HECP Generator

• Client / Site

• Add location
  Address

• Select date

  Date

• Location of Lockout/Tagout Equipment

• Picture of LOTO Equipment

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• Name of Equipment

• Location of Equipment Being Controlled

• Photo of Equipment Being Controlled

  Media

• Picture of Equipment Start/Stop

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• Location of Energy Control Panel

• Picture of Energy Control Panel

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• Voltage Associate with Energy Control Panel

Authorization: Only employees trained in the lockout procedures for the above Equipment and having received thorough indoctrination in the facilities lockout/tagout procedures may work in this equipment.

Purpose of Lockout

• General

• Inspection

• Cleaning

• Other

Energy Sources to be Considered

• Electrical

• Fuel Gasses

• Fuel Oil

• Steam

• Compressed Air

• Hydraulic

• Chemical

• Gravity

• Spring Tension

• Other

To secure: -NOTIFY ALL AFFECTED EMPLOYEES that application of lockout/tagout devices will be applied to this machine. -SHUT DOWN MACHINE USING NORMAL SHUTDOWN PROCEDURES -APPLY LOCKOUT/TAGOUT DEVICE AS FOLLOWS:

• Photos of where Lockout/Tagout Devices are to be applied.

  Media

• Lockout/Tagout Procedure

Step

Test cycle the machine (Push the start button) to insure lockout is applied correctly and/or test circuit, relieve pressure, etc. as required to insure no energy is present.

AFTER WORK IS PERFORMED: -Clear machine or equipment of tools and materials. -Notify all affected employees and remove all tools from equipment area. -Employee(s) that applies the lockout/tagout shall remove the device(s). Start the machine/equipment as follows:

• Procedure to Start

Step

Return all lockout/tagout devices to the proper storage.

• Conducted By:

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