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. This template cannot be used as is you must customize the template to meet the needs of your organization. Lockouttagout log sheet template in word and pdf formats. For example, a valve lockout could not be used on a mcb and be expected to be fully secure. Lock out tag out program log book dalhousie university. A logbook is an important tool in keeping all the information that a log contains. 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. Existing loto procedures are acceptable until fy16, after which they must be converted to the standard format in the lockouttagout loto. Lockouttagout is the process of controlling hazardous energy during the service and. Prior to startup of the equipment, inspect the area to ensure that all employees, contractors and any other personnel are safely positioned. This lockout tagout log book is in fact much easier to manage than these old formats. Note only one elp is required for identical equipment set up in an identical configuration.
Pub3000, chapter 18, work process n addresses loto procedures. Control of hazardous energy via loto procedures is one. A loto procedure is required for all complex lotos. It is very simple, but it gives you an idea of what osha is suggesting. It should be expanded, personalized and tailored to your companies, places of business or worksites. These are also used for prohibiting users from any particular action. These energy sources include electrical either active current or stored as in a capacitor, pneumatic, hydraulic, mechanical, thermal, chemical, and the force of gravity. This is the basic lockout procedure that is provided by osha from 1910. Free fire extinguisher inspection tag template 55 elegant lock out tag examples from lock out tag out procedures template format with resolution. All berkeley lab loto procedures must follow the standard format included in the lockouttagout loto procedure template.
Lockouttagout loto procedure template electrical safety. Without a lockout tagout system there is the possibility that a. This will allow securities to keep track and know information as to who are the people visited the premises, what time they logged in and logged out. Lockout microsoft word templates are ready to use and print. 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 lockouttagout plus expert advisor, an interactive, expert, diagnostic software package to help users understand and apply osha standards that protect workers from the release of hazardous energy. This lock out tag out template is free and easy to use, making your lock out tag out procedure safer and more organised for everyone.
Lock out tag out register template free to use and better. In the preceding steps, if more than one individual is required to lock out or tag. Lockout tagout is a way to protect yourself and others by ensuring that machines remain completely, temporarily off. Describe i n detail where the lock is applied and where. It already has a content so all you need to do is to edit it if it. An employee whose job requires himher to operate or use a machine or equipment. Lockouttagout log sheet isolation points 10 locked by print name 12 removed by print name. Lockout tagout annual procedure inspection certification form. Lock out tag out, sometimes referred to as lockout tagout loto, are safety procedures that use safety devices and tags to help keep areas and people safe in research, industry, and other environments. Lock out tag out procedure template free and customisable.
The template includes the following required sections. Absent person loto lock removal form electrical safety. On the next page, fill out the information you want to see on your tags. The way to complete the online sample lockout tagout template on the internet. All maintenance personnel shall be provided with a good lock.
The extensive range includes safety log books, vehicle log books, tool logs books and waterproof log book holders. Safety requirement for the lock out tag out of energy sources. Lockout tagout procedures protect maintenance employees from injuries that could occur if machines or equipment start up or release stored energy while being serviced. This lock out tag out register is powered by dashpivot, which makes register and form management easy. Lock outtag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or other area where operating equipment poses a hazard to the entrant. It is specific both to the equipment or system and to the scope of work. Keep equipment maintenance and work site safety up to date will our log books. This equipmentspecific lockout procedure elp template meets slac control of hazardous energy cohe program requirements for an elp. Personal loto lock removal in the event the key to a lock is lost or misplaced, the lock may be cut by the loto authorized person after obtaining verbal permission from the person in charge of the loto. 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. Enter your official identification and contact details.
