Lockout/tagout (Control Of Hazardous Energy) - Sample Lockout Procedures Page 3
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10Sample Lockout Procedure
Use with Lockout/Tagout (Control of Hazardous Energy), Chapter 296-803 WAC
•
The following sample lockout procedure contains the minimum information
necessary to help you develop an energy control procedure that meets the
requirements of Lockout/Tagout (Control of Hazardous Energy),
Chapter 296-803 WAC.
•
For complex energy control systems, you may need to develop, document, and
use more comprehensive procedures.
•
You can use this fill-in-the-blank template, or develop your own form.
Note:
If you develop your own form, remember to include the necessary information from this template.
h t t p : / / w w w . l n i . w a . g o v /
R-3
11/04
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