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If you are using a printed copy of this procedure, and not the onscreen version, then you MUST make sure the dates at the bottom of the printed copy and the onscreen version match. The onscreen version
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Begin by filling out the top section of the form, which typically includes information such as the facility name, location, and date.
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Next, provide the necessary details about the equipment or machinery that will be locked out. This may include the equipment's name, type, identification number, and location.
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Indicate the reason for the lockout by checking the appropriate box. This could be for maintenance, repairs, cleaning, or any other valid reason.
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Specify the date and time when the lockout is scheduled to start and end. Ensure that the duration is sufficient to complete the required tasks safely.
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Identify the personnel involved in the lockout process. This includes the authorized employee responsible for the lockout, as well as any additional individuals who are authorized to remove the lockout device.
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