LOCKOUT TAGOUT CHECKLIST

Emedco LOCKOUT / TAGOUT Checklist

This Checklist constitutes a basic guide for Lockout/Tagout procedures according to guidelines, standards, and requirements issued by the Occupational Safety and Health Administration CFR 1910.147 and does not include all comprehensive requirements for specific industries or facilities. Additional regulations may be applicable depending on you location, or unique facility needs.

*For more information and to view specific OSHA regulations, visit www.osha.gov/law-regs.html

For a printable version of this Lockout / Tagout Checklist click here

OSHA STANDARD	ENERGY CONTROL LOCKOUT TAGOUT CHECKLIST	YES	NO	N/A
1910.147(c)(1)	Do I have an Energy Control Program? The program shall ensure all hazardous energy sources are isolated, locked, tagged or disabled before an employee performs service or maintenance where unexpected energizing or startup may occur and cause injury or death.	Yes	No	N/A
1910.147(c)(2)(i)	If an energy source cannot be locked out, do I have a tagout system in place?	Yes	No	N/A
1910.147(c)(2)(iii)	Are all machines and equipment, including new machinery ready and capable of accepting lockout devices?	Yes	No	N/A
1910.147(c)(3)(i)	When a tagout device is used in place of a lockout device, is it truly capable of being locked out?	Yes	No	N/A
1910.147(c)(4)	Do I have a procedure in place for controlling hazardous energy with specific requirements for securing machines, placement, transfer, and removal of lockout devices as well as regularly testing of locked machinery?	Yes	No	N/A
1910.147(c)(4)(ii)	Do procedures properly outline the scope, purpose, responsibility, authorization, rules, and techniques to be utilied for the control of hazardous energy as well as means to enforce compliance?	Yes	No	N/A
1910.147(c)(4)(ii)(B)	Are specific procedural steps for shutting down, isolating, blocking, and securing machines or equipment to control hazardous energy in place?	Yes	No	N/A
1910.147(c)(4)(ii)(C)	Is an authorized employee assigned and responsible for removing and transferring lockout tagout devices?	Yes	No	N/A
1910.147(c)(4)(ii)(D)	Do requirements exist for testing a machine or equipment to determine and confirm effectiveness and efficiency of lockout/tagout procedures?	Yes	No	N/A
1910.147(c)(5)(i)	Have I provided all of the necessary equipment to employees for isolating dangerous machinery and equipment including; locks, tags, chains, wedges, key blocks, adpater pins, self locking fasteners, or other important hardware used to secure or prevent machinery from causing injury or death?	Yes	No	N/A
1910.147(c)(5)(iii)	Do all lockout tags provide clear legends such as DO NOT START, DO NOT OPEN, DO NOT CLOSE, DO NOT ENERGIZE, DO NOT OPERATE?	Yes	No	N/A
1910.147(c)(5)(ii)(A)(1)	Are all lockout devices and tags designed to withstand the enviroment in which they are exposed for the maximum period of time that exposure is expected?	Yes	No	N/A
1910.147(c)(5)(ii)(B)	Are lockout devices and tags standardized throughout my facility in at least color, shape, size, and additionally print format for tags?	Yes	No	N/A
1910.147(c)(5)(ii)(C)(1)	Are all lockout devices substantial enough to prevent removal without the use of excessive force such as bolt cutter or other metal cutting tools?	Yes	No	N/A
1910.147(c)(5)(ii)(C)(2)	Are lockout tags throughout my facility stron enough to prevent removal without the use of excessive forec? They must have minimum unlocking strength of 50 pounds being equivalent to a one-piece, all enviroment-tolerant nylon cable tie.	Yes	No	N/A
1910.147(c)(6)(i)	Have I performed at least an annual inspection of all machinery and equpment to ensure procedures are being followed?	Yes	No	N/A
1910.147(c)(6)(i)(A)	Are inspections being performed by authorized employees other than the one(s) utilizing the energy control procedure being inspected?	Yes	No	N/A
1910.147(c)(6)(ii)	Can I confirm and certify periodic inspections have been performed? The certification identifies the machine or equipment on which the energy control procedure was being utilized, the date of the inspection, the employees included in the inspection, and the person performing the inspection.	Yes	No	N/A
1910.147(c)(7)(i)	Have I provided training that ensures the purpose and function of the energy control program? Do all employees understand the knowledge and skills required for the safe application, usage, and removal of the energy controls?	Yes	No	N/A
1910.147(c)(7)(i)(A)	Has each authorized employee received training in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods and means necessary for energy isolation and control?	Yes	No	N/A
1910.147(c)(7)(C)	Does the program include all other employees whose work operation may be in an area where energy control procedures may be utilized?	Yes	No	N/A
1910.147(c)(7)(ii)	When tagout systems are used, are employees properly trained in limitation of tags?	Yes	No	N/A
1910.147(c)(7)(iii)	Is Training repeated periodically when changes/updates occur in the energy control procedure?	Yes	No	N/A
1910.147(c)(9)	Are all employees notified and aware of the application and removal of lockout devices or tagout devices?	Yes	No	N/A
1910.147(d)(4)(i)	Are all lockout tagout devices are affixed to each energy isolating devices by authorized employees?	Yes	No	N/A

*The above Energy Control Lockout/Tagout Checklist is for informational purposes only. This Checklist has been created according to guidelines, standards and requirements set forth by the Occupational Safety and Health Administration, General Environmental Controls CFR 1910.147, The Control of Hazardous Energy (Lockout/Tagout) (www.osha.gov). This Checklist has been developed with various federal laws and standards in effect at the time of its creation. The user of this Checklist acknowledges that each workplace/industry is comprised of unique circumstances and that this Energy Control Lockout/Tagout Checklist does not constitute specific assurance, advice, procedures, or guarantee of any user's compliance with particular regulatory requirements (www.osha.gov) or any other compliance requirements.

This Checklist should not be used to replace the need to properly train all employees and does not provide a substitute for any assessment or audit by safety and health professionals. All uses are encouraged to discuss te specific regulatory requirements applicable to their workplaces with a legal or professional advisor or compliance office and to further assure that the use of this Checklist is suitable for its purposes. The users of this Checklist are subject to the terms and conditions set by www.emedco.com, this includes all responsibility and risk arising from any and all use of and/or reliance upon this Checklist, including revisions made there to Emedco. Emedco makes no warranty that the Checklist is appropriate, complete, or suitable for any particular facility or to requirements applicable to a particular worksite.