Template For Control Of Hazardous Energy Procedure (Lockout/tagout) Page 3

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ATTACHMENT A
The Control of Hazardous Energy (Lockout/Tagout) Procedure
Table of Contents
I.
Objective
II.
Assignment of Responsibility
III.
Procedures
A. Preparation for Lockout/ Tagout
B. Sequence of Lockout/ Tagout
C. Release from Lockout/Tagout
D. Service or Maintenance Involving More than One Person
E. Removal of an Authorized Employee’s Lockout/Tagout by the Employer
F. Shift or Personnel Changes
G. Procedures for Outside Personnel/Contractors
H. Training and Communication
I. Periodic Inspection
IV.
Attachments
A. List of Equipment Requiring a LOTO Procedure Form
B. Equipment Specific LOTO Procedure Form
C. List of Authorized LOTO Personnel Form
D. Additional Lock and Tag Information
E. Periodic Review Templates
April 2015
Page 1

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