Lockout Tagout Checklist Form. It is specific both to the equipment or system and to the scope of work. When an energy isolating device cannot accept multiple locks or tags, a multiple lockout or tagout device (hasp) may be used.
Lockout Tagout Form Template Master of Documents
Use this form to document an inspection of a written lockout or tagout procedure. Web lockout/tagout inspection form note to employers: Facility location/facility identification cod e: It is specific both to the equipment or system and to the scope of work. Each authorized employee shall place his/her own personal lockout device or tagout device on the energy isolating device(s). List authorized employees using this procedure. Web the osha standard for the control of hazardous energy (lockout/tagout) ( 29 cfr 1910.147) for general industry, outlines specific action and procedures for addressing and controlling hazardous energy during servicing and maintenance of machines and equipment. Equipment type and serial number: This is done to protect workers. (include list of last revisions in appendix.)last revision:
Get permission to remove equipment from service. List authorized employees using this procedure. Equipment type and serial number: If lockout is used, a single lock may be used to lockout the machine or Web lockout/tagout (loto) procedure template. Facility location/facility identification cod e: Web here is a checklist of tasks for various workers during a more complicated lockout or tagout—one involving multiple employees, multiple shifts or multiple energy sources. A lockout tagout procedure checklist is a tool used by safety officers and managers to ensure that steps are taken to isolate energy sources when servicing industrial equipment or heavy machinery. Review the energy isolation plan. It is specific both to the equipment or system and to the scope of work. This is done to protect workers.
