Get the free lock out / tag out checklist energy source determination

APPENDIX B2ARKANSAS TECH UNIVERSITY HEALTH & SAFETY POLLOCK OUT / TAG OUT CHECKLIST ENERGY SOURCE DETERMINATION In order to determine all energy sources for each piece of equipment, all questions

How to fill out lock out tag out

How to fill out lock out tag out

1. Identify all energy sources that need to be locked out.
2. Notify all affected employees that a lock out tag out procedure will be performed.
3. Shut off the energy source using the appropriate controls.
4. Apply a lock to the energy source to prevent it from being turned on.
5. Attach a tag to the lock indicating who performed the lock out tag out and why.
6. Test the equipment to ensure it is properly shut off before starting work.

Who needs lock out tag out?

1. Employees who work on equipment or machinery that could unexpectedly start up or release stored energy.
2. Maintenance workers who perform repairs or servicing on equipment.
3. Contractors working on equipment at a facility.

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What is lock out tag out?

Lock out tag out is a safety procedure used in industry and research settings to ensure that dangerous machines are properly shut off and not able to be started up again prior to the completion of maintenance or repair work.

Who is required to file lock out tag out?

Lock out tag out procedures are required to be followed by all employees who perform maintenance or repair work on machinery or equipment.

How to fill out lock out tag out?

To fill out a lock out tag out, employees must first identify all energy sources that need to be controlled, then follow specific steps to isolate those energy sources and apply lockout devices, and finally tag the equipment with a warning tag.

What is the purpose of lock out tag out?

The purpose of lock out tag out is to protect employees from unexpected energization or startup of machinery and equipment while maintenance or repair work is being performed, thereby preventing accidents and injuries.

What information must be reported on lock out tag out?

Information that must be reported on a lock out tag out includes date and time of lockout, name of authorized employee performing lockout, description of equipment being locked out, and reason for lockout.