Lock Out Tag Out Form Sample

The osha standard for the control of hazardous energy lockout tagout 29 cfr 1910 147 for general industry outlines measures for controlling different types of hazardous energy.

Lock out tag out form sample.

It is specific both to the equipment or system and to the scope of work. Following osha lock out tag out procedure standards by using a procedures template and safety checklist will help ensure that all dangerous machinery and equipment are properly shut off locked out and tagged before performing maintenance checks. Lock out tag out procedures are to be completed before any service or maintenance work on equipment or machinery and or before entry into any grain bin or other area where operating equipment poses a hazard to the entrant. A sample lockout tagout procedure a good lockout tagout procedure at a minimum should contain the following elements.

The lock shall have the individual workers name and other identification on it. Osha s lockout tagout fact sheet describes the practices and procedures necessary to disable machinery or equipment to prevent hazardous energy release. Osha estimates that complying with loto standards helps prevent 120 fatalities and 50 000 injuries each year. All maintenance personnel shall be provided with a good lock.

Pub 3000 chapter 18 work process n addresses loto procedures. Each worker shall have the only key to the lock. A loto procedure is a formal document detailing all the steps required to establish the lockout. It documents the scope of work permitted under the loto.

5 2 sequence of lockout or tagout system procedure notify affected employees that a lock out or tag out system is going to be utilized and the reason. A loto procedure is required for all complex lotos.