Chapter - 1
MNL000440.doc
Revision 00
09/19/2016
© Versum Materials, Inc. as of the revision and date shown. All rights reserved.
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Lockout (or Tagout) Procedure for (Name of Company)
Purpose
This procedure establishes the minimum requirements for the lockout or tagout of
energy isolating devices. It shall be used to ensure that the machine or equipment
is isolated from all potentially dangerous energy, and locked out or tagged out
before employees perform any servicing or maintenance activities where the
unexpected energization, start-up or release of stored energy could cause injury
(Type(s) and Magnitude(s) of Energy Hazards).
Responsibility
Appropriate employees shall be instructed in the safety significance of the lockout
(or tagout) procedure (Name(s)/Job title(s) of employees authorized to lockout or
tagout). Each new or transferred affected employee and other employees whose
work operations are or may be in the area shall be instructed in the purpose and use
of the lockout or tagout procedure (Name(s)/Job title(s) of affected employees and
how to notify).
Preparation for Lockout or Tagout
Make a survey to locate and identify all isolating devices to be certain which
switch(s), valve(s) or other energy isolating devices apply to the equipment to be
locked or tagged out. More than one energy source (electrical, mechanical, or
others) may be involved. (Type(s) of energy isolating means).
Sequence of Lockout or Tagout System Procedure
1.
Notify all affected employees that a lockout or tagout system is going to be