Lock out tag out program log book dalhousie university. Lock out tag out procedure template free and customisable. It should be expanded, personalized and tailored to your companies, places of business or worksites. Loto tag filled out by the employee, identifying themselves. This lockout tagout log book is in fact much easier to manage than these old formats. Keller to help educate and protect your employees so they understand. A loto procedure is a formal document detailing all the steps required to establish the lockout. The lockout tagout compliance kit contains the training materials, energy control plan, and forms required to implement a lockout tagout program and train employees. Why the lockouttag out is required repair, maintenance, etc. Records will include an outline of topics covered and a sign in sheet of. A loto procedure is required for all complex lotos.
The tag must have the name of the lakehead university operator putting the tag on and the contractors people responsible for the. Keller representative will respond in a timely manner. Lock outtag out log book date of lock out time of lock out equipment being locked out and reason for lock out name of authorized employee supervisor date of release time of release version 1 march 2015. Lock out tag out also known as lock and tag or loto is a procedure which companies and people working in the industries use to ensure dangerous machines and equipment are properly shut off, isolated, and not able to start up again prior to the completion of work which can be maintenance, research or any other form of work. It documents the scope of work permitted under the loto.
Hazard checklist the center for construction research and training fact sheet. Studio recording log sheet template 2 pages company time sheet template 1 page signal infection surveillance log sheet template australia 1 page. Users must revise this generic form as necessary to fit their operations. This lock out tag out register makes managing all of your lotos easy and automated. A lockout tagout tag attaches to a locked device and provides instructions and information. Calosha fact sheet lockouttagout for employees pdf, 125kb. The governing body behind lockouttagout loto procedures the occupational safety and health administation osha holds an organisation responsible for ensuring that a clearlydefined lockouttagout procedure is followed to ensure the safety of those carrying out repairs and servicing. The lock shall have the individual workers name and other identification on it. This topic covers oshas lockouttagout loto standard for general industry workplaces, which is designed to control hazardous energy in order to prevent injuries to employees who service machines and equipment.
Try out test to see if the equipment is properly locked out by trying to start it. A logbook is an important tool in keeping all the information that a log contains. It is specific both to the equipment or system and to the scope of work. Professional lock out tag out quiz allows you to train and then certify your employees. Lock out tag out procedures are to be completed before any service or maintenance work on equipment or. Lock out, tag out loto, lock out, tag out, try out lototo or lock and tag is a safety. When production is ready, verify that equipment is operating correctly.
It is simply an evaluation tool to see how familiar you are with the basics of the lockouttagout program. Locks and tags cannot be used for purposes other than lockouttagout and must be standardized in either color, shape or size. Use of lock outtag out equipment to ensure safe work practices. For example, a log may consist of a traditional handwritten log book, or the employer may track lockouttagsplus applications electronically. Initiating the permittowork form, verifying a safe energy state, signs onto the safe access log att. The duties of authorized, affected and other employees. Lock outtag out procedures are to be completed before any. All maintenance personnel shall be provided with a good lock.
Lock out tag out register template free to use and better. It should be durable, easy to complete and easy to understand. Information gathered from oshas lockouttagout fact sheet. Lockout is defined in the canadian standard csa z460 control of hazardous energy lockout and other methods as the.
When someone completes a new lock out tag out form, it is automatically pushed into the cloud, so that you never have to spend any time manually entering data into a spreadsheet. As you can see here, each single log entry is a single loto. The second section indicates what types of energy, such as steam, electricity, moving parts or compressed air, that the lockout tagout controls. Sign up for news, regulatory updates, compliance tips, deals and more. Lock out tag out log book date of lock out time of lock out equipment being locked out and reason for lock out name of authorized employee supervisor date of release time of release version 1 march 2015. The loto procedure fulfills the following purposes. Lockouttagout loto procedure template electrical safety. These booklets are used to keep full records of lockouttagout procedures, and also for keeping a record of what products are used by whom, which period and other things such as specific purpose and which specific machinelocation.
