Lockout-Tagout Form

Guide
Safety & OSHA

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Lock out/Tag Out procedures are to be completed before any service or maintenance work on equipment or machinery, and/or before entry into any grain bin or other area where operating equipment poses a hazard to the entrant. Failure to follow proper lockout-tag out procedures may result in disciplinary action up to and including termination.

  1. Each LOTO will follow the general process listed below.
  2. LOTO will follow the specific instructions for each piece of equipment/machinery to identify, disconnect, isolate, lock out and verify the lock out of the appropriate energy sources.
  3. Ending LOTO – follow the general LOTO Release process listed below, using the specific instructions for the equipment to activate energy sources.
factory line