Loto lock removal form 2025

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  1. Click ‘Get Form’ to open the loto lock removal form in the editor.
  2. Begin by entering the date and time of the initial request to remove the lock in the designated field.
  3. Fill in the name of the lock owner whose lock/tag is to be removed, along with their department/shop information.
  4. Provide the name of the lock owner's supervisor for proper documentation.
  5. Specify the equipment and location related to the lock removal. Indicate if it is necessary for equipment to be reenergized before the lock owner can return by selecting 'Yes' or 'No'. If 'Yes', explain why in the provided space.
  6. Document the reason for removing the lock, such as illness or oversight, in the appropriate section.
  7. Record any attempts made to contact the lock owner prior to removal, including date, time, method, and result.
  8. Ensure that a supervisor or their designee verifies that it is safe to remove the lock and has reviewed equipment conditions.
  9. Complete fields for who removed the lock and document date & time of removal.
  10. Confirm that notifications have been sent to inform the lock owner about their lock's removal before their next shift.
  11. Finally, ensure that you obtain a signature from the Lock Owner’s Supervisor at the bottom of the form.

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2022 4.6 Satisfied (58 Votes)
2015 4.6 Satisfied (60 Votes)
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What is a Lockout Tagout Procedure Checklist? A lockout tagout procedure checklist, also called a LOTO checklist, is a list of steps taken to ensure proper isolation of energy sources when servicing industrial equipment or heavy machinery.
LOCK OUT TAG OUT (LOTO) WORK PERMIT. Local regulatory requirements will govern if more stringent than the requirements identified in this permit. The work governed by this permit must stop if the permit. conditions are no longer met.
Lockout or tagout device removal: Each lockout or tagout device must be removed from the energy-isolating device by the employee who applied the device [29 CFR 1910.147(e)(3)].
Reply: Bolt cutters, or other device-destructive methods, are not the only permissible means by which to remove a lockout device, if the employer can demonstrate that the specific alternative procedure, which the employer follows prior to removing the device, provides a degree of safety that is equivalent to the
Lock out/Tag Out procedures are to be completed before any service or maintenance work on equipment or machinery, and/or before entry into any grain bin or other area where operating equipment poses a hazard to the entrant.
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