2022 Lockout Tagout Program Template
This Lockout Tagout Program Template download is in word format. A generic template for any company that would like to initiate an OSHA Control of Hazardous Energy (Standard 29 CFR 1910.147) Lockout/Tagout Compliance Guide program. Just find and replace "COMPANY NAME" in the document with your company's name.
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TABLE OF CONTENTS
1.0 PURPOSE AND SCOPE 3
2.0 APPLICATIONS 3
2.1 EXCLUSIONS 3
3.0 ASSIGNMENT OF RESPONSIBILITY 4
4.0 ENERGY CONTROL PROGRAM 4
4.1 CORE COMPONENTS ORE COMPONENTS 4
5.0 ENERGY CONTROL PROCEDURE 5
6.0 PERIODIC INSPECTION 6
7.0 EMPLOYEE TRAINING AND COMMUNICATION 7
8.0 NOTIFICATION OF EMPLOYEES 8
9.0 APPLICATION OF ENERGY CONTROL 9
10.0 EQUIPMENT FOR LOCKOUT/TAGOUT 10
11.0 RELEASE FROM LOCKOUT/TAGOUT 11
12.0 TEMPORARY REMOVAL OF LOCKOUT AND TAGOUT DEVICES 12
12.1 RESTORING EQUIPMENT TO SERVICE 12
13.0 GROUP LOCKOUT/TAGOUT PROCEDURE 13
13.1 MAINTAINING CONTINUITY 13
14.0 OUTSIDE PERSONNEL (CONTRACTORS) 14
15.0 REQUIREMENTS FOR LOCKOUT/TAGOUT DEVICES 14
15.1 DURABILITY REQUIREMENTS 15
15.2 HARDWARE REQUIREMENTS FOR TAGOUT 15
16.0 DEFINITIONS 16
17.0 FORM #1 ANNUAL EVALUATION 18
18.0 FORM #2 MACHINE SPECIFIC ENERGY CONTROL PROCEDURES 21
19.0 FORM #3 DOCUMENTATION FOR REMOVING LOCKS/TAGS 22
20.0 FORM #4 "AUTHORIZED" EMPLOYEE TRAINING CERTIFICATION 23
21.0 FORM #5 "AFFECTED" EMPLOYEE TRAINING CERTIFICATION 24
22.0 FORM #6 "OTHER" EMPLOYEE TRAINING CERTIFICATION 25
23.0 FORM #7 ANNUAL LOCKOUT/TAGOUT AUDIT 26
24.0 FORM #8 CONTRACTOR RECORDS 27