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Appendix A AP 815 Safe Work Procedure: Lockout/Ragout of Energy Sources REMOVAL OF LOCKOUT / RAGOUT DEVICE BY OTHER THAN AUTHORIZED EMPLOYEE * Date: Time: Authorized Employee: Supervisor: Witness
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How to fill out lockout tagout procedure template

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How to fill out lockout tagout procedure template

01
To fill out a lockout tagout procedure template, follow these steps:
02
Start by gathering all necessary information, such as the equipment or machinery to be locked out, relevant energy sources, and the purpose of the procedure.
03
Identify the responsible person or team who will carry out the lockout tagout procedure.
04
Begin the template by providing a clear title or heading that describes the specific lockout tagout procedure.
05
Include a section for documenting the steps or actions required to safely lock out the equipment or machinery.
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Describe any special tools or equipment needed for the lockout tagout procedure.
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Specify the specific energy sources that need to be isolated or controlled, such as electrical, hydraulic, or mechanical sources.
08
Provide detailed instructions for safely isolating or controlling the energy sources.
09
Include a section for documenting the placement and removal of lockout and tagout devices.
10
Specify the individuals authorized to apply or remove the lockout and tagout devices.
11
Include any additional safety precautions or warnings that may be relevant to the procedure.
12
End the template with a section for signatures, indicating that the lockout tagout procedure has been reviewed and approved by authorized personnel.
13
Remember to regularly review and update the lockout tagout procedure template as needed to ensure its effectiveness and compliance with applicable regulations and standards.

Who needs lockout tagout procedure template?

01
Lockout tagout procedure templates are needed by organizations or individuals who perform maintenance, repair, or servicing activities on equipment or machinery with potentially hazardous energy sources.
02
Industries such as manufacturing, construction, utilities, and warehousing commonly implement lockout tagout procedures to safeguard employees from unexpected energy releases.
03
Employers, safety managers, and supervisors responsible for ensuring compliance with safety regulations often require the use of lockout tagout procedure templates within their organizations.
04
Additionally, maintenance technicians, machine operators, and other personnel involved in equipment servicing need lockout tagout procedure templates to guide them through the proper steps for safely isolating energy sources.
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A lockout tagout procedure template is a standardized document used to outline the steps for safely shutting down and locking out equipment or machinery before maintenance or service work begins.
Employers in industries where machinery and equipment are utilized are required to file a lockout tagout procedure template, particularly when there are potential hazards that require controlling energy sources.
To fill out a lockout tagout procedure template, one must identify the equipment, specify the energy sources, outline the locking and tagging procedures, and ensure that employees understand the steps to follow for safety.
The purpose of a lockout tagout procedure template is to prevent accidental energization or release of hazardous energy while maintenance work is being performed, ensuring the safety of workers.
Key information that must be reported includes the name of the equipment, the type of energy sources, specific lockout devices used, procedures for locking out equipment, and the names of authorized personnel.
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