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APPENDIX C LOCKOUTTAGOUT ANNUAL REVIEW CHECKLIST (To Be Completed by Authorized Employee)1. Identification and Location of Equipment or Machinery to Be Serviced a.2. Name(s) of Authorized Employee(s)

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How to fill out lockout-tagout - ct department

01

Identify the energy sources that need to be controlled

02

Notify all affected employees about the lockout-tagout procedure

03

Shut down the equipment or machinery that needs to be serviced

04

Apply the lockout devices to the energy isolating devices

05

Verify that the energy has been isolated by attempting to start the equipment

06

Perform the necessary maintenance or servicing on the equipment

07

Remove the lockout devices and re-energize the equipment when the work is completed

Who needs lockout-tagout - ct department?

01

Employees working in the Connecticut department who are involved in maintenance, servicing, or repair of equipment or machinery that may expose them to unexpected energization or release of hazardous energy sources

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What is lockout-tagout - ct department?

Lockout-tagout (or LOTO) is a safety procedure used to ensure that dangerous machines are properly shut off and not able to be started up again prior to the completion of maintenance or servicing work.

Who is required to file lockout-tagout - ct department?

Employees who are performing maintenance or servicing work on machines or equipment where the unexpected start-up could cause injury.

How to fill out lockout-tagout - ct department?

Lockout-tagout procedures involve shutting off the machinery, securing it with lockout devices, and attaching a tag to indicate that the equipment is being worked on.

What is the purpose of lockout-tagout - ct department?

The purpose of lockout-tagout is to ensure the safety of workers by preventing the accidental start-up of machinery during maintenance or servicing activities.

What information must be reported on lockout-tagout - ct department?

The information reported on a lockout-tagout procedure should include details about the equipment being serviced, the date and time of the lockout, and the names of the workers involved.

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