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Get the free Lock Out Tag Out (LOTO) - Inspection Checklist

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Periodic Lockout/Ragout Inspection Form Name of Authorized Persons Performing Inspection: Date of Inspection:___ ___ ___ ___ ___ Authorized Employees performing Service or Repair ___ ___ ___ ___ Equipment
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How to fill out lock out tag out

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How to fill out lock out tag out

01
To fill out a lock out tag out, follow these steps:
02
Identify the equipment or machinery that needs to be locked out.
03
Gather all necessary lock out tag out equipment, such as lockout devices, tags, and padlocks.
04
Notify affected employees about the lock out tag out procedure and ensure they are aware of the potential hazards involved.
05
Shut down the equipment or machinery using the normal shutdown procedures.
06
Disconnect all energy sources to the equipment, including electrical, hydraulic, pneumatic, and mechanical sources.
07
Place lockout devices on the energy isolation points to prevent accidental re-energization.
08
Attach lockout tags to the devices indicating who is responsible for the lock out tag out and when it was implemented.
09
Verify that the equipment or machinery is isolated by attempting to start or activate it.
10
Once the work is completed, remove the lockout devices and restore the energy sources.
11
Notify affected employees that the lock out tag out has been removed and the equipment is safe to use again.
12
Keep a record of all lock out tag out procedures for future reference.

Who needs lock out tag out?

01
Lock out tag out is needed by any individual who performs maintenance, repair, or servicing activities on equipment or machinery.
02
It is particularly important for employees working in industrial settings where there is a risk of unexpected release of hazardous energy.
03
This includes but is not limited to electricians, machine operators, maintenance technicians, and maintenance supervisors.
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Lock out tag out (LOTO) is a safety procedure used in industrial and commercial settings to ensure that machinery is properly shut off and not able to be started again until maintenance or repairs are completed. It involves applying locks and tags to energy-isolating devices.
All employers and employees involved in maintenance or servicing of machines or equipment that could unexpectedly become energized or start up must comply with lock out tag out requirements.
To fill out a lock out tag out, you typically need to identify the energy sources, ensure that equipment is shut down, apply lockout devices on energy-isolating terminals, and complete the required documentation for the lock out procedure.
The purpose of lock out tag out is to protect workers from the hazards of unexpected energization or startup of machinery and equipment during servicing and maintenance activities.
The information must include the date, names of authorized employees, the specific equipment being locked out, the energy sources involved, and the type of lock or tag used.
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