Lockout/tagout (Control Of Hazardous Energy) - Sample Lockout Procedures Page 6
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10Sample Lockout Procedure
SPECIFIC PROCEDURAL STEPS:
The authorized employee will identify the type and magnitude of the energy
Step 1:
that the machine or equipment uses, understand the hazards of the energy,
and know the methods to control the energy as follows before using this
procedure:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
List above the type and magnitude of the energy, its hazards, and the methods to control the energy.
For additional information, see Meet these requirements when applying lockout or tagout
devices, WAC 296-803-50010, in this chapter.
Step 2: Notify all of the following affected employees that the machine or equipment
will be shut down and locked out for service or maintenance:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
List above the names or job titles of affected employees and how to notify them. For additional
information, see Meet these requirements when applying lockout or tagout devices, WAC
296-803-50010, in this chapter.
Step 3: Shut down the machine or equipment by the normal stopping procedure
(such as depressing a stop button, opening switches, or closing valves).
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
List above the types and locations of machine or equipment operating controls. For additional
information, see Meet these requirements when applying lockout or tagout devices,
WAC 296-803-50010, in this chapter.
1 • 8 0 0 • 4 B E S A F E
( 1 • 8 0 0 • 4 2 3 • 7 2 3 3 )
R-6
11/04
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life