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Get the free Non-routine Equipment Specific Loto Checklist

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This form is used for line and equipment lockout and approval if an equipment specific procedure and checklist does not exist for the system or equipment.
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How to fill out non-routine equipment specific loto

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How to fill out non-routine equipment specific loto

01
Identify the non-routine equipment that requires a Lockout/Tagout (LOTO) procedure.
02
Gather all required LOTO devices and tags that will be used for the procedure.
03
Notify all affected employees about the upcoming shutdown to ensure safety.
04
Conduct a risk assessment to identify potential hazards associated with the non-routine equipment.
05
Follow the manufacturer's guidelines and the facility's safety protocols to determine isolation points.
06
Physically isolate the energy sources of the equipment by turning off switches and valves.
07
Apply lockout devices to all identified energy sources and place tags indicating that the equipment is locked out.
08
Verify that the equipment is inoperative by attempting to start or cycle it, ensuring it remains locked out.
09
Document the process and keep a record of the LOTO procedure and involved personnel.

Who needs non-routine equipment specific loto?

01
Employees operating non-routine equipment.
02
Maintenance personnel tasked with servicing non-routine equipment.
03
Safety officers responsible for implementing safety protocols.
04
Supervisors overseeing hazardous equipment operations.
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Non-routine equipment specific LOTO (Lockout/Tagout) refers to the specific safety procedures applied to equipment that is not typically serviced or maintained during regular operations. This involves ensuring that all energy sources are completely isolated and secured during maintenance or repair tasks.
Employees or contractors involved in maintenance, servicing, or repair of non-routine equipment are required to file a non-routine equipment specific LOTO. This typically includes authorized personnel who have received proper training in LOTO procedures.
To fill out a non-routine equipment specific LOTO, the authorized employee must record the specific equipment being serviced, the energy sources being isolated, the lock identification number, and name/signature of the person applying the lock. It is essential to document the date, time, and location of the lockout.
The purpose of non-routine equipment specific LOTO is to enhance safety during maintenance procedures by ensuring that all potentially hazardous energy sources are properly controlled and that workers are protected from accidental energization of the equipment.
The information that must be reported on a non-routine equipment specific LOTO includes the details of the equipment, type of lock or tags used, involved energy sources, names of authorized employees, time and date of the lockout, and any relevant risks associated with the task.
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Relevant keywords

Lockout-Tagout LOTO Checklist Non-Routine Equipment EHSS-Phos Program Hazardous Energy Safety Procedures Equipment Lockout Energy Types Work Group Rep Housekeeping Completion

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