Lock Out Tag Out Form Sample

It documents the scope of work permitted under the loto.

Lock out tag out form sample.

All maintenance personnel shall be provided with a good lock. Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. A sample lockout tagout procedure a good lockout tagout procedure at a minimum should contain the following elements. 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.

The loto procedure fulfills the following purposes. The lock shall have the individual workers name and other identification on it. It is specific both to the equipment or system and to the scope of work. A loto procedure is required for all complex lotos.

Pub 3000 chapter 18 work process n addresses loto procedures. 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. The authorized employee shall know the type and magnitude of energy that the machine or equipment utilizes and shall understand the hazards thereof. Each worker shall have the only key to the lock.

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. Osha estimates that complying with loto standards helps prevent 120 fatalities and 50 000 injuries each year.