Information

  • Document No.

  • Lockout/Tagout Periodic Inspection

  • Metal Recovery Systems 665 St. Cry Rd. St. Louis, MO. 63137

  • Conducted on

  • Prepared by Jason R. Richey EHSS Coordinator Metal Recovery Systems

  • Personnel Present

Pre-certification Prepared by trainer/supervisor

  • Employee has been trained in MRS LOTO procedures for assigned task

  • Employee can identify all stored & kinetic energy sources of equipment<br>

  • Employee has been issued locks, keys, hasp, and tags

  • All locks are unaltered and uniform with plant standards (Red, American Brand); Tags clearly identify ownership

  • Observed Employee

  • Supervisor/Trainer

Lockout/Tagout Process

  • Step 1- Identify energy sources

  • Step 2- Notify others (affected employees and other personnel in area)

  • Step 3- Shut down the equipment using normal stopping procedures for the equipment<br>

  • Step 4- isolate the equipment from the energy source

  • Step 5- Lock out and tag the equipment by affixing locks and tags to each energy sources controlling device

  • Step 6- Release stored energy (capacitor banks, springs, compressed air, steam, hydraulics, etc)

  • Step 7- Ensure area is clear of all personnel and verify isolation<br>

  • Step 8- Perform servicing

  • Step. 9- Release the equipment from lockout/tagout

Verification

  • Employee was able to conduct Lockout/Tagout process correctly and all steps were conducted sequentially

  • Employee demonstrates ability and knowledge to properly conduct lockout/tagout when necessary

  • Employee understands that he/she will be subject to periodic audits as deemed necessary by management<br>

  • Employee understands that violation of lockout/tagout policy can and will result in disciplinary action, up to and including termination

  • Auditor Signature

  • Supervisor Signature

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