EHSS-Phos Forms Lockout Tagout - Appendix D Forced Lock Removal Form.docx 2026

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  1. Click ‘Get Form’ to open the EHSS-Phos Forms Lockout Tagout - Appendix D Forced Lock Removal Form in the editor.
  2. Begin by filling in the 'Lock/tag assigned to' section with the name and department of the individual responsible for the lock/tag.
  3. In the 'Reason for lock/tag removal' field, provide a detailed explanation of why the lock/tag needs to be removed.
  4. Attempt to contact the employee who placed the lock/tag. Fill in their phone number and time contacted in the designated fields.
  5. Indicate whether the employee was contacted by checking 'Yes' or 'No'. If 'No', ensure you obtain authorization from their supervisor or manager.
  6. Check that all work is complete and it is safe to remove the lock before proceeding.
  7. Remove the lock and fill in your name, signature, date, and time removed in the appropriate sections.
  8. Finally, ensure that copies of this completed form are sent to both the Safety Group and relevant supervisors/managers.

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