• List authorized employees using this procedure.

  • Employee name: Employee name: Employee name:

  • Has the employees been trained in the procedure?

  • Do authorized employees know the location of the written procedure?

  • Do authorized employees have access to the procedure?

  • Are affected employees notified when the procedure is being used?

  • Have affected employees been trained to recognize when the procedure is being used and instructed not to remove lockout/tagout devices or start de-energized equipment.

  • Can energy-isolating devices be locked out?

  • NOTE: When you replace, renovate, or modify machines and equipment, ensure that the energy-isolating devices will accept lockout devices. New equipment and equipment renovated or modified after January 2,1990, must be capable of being locked out.

  • Did each authorized employee lock out all energy sources?

  • Does this procedure involve group lockout/tagout?

  • Did the authorized employees verify that the equipment was de-energized?

  • Did the authorized employees follow the lock/tagout procedure?

  • Does the lock/tagout procedure adequately protect employees? If not, list and describe the deficiencies requiring corrective action.

  • If this is a lockout procedure, did the inspector review with all authorized and employees their responsibilities under the procedure? NOTE: A review can be accomplished by meeting with employees individually or in a group.

  • If this is a tagout procedure, did the inspector review with all authorized and affected employees their responsibilities under the procedure? NOTE: A review can be accomplished by meeting with employees individually or in a group.

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