Download Safety Procedures for Facilities Services Staff

Control of Hazardous Energy (Lockout/Tagout) Safety Program 004
Appendix C
LOCKOUT / TAGOUT PROCEDURE
AREA / LINE:
ENERGY TYPE:
EQUIPMENT:
MAGNITUDE
ELECTRICAL
MECHANICAL
(including
gravity)
THERMAL
STEAM
AMMONIA
HYDRAULIC
PNEUMATIC
WATER
CHEMICAL
LOCATION OF ENERGY
DISCONNECT:
START / STOP LOCATION:
METHOD OF ISOLATION
LOCKOUT DEVICE USED:
COMMENTS:
____________________________________________________________________________________
SHUTDOWN PROCEDURES:
1. Notify affected employees in the area that a Lockout/Tagout of a piece of equipment is taking place.
2. Shutdown equipment using normal shutdown procedure.
3. Isolate all energy sources.
4. Apply Lockout device to the appropriate equipment local energy isolating device along with dated safety tag including
personal identification.
5. Safely release any stored energy, if applicable.
6. Prior to working on equipment, ensure that equipment will not start up. With all Lockout/Tagout devises in place,
attempt to jog equipment.
____________________________________________________________________________________
START-UP PROCEDURES:
1. Check to ensure that all tools and servicing equipment have been removed from the work area.
2. Replace all machine guards (if applicable)
3. Notify all affected employees that the equipment will be energized and started.
4. Have all individuals working on the equipment remove their Lockout / Tagout devices.
5. Enable or turn on the energy isolating devices.
6. Again, announce to all affected employees that equipment will be restarted.
7. Start the equipment.
WRITTEN BY:
APPROVED BY:
SAFETY MANAGER Signature:
REVISION DATE:
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use only
Issue Date:
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