that will be followed during the project. This should include steps such as shutting off power, releasing stored energy, and placing lockout/tagout devices on the equipment.
06
Document any additional safety precautions or special instructions that apply to the lockout/tagout project. This may include requirements for personal protective equipment (PPE), communication protocols, or specific training requirements for the personnel involved.
07
Review the completed form for accuracy and completeness. Make sure all the necessary information has been provided before submitting it for approval.
Who needs a lockout/tagout project summary form?
01
Companies or organizations that engage in maintenance, repair, or servicing activities on machinery or equipment.
02
Employers who are required to comply with the Occupational Safety and Health Administration (OSHA) standard for control of hazardous energy (Lockout/Tagout - 29 CFR 1910.147).
03
Project managers or safety coordinators responsible for overseeing lockout/tagout procedures within a facility.
04
Employees who will be involved in the lockout/tagout process, as they may need to reference the project summary form for important details and instructions.
05
Safety auditors or inspectors who may review the lockout/tagout project summary form when evaluating compliance with applicable regulations and best practices.
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What is lockouttagout project summary form?
The lockouttagout project summary form is a document used to summarize the details of a lockouttagout project, including information about the equipment being locked out and the procedures being followed.
Who is required to file lockouttagout project summary form?
Employers or contractors who are conducting lockouttagout projects are required to file the lockouttagout project summary form.
How to fill out lockouttagout project summary form?
To fill out the lockouttagout project summary form, include details about the equipment being locked out, the procedures being followed, and any relevant training or certifications.
What is the purpose of lockouttagout project summary form?
The purpose of the lockouttagout project summary form is to document the details of a lockouttagout project for compliance and safety purposes.
What information must be reported on lockouttagout project summary form?
The lockouttagout project summary form must include information about the equipment being locked out, the procedures being followed, and any relevant training or certifications.
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