The lock shall have the individual workers name and other identification. If you need to create a key log to keep track of key issuances and returns, and other necessary information, our available selection of samples and templates will be useful in formatting and creating your key log. Lockouttag out canadian centre for occupational health. Lockout tagout annual procedure inspection certification form. Hseaap150 lock out and tag out loto water corporation. Without a lockout tagout system there is the possibility that a machine will unexpectedly start up, either because of stored energy which was not correctly released or through the actions of someone starting the process. Lockout tags and safety tags 29706 your loto program begins and ends with a lockout tag.
This form is made to print and fill out by hand for those not comfortable filling it out on the computer. A lock out tag out procedure checklist is used before servicing industrial equipment and heavy machinery to ensure that workers who maintain and repair do not encounter incidents caused by unintended energization and get exposed to harmful energy. Ensure your employees are trained to know, understand, and follow the precautions of the hazardous energy control procedures, per osha. Lockouttagout training and practice is crucial to keeping your employees safe and in compliance. Provide your employees with lockout documentation so they can become trained and educated about proper safety requirements in the workplace. An equipment lockouttagout data sheet see ref37 describing. Remove all locks and tags following the lockout i tagout program instructions. Lockouttagout log sheet template in word and pdf formats. This is a pretest for this lockouttagout learning program. Lockouttag out lockout and tag out is more than putting a lock on a switch. Failure to follow proper lockouttag out procedures may result in disciplinary action up to and including termination. Lockout form a form indicating the procedure to be followed to lock out. The written program does not need to be lengthy or complicated but is required to help ensure that compliance with the standard is. Lock out tag out devices use color, warning labels or tags, and a physical barrier to alert people, temporarily prohibit machine operation or power activation, and reduce accidents, during maintenance or repair.
Alert employees to locked out equipment with these safety tags. Lock out tag out training cost savings ideas written lockouttagout procedures osha requires employers to prepare and implement written lockouttagout procedures for their speci. Tradesafe lockout tagout kit with hasps, loto tags, red safety padlocks osha compliance for electrical lock out tag out kits, locks, and loto lock set. The process of tagging out a system involves attaching or using an information tag or indicator usually a standardized label that includes the following information. In the united states a lock selected by color, shape or size, such as a red padlock.
Lockouttagout training, regulations, analysis, news, and. Standard form for lockouttagout procedures bizfluent. Drew university lockouttag out procedure draft 1211 purpose. Record log a permanent record of all lockoutstagouts kept in the power house. Lockouttagout log sheet template download doc, pdf. In this video youll learn about lockout tagout the process of disabling machinery or equipment, thus preventing release of hazardous energy during servicing and maintenance activities. Lockout tagout is an important safety component to your. Prior to startup of the equipment, inspect the area to ensure that all employees, contractors and any other personnel are safely positioned. Energy isolation lockouttagout log sheet section d chapter 5 part a version. Lock out and tag out procedures for energy control. The rp must record the agreed means of isolation, test, tagging and locking under part a of. A sample lockouttagout procedure a good lockouttagout procedure, at a minimum, should contain the following elements.
Supervisors should use the form as a guide to evaluating their shops compliance with the loto standard and as a tool to facilitate individual discussions with the authorized employees within the shop. On the next page, fill out the information you want to see on your tags. Tag out is a labelling process that is always used when lockout is required. It also covers oshas lockouttagout construction rules for electrical circuits and concrete and masonry construction. In the past, this book was usually a physical book, or a longwinded excel file, but today, log books can be fully digital and easy to manage.
Keller experts answer your osha lockouttagout questions about processes, procedures. A standard lockout form used for each machine or piece of equipment includes four main sections. Browse through our semiprinted templates below and choose the one that fits the bill. B, attaches a company hold lock onto the lockout box, ensures all work has been completed and all tools and trash have been removed from the jobsite. Ensure the following steps are taken to locktag out the machineequipment explain any deficiencies. Book depository books with free delivery worldwide. Pub3000, chapter 18, work process n addresses loto procedures.
This is often done using a lockout tagout log book. Lockout record sheet a written record of a lockout kept on a clipboard in. The top section identifies the equipment, its location, the scope of the work and the contact person. In order to help duke supervisors in various departments fulfill this requirement, oeso has developed a form.
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