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Lockout Device & Tag Removal Report Form SECTION A: LOCKOUT DEVICE / TAG INFORMATION Authorized Individual Name: Supervisor Name:Department / Contractor Name:Shift:Machine, Equipment, or Process:Date

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How to fill out lockout device ampamp tag

01

Identify the energy source that needs to be locked out.

02

Ensure you have the appropriate lockout devices and tags for the job.

03

Turn off the energy source and de-energize the equipment.

04

Attach the lockout device to the energy isolating device.

05

Secure the device with a lock and place the tag on it with your information.

06

Verify that the equipment is properly locked out before starting work.

Who needs lockout device ampamp tag?

01

Workers who are performing maintenance or repair on machinery or equipment.

02

Contractors who are working on equipment in your facility.

03

Employees who are working with potentially hazardous energy sources.

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What is lockout device ampamp tag?

Lockout device and tag are devices used to safely lock and identify equipment that is being worked on. They ensure that machinery cannot be operated while maintenance or repairs are being carried out.

Who is required to file lockout device ampamp tag?

Employees who are performing maintenance or repairs on equipment that could be dangerous if turned on accidentally are required to use lockout devices and tags.

How to fill out lockout device ampamp tag?

To fill out a lockout device and tag, you should include information such as the person performing the lockout, the equipment being locked out, the reason for the lockout, and the date and time the lockout was applied.

What is the purpose of lockout device ampamp tag?

The purpose of a lockout device and tag is to ensure the safety of employees working on machinery by preventing accidental operation of equipment while maintenance or repairs are being carried out.

What information must be reported on lockout device ampamp tag?

The lockout device and tag should include information such as the name of the person performing the lockout, the equipment being locked out, the reason for the lockout, and the date and time the lockout was applied.

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