Chapter 1 - Safety Warnings
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MNL000294.doc
Revision 2
09/16/2016
Source System TE11
© Versum Materials, Inc. as of the revision and date shown. All rights reserved.
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Basic Rules for Using Lockout or Tagout System Procedure
All equipment shall be locked or tagged out to protect against accidental or inadvertent operating when
such operation could cause injury to personnel. Do not attempt to operate any switch, valve or other
energy isolating device where it is locked or tagged.
Entry No.
Description
1.
Name of Company
2.
Type(s) and Magnitude(s) of energy and hazards
3.
Name(s)/Job title(s) of employees authorized to lockout or
tagout
4.
Name(s)/Job title(s) of affected employees and how to
notify
5.
Type(s) and Location of energy isolating means
6.
Type(s) of stored energy
7.
Method(s) selected, i.e. locks, tags, additional safety
measure, etc.
8.
Type(s) of equipment checked to ensure disconnections
9.
Name(s)/Job title(s) of employees authorized for group
lockout or tagout
1910.147
29 CFR Ch.XVII (7-1-90)