A. Preparation for Lockout or Tagout
Employees who are required to utilize the lockout/tagout procedure (see Attachment A) must be knowledgeable of the different energy sources and the proper sequence of shutting off or disconnecting energy means. The four types of energy sources are:
Points to remember:
Fluids and Gases
Release from Lockout/Tagout
Service or Maintenance Involving More than One Person
Removal of an Authorized Employee’s Lockout/Tagout by the Company
Each location must develop written emergency procedures that comply with 1910.147(e)(3) to be utilized at that location. Emergency procedures for removing lockout/tagout should include the following:
Shift or Personnel Changes
Procedures for Outside Personnel/Contractors
Training and Communication
This inspection shall be performed by (Name of Responsible person)
If (name of Responsible person) is also using the energy control procedure being inspected, then the inspection shall be performed by another party.
The inspection will include a review between the inspector and each authorized employee of that employee's responsibilities under the energy control (lockout/tagout) procedure. The inspection will also consist of a physical inspection of the authorized employee while performing work under the procedures.
(Name of Responsible person) shall certify in writing that the inspection has been performed. The written certification (Attachment D) shall be retained in the individual's personnel file.
List of Authorized Personnel for Lockout/Tagout Procedures
Certification of Training (Authorized Personnel)
I certify that I received training as an authorized employer under Company Name Lockout/Tagout program. I further certify that I understand the procedures and will abide by those procedures.
AUTHORIZED EMPLOYEE SIGNATURE
Click here to sign
Certification of Training (Affected Personnel)
I certify that I received training as an Affected Employee under Company Name Lockout/Tagout Program. I further certify and understand that I am prohibited from attempting to restart or re-energize machines or equipment that are locked out or tagged out.
AFFECTED EMPLOYEE SIGNATURE
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Lockout/Tagout Inspection Certification
I certify that (Authorized employee Name) was inspected on this date utilizing lockout/tagout procedures. The inspection was performed while working on (Equipment Name) .
Authorized employee Name
Equipment Name .
Source: MaintainX (Community Member)