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Lockout/Ragout Inspection Form Inspection Date: Inspector Name: Inspector Name: Employee Inspected: Employee Inspected: Employee Inspected: Employee Inspected: Machine/Equipment involved in LO/TO
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How to fill out lockout tagout periodic inspection

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How to fill out lockout tagout periodic inspection

01
Step 1: Identify all energy sources that need to be locked and tagged out during the inspection.
02
Step 2: Notify all affected employees about the upcoming lockout tagout periodic inspection.
03
Step 3: Obtain the necessary lockout tagout devices and tools.
04
Step 4: Shut off the energy sources and isolate them using appropriate lockout devices.
05
Step 5: Attach a visible and durable lockout tag to the energy isolation devices.
06
Step 6: Inspect the locked and tagged out equipment to ensure proper isolation and absence of residual energy.
07
Step 7: Document the inspection findings, including any abnormalities or issues identified.
08
Step 8: Remove the lockout tagout devices once the inspection is complete and the equipment is deemed safe for use.
09
Step 9: Notify all affected employees that the equipment is back in service.

Who needs lockout tagout periodic inspection?

01
Any organization or facility where the control of hazardous energy is necessary for the protection of employees.
02
This includes industries such as manufacturing, construction, utilities, and maintenance.
03
Lockout tagout periodic inspection is required to ensure the ongoing effectiveness of energy control measures and to prevent accidents or injuries caused by the unexpected release of stored energy.
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Lockout tagout periodic inspection is a process of regularly checking and evaluating the effectiveness of lockout tagout procedures in place to control hazardous energy.
Employers and authorized employees who are responsible for the maintenance of lockout tagout procedures are required to file periodic inspections.
Lockout tagout periodic inspections are typically filled out by conducting physical inspections of equipment, documenting findings, and ensuring compliance with safety regulations.
The purpose of lockout tagout periodic inspection is to prevent accidents and ensure the proper functioning of lockout tagout procedures to protect employees from hazardous energy during maintenance activities.
Information reported on lockout tagout periodic inspection typically includes equipment inspected, date of inspection, findings, corrective actions taken, and signatures of individuals involved.
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