This lockout procedure is for:
Insert either of the following above:
The following persons are authorized to lock out the machine or equipment using this procedure:
List above the names of authorized employees you want to use this procedure.
MEETING THE REQUIREMENTS OF THIS PROGRAM:
List above the actions that will be taken if employees violate the procedure.
This procedure will be used for the following service or maintenance actions:
List above the service and maintenance activities that require use of the procedure.
SPECIFIC PROCEDURAL STEPS:
Step 1: The authorized employee will identify the type and magnitude of the energy that the machine or equipment uses, understand the hazards of the energy, and know the methods to control the energy as follows before using this procedure:
List above the type and magnitude of the energy, its hazards, and the methods to control the energy.
Step 2: Notify all of the following affected employees that the machine or equipment will be shut down and locked out for service or maintenance:
List above the names or job titles of affected employees and how to notify them.
Step 3: Shut down the machine or equipment by the normal stopping procedure (such as depressing a stop button, opening switches, or closing valves).
List above the types and locations of machine or equipment operating controls.
Step 4: Completely isolate the machine or equipment from its energy sources by using the appropriate energy-isolating devices.
List above types and locations of energy isolating devices.
Step 5: Lock out the energy isolating devices with assigned individual locks.
List above any additional procedural requirements, such as putting on a tag with amplifying information, necessary for the authorized employee to know.
Step 6: Dispel or restrain stored and residual energy, such as that in capacitors, springs, elevated machine members, rotating flywheels, hydraulic systems, and air, gas, steam, or water pressure, using methods such as grounding, repositioning, blocking, or bleeding down.
List above the types of stored and residual energy and the methods to dispel or restrain them.
Step 7: Make sure the equipment is disconnected from the energy sources, and stored and residual energy has been made safe. Check that no employees are exposed, and then verify the isolation of the equipment by doing the following:
List above the method of verifying machine or equipment isolation, such as operating the push button or other normal operating controls or by testing to make certain the equipment will not operate.
CAUTION: Return the operating controls to the safe, neutral, or off position, after verifying the equipment is isolated from its energy sources.
THE MACHINE OR EQUIPMENT IS NOW LOCKED OUT:
Restore the machine or equipment to service after the service or maintenance is completed and the machine or equipment is ready to return to it’s normal operating condition by following these steps:
Step 1: Check the machine or equipment and the immediate area around it to make sure all nonessential items have been removed and that the machine or equipment is in operating condition and ready to energize.
Step 2: Make sure all employees are safely positioned for starting or energizing the machine or equipment.
Step 3: Verify that the controls are in neutral.
Step 4: Remove the lockout devices and reenergize the machine or equipment.
Note: You may need to re-energize the machine before you can safely remove some forms of energy blocking.
Step 5: Notify affected employees that the service or maintenance is completed and the machine or equipment is ready to use.
Source: MaintainX (Community Member)