Template For Control Of Hazardous Energy Procedure (Lockout/tagout) Page 4
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16Lockout/Tagout Procedure
I. OBJECTIVE
The objective of this program is to identify and establish a means of control to prevent the
release of stored energy or the unintentional energizing/starting of machinery or equipment
which could harm employees. This program establishes performance requirements for the
control of hazardous energy, including:
Establishing a safe and controlling means of shutting down machinery and
equipment.
Prohibiting unauthorized personnel from starting machinery or equipment while it
is being serviced.
Establishing responsibility for implementing and controlling lockout/tagout
procedures.
Requiring that only approved hardware (locks, tags, and fastening devices) will be
used in the lockout/tagout procedure.
II. ASSIGNMENT OF RESPONSIBILITY
[Job Title] is responsible for implementing the lockout/tagout program.
[Job Title(s)] is responsible for compiling a list of all equipment that requires a
written Equipment-specific LOTO procedure. See Attachment A
[Job Title(s)] is responsible for completing the written Equipment-specific LOTO
procedures. See Attachment B
[Job Title(s)] is responsible for identifying “Authorized” and “Affected” employees.
See Attachment C
[Job Title] is responsible for issuing dedicated locks and tags. See Attachment D for
guidance on lock and tag specifications
[Job Title] will be responsible for enforcing the program and ensuring compliance
with the procedures in their departments.
[Job Title] is responsible for monitoring the compliance of this procedure and will
conduct the annual inspection and certification of the authorized employees.
Only Authorized employees are permitted to perform established lockout/tagout
procedures.
All other employees are prohibited from restarting or re-energizing machines or
equipment that is locked or tagged out.
III. PROCEDURES
A. Preparation for Lockout/ Tagout
April 2015
Page 2
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