Lockout / Tagout - Ohio Bureau of Workers' Compensation
Lockout / Tagout - Ohio Bureau of Workers' Compensation
Lockout / Tagout - Ohio Bureau of Workers' Compensation
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
1 OF 3<br />
APPENDIX F<br />
SPECIFIC ENERGY CONTROL PROCEDURES<br />
FOR EACH PIECE OR TYPE OF MACHINE OR EQUIPMENT<br />
PROCEDURE NUMBER: ________________________<br />
DATE: _____/_____/_____<br />
COMPLETED BY: ______________________<br />
MACHINES OR EQUIPMENT UTILIZING THIS PROCEDURE:<br />
_______________________________<br />
________________________________<br />
PROCEDURE FOR CONTROLLING HAZARDOUS ENERGY<br />
1. Be familiar with the sources <strong>of</strong> hazardous energy for the machine or equipment<br />
that will be serviced. See Appendix F (Energy Source Evaluation)<br />
SOURCES OF HAZARDOUS ENERGY<br />
o Electrical<br />
o Engine<br />
o Counter Weight<br />
o Flywheel<br />
o Pneumatic<br />
o Chemical<br />
o Other _________________________________________________<br />
o Spring<br />
o Hydraulic<br />
o Thermal<br />
2. Notify affected employees that the machine is about to be shut down and locked<br />
out.<br />
Specific Instructions:<br />
3. Shut down the machine using normal stopping procedures.<br />
Specific Instructions:<br />
4. Isolate all energy sources listed above.<br />
Specific Instructions:<br />
4-13
Change language