If you are making a log book of this kind, its time to cut the pressure and hassle. The completed absent authorized person loto lock removal form must be returned to the ehs electrical safety group for record keeping. Lock out tag out also known as lock and tag or loto. Standard form for lockouttagout procedures bizfluent. The lock shall have the individual workers name and other identification on it. A sample lockouttagout procedure a good lockouttagout procedure, at a minimum, should contain the following elements. The custom lockout tags below are easy to complete. Remove all locks and tags following the lock out i tag out program instructions. Millions of machine operators and workers are at risk each day of serious harm from unisolated energy sources. 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. Ensure the following steps are taken to lock tag out the machineequipment explain any deficiencies shutdown preparation employee familiar w procedure, equipment, energy sources. Use these products to lock out and tag hazardous components on your electrical, hydraulics, pneumatics, water, steam and kinetics equipment that need to be deenergized for maintenance.
Visitor log book is also one of the most common types. Failure to follow proper lockouttag out procedures may result in disciplinary action up to and including termination. Failure to follow proper lockout tag out procedures may result in disciplinary action up to and including termination. 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. These free lockout tagout powerpoints have been assembled for your use. Pub3000, chapter 18, work process o addresses special condition loto lock removal. The loto procedure fulfills the following purposes. Lockouttagout log sheet template download doc, pdf. Mmechanical eelectrical hhydraulic pnpneumatic ththermal ggravity rradiation chchemical. Browse through our semiprinted templates below and choose the one that fits the bill. For most designs, you can also swap out different headers and colors. Lock out tag out safety dvd lockout tagout powerpoint this powerpoint covers the requirements of lockout tagout, as well as the procedures and work practices for the proper isolation of hazardous energy.
Why the lockouttag out is required repair, maintenance, etc. Signal infection surveillance log sheet template australia 1. Any lockout devices used must be suitable for use on the device youre locking out. Ensure the following steps are taken to locktag out the machineequipment explain any deficiencies. If more than one authorized employee is required to lock out or tag out. 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. A loto procedure is a formal document detailing all the steps required to establish the lockout. The lock out tag out standard requires that hazardous energy sources be isolated and rendered inoperative before maintenance or servicing work can begin. Making the best template format choice is way to your template success. Osha requirements worldwide delivery, loto lock experts. To establish lockouttagout loto procedures that safeguard students, faculty and staff and contractors.
The control of hazardous energy lock out tag out ansi z244. We offer an innovative, modular way to change the bottom of the tags signature area, as well as an easy way to swap out different tag back designs. This can be done by tagging, or by attaching individually tagged padlocks. Lockouttagout devices must identify the individual users. Lock out tag out devices use color, warning labels or tags, and a physical barrier to alert people, temporarily prohibit machine operation or.
Edit or add new lock out tag out register fields to the template with simple draganddrop functionality. Equipmentspecific lockouttagout procedure elp template instructions continued cal poly facility services. If you need to create a key log to keep track of key issuances. Lock outtag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or other area where operating. New lock out tag out records are automatically updated in the register to eliminate doublehandling and manual data entry. Free collection lock out tag out log book template fresh lockout tagout log template format from lock out tag out procedures template free download with resolution. The lock out tag out loto templates are mostly used for more critical official communications be it contract service maintenance, group lockouts etc. Occupational safety and health administration regulation cfr 1910. A lock out tag out loto procedures template is used when servicing industrial equipment to protect workers against electrical hazards.
This is often done using a lockout tagout log book. In the event that a loto authorized person is absent, or otherwise unavailable to remove his or her personal. Tag out is a labelling process that is always used when lockout is required. The lockout tagout compliance kit contains the training materials, energy control plan, and forms required to implement a lockout tagout program and train employees. Signal infection surveillance log sheet template australia 1 page.
It documents the scope of work permitted under the loto. Equipmentspecific lockouttagout procedure elp template instructions. The advanced tools of the editor will direct you through the editable pdf template. 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. A policy must be enforced that means only the person who locked out an energy source can remove it. When production is ready, verify that equipment is operating correctly. Slac groups who develop their own elp template must meet specifications set forth in control of hazardous energy. Free lockout tagout procedure templates for your business lockout tagout. 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. All maintenance personnel shall be provided with a. Lock out tag out procedures are to be completed before any service or maintenance work on equipment or machinery, andor before entry into any grain bin or other area where operating equipment poses a hazard to the entrant.
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