Template For Control Of Hazardous Energy Procedure (Lockout/tagout) Page 7
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16assuming control of lockedout/tagedout machines/equipment will be fully briefed in the
scope and stage of the work by those whom are being relieved.
G. Procedures for Outside Personnel/Contractors
The [Job Title] or their designee will inform all outside personnel/ contractors of the
elements of this procedure and ensure work efforts covered by this procedure are fully
coordinated and complied with.
H. Training and Communication
Each Authorized employee who will be utilizing lockout/tagout procedures will be trained
in the recognition of applicable hazardous energy sources; the types and magnitude of
energy available in the work place; and, the methods and means necessary for energy
isolation and control.
Employees not authorized to perform LOTO procedures are referred to as “affected”
employees. All affected employees shall be instructed in the purpose and use of the LOTO
procedure. Instruction for affected employees will also include the prohibition of:
Attempts to restart or re-energize machines or equipment that have been
locked/tagged out by an authorized employee
The use or removal of LOTO equipment by non-authorized employees
Retraining shall be provided for all authorized and affected employees whenever there is a
change in their job assignment; machines, equipment or processes that present a new
hazard; or the LOTO procedure.
Training will be certified by documenting the date the training occurred and the signatures
of the employees who were present.
I. Periodic Review
[Attachment E provides a template for documenting periodic reviews]
The effectiveness of the LOTO program will be evaluated at least annually. The date of
review will be documented and maintained as part of this program until the next review
replaces it.
In order to ensure the lockout/tagout program is being properly utilized, random reviews
and planned visual observations will be conducted by [Job Title] or their designee.
Specific areas to be noted are:
1. Whether the steps in the energy control procedures are being followed.
April 2015
Page 5
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