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Machine Safety Lockout / Tag Out Programs Page 1 of 2 TOOLBOXTOPICS.COM Company Name Job Name Date MACHINE SAFETY LOCKOUT×TAG OUT PROGRAMS If any employees of a company are required to perform hazardous
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How to fill out machine safety lockout tag

Each lockout tag should be completed in a clear, concise, and accurate manner to ensure the safety of individuals working on machinery. The following steps outline how to fill out a machine safety lockout tag:
01
Write the identification information: Start by writing down the necessary identification details. This includes the name of the authorized individual who is implementing the lockout/tagout procedure, their contact information, and the specific date and time when the tag is being filled out.
02
Describe the equipment being locked out: Clearly state the name or description of the machine or equipment that is being locked out. You can include additional details like the model number, location, and any specific hazards associated with the equipment.
03
Indicate the reason for the lockout: Specify the purpose of the lockout. This can include maintenance, repair, cleaning, or any other necessary activity. It is important to clearly communicate the reason so that others are aware and understand the potential risks involved.
04
Mention the lockout duration: Provide the expected duration for which the lockout will be in effect. This can be a specific timeframe or an estimated duration. Make sure to communicate the period clearly, ensuring that others are aware of the expected downtime.
05
Include the names of authorized personnel: List the names of the authorized individuals who are permitted to remove the lockout/tagout device. This includes the person who filled out the tag and any other authorized personnel involved in the maintenance or servicing of the equipment.
06
Sign and date the tag: A machine safety lockout tag should always include the signature and date of the person filling out the tag. This provides accountability and ensures that the tag is legally binding and traceable.
Who needs a machine safety lockout tag?
A machine safety lockout tag is necessary for anyone who works on or around machinery. This includes maintenance workers, technicians, electricians, machine operators, and other personnel involved in servicing or repairing equipment. Employers are responsible for implementing lockout/tagout procedures and ensuring that their employees are trained in using these safety measures. Additionally, anyone working with machinery in potentially hazardous environments, such as construction sites or manufacturing facilities, should utilize machine safety lockout tags to prevent accidents and injuries.
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What is machine safety lockout tag?
Machine safety lockout tag is a device attached to a machine to indicate that it must not be operated under any circumstances, typically during maintenance or repair.
Who is required to file machine safety lockout tag?
Any individual or team performing maintenance or repair on a machine is required to use and file a machine safety lockout tag.
How to fill out machine safety lockout tag?
To fill out a machine safety lockout tag, one must include information such as the date, time, name of person performing the lockout, and reason for the lockout.
What is the purpose of machine safety lockout tag?
The purpose of a machine safety lockout tag is to prevent accidental operation of a machine during maintenance or repair, protecting the safety of the individuals working on the machine.
What information must be reported on machine safety lockout tag?
The machine safety lockout tag must include the date and time of the lockout, the name of the person performing the lockout, the reason for the lockout, and any additional safety information.
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