| This safety checklist assists authorized employees in determining that procedures and equipment are available and personnel are trained in the control of hazardous energy sources. This checklist only addresses the minimum required standards. Relevant references are noted after each question. For additional information please contact Accuform Signs at 1-800-237-1001. | ||
| Training | OK | Action Needed |
| Are all authorized employees whose job requires them to perform service/maintenance on machines, systems, or equipment trained on lockout/tagout procedures? 29 CFR 1910.147 (c)(7)(i) | ____ | _____________ |
| Is lockout/tagout training sufficient to ensure recognition of applicable hazardous energy sources? 29 CFR 1910.147 (c)(7)(i) | ____ | _____________ |
| Do authorized employees know the adequate methods and means of isolating hazardous energy sources? 29 CFR 1910.147 (c)(7)(i)(A) | ____ | _____________ |
| Are affected employees instructed by their supervisor on the purpose and use of energy control procedures? 29 CFR 1910.147 (c)(7)(i)(B) | ____ | _____________ |
| Are all employees whose duties require them to be in an area where energy control procedures are used, instructed on their purpose, the prohibitions of lockout/tagout, and about a change in equipment that presents a new hazard? 29 CFR 1910.147 (c)(7)(iii)(A) | ____ | _____________ |
| If random lockout/tagout inspections reveal problems, is retraining accomplished? 29 CFR 1910.147 (c)(7)(iii)(B) | ____ | _____________ |
| If a supervisor has reason to suspect there are inadequacies in the employee's knowledge of lockout/ tagout procedures, is retraining accomplished? 29 CFR 1910.147 (c)(7)(iii)(B) | ____ | _____________ |
| Is lockout/tagout retraining sufficient to provide employee proficiency and introduce new or revised procedures? 29 CFR 1910.147 (c)(7)(iii)(B) | ____ | _____________ |
| As a minimum, is lockout/tagout training recorded with the employee's name, class attendance date, and their work area? 29 CFR 1910.147 (c)(7)(iii)(C) | ____ | _____________ |
Lockout/Tagout Procedures |
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| Are lockout/tagout devices capable of withstanding the environment to which they are exposed? 29 CFR 1910.147 (c)(5)(ii)(A)(1) | ____ | _____________ |
| Are lockout/tagout devices easily recognizable and clearly visible? 29 CFR 1910.147 (c)(5)(ii) | ____ | _____________ |
| Do locks have substantial strength to prevent removal without applying excessive force such as bolt cutters? 29 CFR 1910.147 (c)(5)(ii)(C)(1) | ____ | _____________ |
| Are lockout/tagout devices standard in either shape, color, or format? 29 CFR 1910.147 (c)(5)(ii)(B) | ____ | _____________ |
| Are tags, tag attachments, and lock attachment mechanisms designed so that the probability of accidental removal is minimized? 29 CFR 1910.147 (c)(5)(ii)(C)(2) | ____ | _____________ |
| Are tag attachments self-locking and attachable by hand? 29 CFR 1910.147 (c)(5)(ii)(C)(2) | ____ | _____________ |
| Have facilities identified their requirements for tags, locks, and attachment hardware, and do they have an adequate supply on-hand? 29 CFR 1910.147 (c)(5)(i) | ____ | _____________ |
| Has an initial survey been completed to identify all primary and secondary equipment energy sources? 29 CFR 1910.147(d)(1) | ____ | _____________ |
| Are drawings, prints, and actual inspections used to assist in identifying all sources of equipment energy? 29 CFR 1910.147 (d)(1) | ____ | _____________ |
| If an energy isolating device is not capable of being locked out, can it be demonstrated that a tagout affords the adequate protection? 29 CFR 1910.147 (c)(3)(ii)(B) | ____ | _____________ |
| If using a tagout, can an additional means of protection be provided, such as blocking a control switch? 29 CFR 1910.147 (c)(3)(ii)(B) | ____ | _____________ |
