Lockout / Tagout - Ohio Bureau of Workers' Compensation

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1 OF 3 APPENDIX F SPECIFIC ENERGY CONTROL PROCEDURES FOR EACH PIECE OR TYPE OF MACHINE OR EQUIPMENT PROCEDURE NUMBER: ________________________ DATE: _____/_____/_____ COMPLETED BY: ______________________ MACHINES OR EQUIPMENT UTILIZING THIS PROCEDURE: _______________________________ ________________________________ PROCEDURE FOR CONTROLLING HAZARDOUS ENERGY 1. Be familiar with the sources of hazardous energy for the machine or equipment that will be serviced. See Appendix F (Energy Source Evaluation) SOURCES OF HAZARDOUS ENERGY o Electrical o Engine o Counter Weight o Flywheel o Pneumatic o Chemical o Other _________________________________________________ o Spring o Hydraulic o Thermal 2. Notify affected employees that the machine is about to be shut down and locked out. Specific Instructions: 3. Shut down the machine using normal stopping procedures. Specific Instructions: 4. Isolate all energy sources listed above. Specific Instructions: 4-13
2 of 3 APPENDIX F 5. A. Apply locks to all isolation devices operated in step four. Specific Instructions: B. If a tag is used in lieu of a lock when the energy isolating device is incapable of lockout (see Appendix A), the following additional safety precaution(s) shall be taken: 6. Block or dissipate all stored energy in rams, flywheels, springs, pneumatic or hydraulic systems, etc. Specific Instructions: 7. Verify that the machine is locked out by testing the machine operating controls. RETURN ALL CONTROLS TO THE “NEUTRAL” OR “OFF” POSITION AFTER TESTING. Specific Instructions: PROCEDURES FOR REMOVING LOCKS / TAGS 1. Check the machine to be sure it is operationally intact, tools have been removed, and guards have been replaced. Specific Instructions: 2. Check to be sure all employees are safely positioned. Specific Instructions: 4-14
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Lockout / Tagout Class Agenda and O
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Lockout / Tagout Course Objectives
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Activity Plan q Activity Other peop
Page 9 and 10: The following accidents, taken from
Page 11 and 12: V. Identify Different Personnel u A
Page 13 and 14: XI. Miscellaneous Items in Your Pro
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Page 17 and 18: 2-10
Page 19 and 20: 2-12
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Page 28 and 29: OSHA Regulations (Standards - 29 CF
Page 30 and 31: (a)(3) "Purpose." (a)(3)(i) This se
Page 32 and 33: (c)(2) "Lockout/tagout." (c)(2)(i)
Page 34 and 35: (c)(5)(ii) Lockout devices and tago
Page 36 and 37: (c)(7)(i)(A) Each authorized employ
Page 38 and 39: (d)(2) (d)(3) (d)(4) "Machine or eq
Page 40 and 41: (e)(3)(ii) Making all reasonable ef
Page 44: (7) Ensure that the equipment is di
Page 47 and 48: III. Definitions Authorized employe
Page 49 and 50: D. Lockout Device Application. 1. A
Page 51 and 52: 3. Ensure that our employees unders
Page 53 and 54: APPENDIX A TAGOUT PROCEDURES A. Whe
Page 55 and 56: DATE: _____/_____/_____ APPENDIX C
Page 57: APPENDIX E ENERGY SOURCE EVALUATION
Page 61 and 62: APPENDIX G-1 “Authorized” Emplo
Page 63 and 64: APPENDIX G-3 “Other” Employee T
Page 65 and 66: HAZARDOUS ENERGY CONTROL PROCEDURES
Page 67 and 68: Appendix I Audit Checklist Review t
Page 69: Yes No Before the machinery is acti
Page 72 and 73: Additional Training for Qualified P
Page 74 and 75: Employer Responsibilities (continue
Page 76 and 77: Preventing Shock • Safety Plannin
Page 81 and 82: (c)(2) (c)(3) (c)(4) Communications
Page 83 and 84: (b)(3)(ii) The skills and technique
Page 85 and 86: The work practices that are used sh
Page 87 and 88: equivalent to that obtained by use
Page 89 and 90: Note: The work practices used by qu
Page 91 and 92: (c)(3)(iii)(B)(2) The equipment is
Page 94 and 95: OSHA Standards Interpretation and C
Page 96 and 97: [01/07/1992] Electrical safety rela
Page 98 and 99: guards and/or devices assure employ
Page 106 and 107: contradict the guidance provided in
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• Verification is provided by a s
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Question: Reply: Would interlocking
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The following document is reproduce
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WHY THIS LOCKOUT IMPLEMENTATION KIT
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LOCKOUT STANDARD CHRONOLOGY Februar
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6. Industry sectors, such as constr
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f. Each element of this program wil
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h. Locks shall be attached to each
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Training records such as attendance
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(b) (c) (d) (e) (f) Machinery equip
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(iv) Prior to lockout device remova
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APPENDIX A - SAMPLE FORMS Form No.
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Form No.2 WRITTEN PROCEDURE ELEMENT
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Are alternate energy control method
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Is procedure adequate? ____________
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Is job procedure for removal being
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11. Have attempts been made to cont
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Document No- 1 PLANNING FOR TRAININ
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8. The retraining must reestablish
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appropriate, to determine whether e
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One Hour Safety Presentation The ma
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Elements of a Lockout/Tagout Progra
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Identify Different Personnel u Auth
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List & Identify all Sources Of Ener
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Procedures For Each Piece Of u Writ
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Training Affected & Other Employees
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Develop Procedures On How You Will
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Miscellaneous Items in Your Program
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Other Things To Consider u When do
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Elements of a Lockout/Tagout Progra
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Identify Different Personnel u Auth
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List & Identify all Sources Of Ener
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Procedures For Each Piece Of Equipm
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Training Affected & Other Employees
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Develop Procedures on how you will
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Miscellaneous Items in Your Program
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Other Things To Consider u When do
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If an energy isolating device is ca
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Student Handouts
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Training Of Authorized Employees. u
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Shift & Personnel Changes u How to
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Resources Available from the Divisi
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Saving You Time and Research Reques
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The CDC is always a good resource f
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http://www.fmcsa.dot.gov/safetyprog
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Lockout / Tagout - Ohio Bureau of Workers' Compensation

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