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Environmental Health & Safety Office Lockout/Ragout Inspection Checklist SECTION 1 LOCKOUT/RAGOUT INSPECTION INFORMATION Date: Time: Authorized Employee: Supervisor: Description of Work: SECTION 2
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How to fill out lockouttagout inspection checklist

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How to fill out a lockout/tagout inspection checklist:

01
Start by reviewing the equipment or machinery that requires lockout/tagout procedures. This could include electrical panels, machinery with moving parts, or any other equipment that poses a potential energy hazard.
02
Ensure that all necessary information is included on the checklist. This may include the date and time of inspection, the name of the inspector, and any additional notes or comments.
03
Check each item on the checklist to ensure that it meets the necessary lockout/tagout requirements. This may involve inspecting lockout devices, verifying energy sources are properly disconnected, and confirming that appropriate tags are in place.
04
Document any issues or non-compliance found during the inspection. This could include broken or missing lockout devices, unlocked energy sources, or inadequate tags. It is important to note these issues for further action.
05
If any deficiencies are found, take the necessary corrective action. This may involve temporarily halting equipment operations, replacing broken or missing lockout devices, or training employees on proper lockout/tagout procedures.

Who needs a lockout/tagout inspection checklist:

01
Any organization or facility that uses equipment or machinery with potential energy hazards should use a lockout/tagout inspection checklist. This could include manufacturing plants, construction sites, power plants, or any other industry where energy hazards are present.
02
Employers are responsible for providing a safe work environment for their employees. By implementing lockout/tagout procedures and conducting regular inspections using a checklist, employers can ensure that potential energy hazards are effectively controlled and mitigated.
03
Employees who are involved in maintenance, repair, or servicing activities on equipment or machinery should also utilize a lockout/tagout inspection checklist. This ensures that proper safety measures are taken before and during their work to prevent accidental release of hazardous energy.
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Lockout/tagout inspection checklist is a document used to ensure that proper lockout/tagout procedures are being followed to protect employees from hazardous energy sources.
Employers or authorized employees who are responsible for implementing and monitoring lockout/tagout procedures are required to file the inspection checklist.
The inspection checklist should be filled out by conducting a thorough examination of energy control procedures, identifying any deficiencies, and documenting corrective actions.
The purpose of the lockout/tagout inspection checklist is to verify compliance with OSHA regulations, identify potential safety hazards, and prevent accidents related to hazardous energy sources.
The inspection checklist should include details of lockout/tagout procedures being followed, equipment being used, employees involved, date of inspection, and any corrective actions taken.
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