| Are all energy isolating devices adequately labeled or marked to indicate their function? 29 CFR 1910.147 (d)(1) | ____ | _____________ |
| Is all new or replacement equipment able to accept a lock device? 29 CFR 1910.147 (c)(2)(iii) | ____ | _____________ |
| Prior to lockout/tagout implementation, are all affected employees notified of the work to be performed? 29 CFR 1910.147(c)(9) | ____ | _____________ |
| If equipment complexity warrants, is a special lockout/tagout plan developed? 29 CFR 1910.147 (c)(4)(i) | ____ | _____________ |
| Do affected employees review the plan of lockout/ tagout sequences of complex operations? 29 CFR 1910.147 (c)(7)(i)(A) | ____ | _____________ |
| Is there a written listing of all energy isolating devices on shop equipment? 29 CFR 1910.147 (c)(4) | ____ | _____________ |
| During lockout/tagout, are all operating controls turned off by an authorized employee? 29 CFR 1910.147 (d)(1) | ____ | _____________ |
| Is an approved lock or tag used to isolate each hazardous energy source? 29 CFR 1910.147 (d)(4)(i) | ____ | _____________ |
| Are tagouts located in such a position that they will be immediately obvious to anyone attempting to operate an energy isolating device? 29 CFR 1910.147 (c)(7)(ii)(C) | ____ | _____________ |
| Is the equipment or system examined to detect and relieve any stored hazardous energy? 29 CFR 1910.147 (d)(5)(ii) | ____ | _____________ |
| Is the equipment or system tested to determine if the operation of the energy isolation device is working? 29 CFR 1910.147 (d)(6) | ____ | _____________ |
| Before energy is restored, is a visual inspection and personnel count of the work area conducted by an authorized employee? 29 CFR 1910.147 (e)(1) | ____ | _____________ |
| Is each lockout/tagout device removed by the authorized employee who applied it? 29 CFR 1910.147 (e)(2)(ii) | ____ | _____________ |
| Does the supervisor maintain a record of placement and removal of lockouts/tagouts? 29 CFR 1910.147 (c)(4)(ii)(B) | ____ | _____________ |
Special Lockout/Tagout Considerations |
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| If a group lockout/tagout system exists, does the procedure provide the same protection that a single employee would receive? 29 CFR 1910.147 (f)(3)(i) | ____ | _____________ |
| Is responsibility for a number of personnel working under the protection of a particular lockout/tagout vested with an authorized employee or supervisor? 29 CFR 1910.147 (f)(3)(ii)(A) | ____ | _____________ |
| Are specific procedures established for lockout/ tagout utilization during shift change? 29 CFR 1910.147 (f)(4) | ____ | _____________ |
| If outside contractors are working on-site, do our personnel ensure compliance with lockout/tagout procedures? 29 CFR 1910.147 (f)(2) | ____ | _____________ |
Periodic Inspections |
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| Are periodic inspections of lockout/tagout procedure conducted at least annually? 29 CFR 1910.147 (c)(6)(i) | ____ | _____________ |
| Are inspections conducted by a supervisor or authorized employee, other than the person using the lockout/tagout procedure? 29 CFR 1910.147 (c)(6)(i)(A) | ____ | _____________ |
| Does the inspection include a review between the inspector and the authorized/affected employees of their responsibilities under the lockout/tagout program? 29 CFR 1910.147 (c)(6)(i)(D) | ____ | _____________ |
| Are inspections certified and recorded? 29 CFR 1910.147 (c)(6)(ii) | ____ | _____________ |
| As a minimum, do the inspections include the date of inspection, the employee and inspector names, and the equipment on which the lockout/tagout procedures are being used? 29 CFR 1910.147 (c)(6)(ii) | ____ | _____________ |
| 29 CFR = Code of Federal Regulations Title 29. Source Department of Energy (DOE) OSH Technical Reference Chapter 3 - Lockout Tagout Appendix A. - Lockout/Tagout Safety Checklist. | ||
