Lock Out Tag Out Form Sample

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.

Lock out tag out form sample.

Osha estimates that complying with loto standards helps prevent 120 fatalities and 50 000 injuries each year. The lock shall have the individual workers name and other identification on it. A loto procedure is a formal document detailing all the steps required to establish the lockout. Osha s lockout tagout fact sheet describes the practices and procedures necessary to disable machinery or equipment to prevent hazardous energy release.

A loto procedure is required for all complex lotos. 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 loto procedure fulfills the following purposes. 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.

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. It is specific both to the equipment or system and to the scope of work. Pub 3000 chapter 18 work process n addresses loto procedures.

All maintenance personnel shall be provided with a good lock. Each worker shall have the only key to the lock.