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University of Washington Lockout/Tagout Program Lock Removal Form 2015 free printable template

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Clear Save Lockout/Ragout Program Lock Removal Form General Information: Date & time of initial request to remove lock: Name of lock owner whose lock/tag is to be removed: Lock owner s department/shop:
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University of Washington Lockout/Tagout Program Lock Removal Form Form Versions

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How to fill out University of Washington Lockout/Tagout Program Lock Removal Form

01
Obtain the University of Washington Lockout/Tagout Program Lock Removal Form from your supervisor or the safety office.
02
Fill in the date and time of the lock removal request at the top of the form.
03
Provide your name and contact information in the designated fields.
04
Specify the location of the lock that will be removed.
05
Indicate the type of equipment or machinery associated with the lock being removed.
06
Describe the reason for the lock removal in a clear and concise manner.
07
Obtain the signatures of the authorized personnel involved in the lockout/tagout process.
08
After filling out all required information, submit the form to your supervisor for review.

Who needs University of Washington Lockout/Tagout Program Lock Removal Form?

01
Employees who are authorized to remove locks placed during the University of Washington Lockout/Tagout procedures.
02
Supervisors responsible for overseeing maintenance and safety protocols.
03
Safety officers involved in ensuring compliance with lockout/tagout regulations.
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The University of Washington Lockout/Tagout Program Lock Removal Form is a document used to ensure that the removal of locks and tags from equipment is conducted safely and in compliance with safety regulations.
Employees who are responsible for the maintenance or service of equipment that has been locked out are required to file the University of Washington Lockout/Tagout Program Lock Removal Form.
To fill out the form, individuals should provide their name, the equipment involved, the reason for lock removal, and obtain necessary signatures from supervisors or authorized personnel.
The purpose of the form is to document the safe removal of locks and tags from equipment, ensuring that all safety procedures have been followed to prevent accidental startup during maintenance.
The form must report the name of the individual removing the lock, the equipment locked out, the reason for removal, the date and time of removal, and any relevant signatures from authorized personnel.
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