Lockout Tagout - Texas Department of Insurance

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Appendix C - Form Equipment Detail List For Lockout Procedures Equipment Description Serial# Company ID# Location 12
Appendix D - Instructions Completing Energy Control Procedure Form Master Copy for Permanent Files • This form is used as a more permanent record for each of the different general procedures required in the business. • The master copy for the permanent files are kept in one or more central locations, including but not limited to the Safety Office, the Maintenance Supervisor’s office, or the Production Manager’s office. • There must be “24/7” access to the facility’s master LOTO binder. 13
Page 1 and 2: OF OF STATE THE TEXAS TEXAS Texas D
Page 3 and 4: Purpose Equipment Lockout/Tagout Lo
Page 5 and 6: designate member of the management
Page 7 and 8: • Release the tension on springs,
Page 9 and 10: complete lockout. Be sure to check
Page 11 and 12: Appendix B - Instructions Completin
Page 13: Appendix C - Instructions Completin
Page 17 and 18: Appendix D - Form Energy Control Pr
Page 20: Lockout/Tagout Quiz Circle the lett

Lockout Tagout - Texas Department of Insurance

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