Lockout/Tagout Procedure
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1. Scope and purpose
Servicing, cleaning and maintenance where unexpected startup or release of energy could injure an employee.
Authorized employees: . Affected employees: .
2. Energy sources
| Type | Magnitude | Isolation device | Location | Isolate and lock | Verify |
|---|---|---|---|---|---|
| Electrical | 480 V, 3-phase | Disconnect DS-12 | East wall behind the press | Open, lock and tag the disconnect | Press Start; meter test at the motor leads |
| Pneumatic | 90 psi | Air valve V-3 | Drop at the press base | Close, lock, bleed the line at the dump valve | Gauge reads 0 psi |
3. Shutdown and lockout
- Notify affected employees that the equipment is being shut down and locked out, and why.
- Shut the equipment down by its normal stopping procedure.
- Operate each energy-isolating device listed above so the equipment is isolated from every energy source.
- Each authorized employee attaches their own assigned lock and tag to each isolating device.
- Release, restrain or dissipate stored energy: Block or lower raised parts to their lowest position. Bleed air and hydraulic lines. Let moving parts come to a full stop.
- Verify isolation: make sure no one is exposed, then try the normal operating controls and perform the verification steps above. Return controls to off or neutral.
4. Restoring to service
- Remove tools and materials; make sure machine guards and components are back in place.
- Check that all employees are safely positioned or removed, and notify affected employees before locks are removed.
- Each lock and tag is removed by the employee who applied it.
- Restore energy and notify affected employees that servicing is complete.
5. Shift changes, groups and contractors
For group lockout, each authorized employee applies a personal lock to the group lockout device or lockbox. At shift change, the incoming employee's lock goes on before the outgoing employee's comes off. Outside contractors and this employer exchange lockout procedures before work starts.
6. Review
This procedure is inspected at least once a year by an authorized employee other than the ones using it (29 CFR 1910.147(c)(6)). Reviewed by / date:
Prepared with the free lockout/tagout procedure generator at worksafecert.com/tools/lockout-tagout-procedure. This is a template: check it against OSHA 29 CFR 1910.147 and the conditions at your workplace before you rely on it.