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____ |
Energy
Control Program including energy control procedures, employee
training and periodic inspections. |
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____ |
Written energy control procedures for
all equipment and machinery that may require maintenance or
servicing. |
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____ |
Each
written procedure includes a specific statement of the intended use
of the procedure. |
|
____ |
Each
written procedure includes steps for shutting down, isolating,
blocking and securing machines or equipment to control the hazardous
energy. |
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____ |
Each
written procedure includes steps for the placement, removal and/or
transfer of lockout devices or tagout devices and the responsibility
for them. |
|
____ |
Each
written procedure includes the requirements for testing the machine
or equipment to determine and verify the effectiveness of lockout
devices, tagout devices, and any other energy control measures. |
|
____ |
Each
written procedure includes the requirements for the release from
lockout and tagout. |
|
____ |
Documentation of training for facility personnel including all
“Affected” and “Authorized” employees. |
|
____ |
Knowledge
that “affected” personnel are not “authorized” personnel who have
been trained to perform the lockout/tagout and the required
servicing or maintenance on each specific piece of equipment. |
|
____ |
Have you
identified all affected employees. |
|
____ |
Have you
identified all authorized employees. |
|
____ |
Documentation of re-training for all authorized and affected
employees whenever there is a change in job assignments, change in
machinery, equipment or process that presents new hazards or new
energy control procedures. |
|
____ |
Approved
Lockout devices that utilize a positive means such as a lock, either
key or combination type, to hold an energy isolating device in the
safe position and to prevent the energizing of a machine or piece of
equipment. |
|
____ |
Are you
using an approved Tagout device or prominent wording device, which
can be securely fastened to an energy isolating device in accordance
with your written procedure, to indicate that the energy isolating
device and the equipment being controlled may not be operated until
the tagout out device is removed. |