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Prepared by Henderson Brothers Burns Industrial Equipment Knockout/Ragout Program Effective Date: 612015 Revision #: 1Reference Standard Occupational Safety and Health Administration: The Control

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How to fill out lockout tagout fact sheet

01

Gather all necessary information about the equipment being locked out and the specific work being done.

02

Identify and confirm all energy sources for the equipment, including electrical, mechanical, hydraulic, pneumatic, etc.

03

Fill out all required fields on the lockout tagout fact sheet, including equipment details, energy sources, lockout procedures, authorized employees, etc.

04

Have a qualified person review and approve the completed lockout tagout fact sheet before starting work.

05

Make sure all employees involved in the lockout tagout process are trained and aware of the procedures outlined in the fact sheet.

Who needs lockout tagout fact sheet?

01

Employees who are performing maintenance or servicing on equipment.

02

Employees who work in environments where hazardous energy sources are present.

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What is lockout tagout fact sheet?

A lockout tagout fact sheet is a document that outlines the procedures and regulations for safely isolating energy sources during maintenance or repair work on machinery and equipment to prevent accidental startup.

Who is required to file lockout tagout fact sheet?

Employers in industries where lockout/tagout procedures are necessary to ensure worker safety are required to file a lockout tagout fact sheet.

How to fill out lockout tagout fact sheet?

To fill out a lockout tagout fact sheet, provide detailed information about the equipment being serviced, the energy sources to be controlled, the methods for locking out equipment, and the identity of authorized personnel.

What is the purpose of lockout tagout fact sheet?

The purpose of a lockout tagout fact sheet is to communicate the required safety procedures for controlling hazardous energy during maintenance activities and to ensure compliance with regulatory standards.

What information must be reported on lockout tagout fact sheet?

The information that must be reported includes the type of energy sources, the means of control (locks, tags), the processes involved, and the names of employees involved in the lockout/tagout process.

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