
Chapter - 1
MNL000440.doc
Revision 00
09/19/2016
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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)