KM Unit – APP. G: Safety Lockout Acknowledgement

APPENDIX G 

SAFETY LOCKOUT ACKNOWLEDGEMENT 

A. Each appropriate employee shall be supplied with 10 (ten) unique  locks and its key, and a multiple locking device. The key shall not be  duplicated; however, each Superintendent and/or University  locksmith shall have a master key to the locks used in their Shop. The  lock will be marked to identify the employee to which it isissued.

B. Each appropriate employee shall also be supplied with tagsto use only when the equipment or disconnect device cannot be locked out.

C. Whenever the disconnect site is not immediately visible at all timesto  the employee working on the equipment or utility, the employee shall  lock the appropriate disconnect switch or circuit breakers. The  employee may tag-out the same devices only if the device cannot be  locked out. If more than one employee is working on the same  equipment or utility, each employee shall lock out ortag out.

D. Potential hazards, such as a machine’s operating parts and certain  mechanical equipment, can slip accidentally. Employees need to  prevent this by making any movement impossible by blocking gears,  dies, or other mechanisms; by releasing coiled springs, spring-loaded  devices, and securing cams; by putting blocks under raised dies or  any equipment that might descend, slide or fall; by using blocks or  special stands to prevent failure or slippage of the hoist or elevating  device underraised vehicles.

E. Locks or tags must be promptly removed when repair or maintenance  jobs are completed. If more than one employee has locked or tagged  out, each mustremove their own lock ortag.

F. This article shall be duplicated and given to each employee and the  employee shall sign, date and return the article acknowledging that it  has been read and the employee understandsits contents. 

G. Each employee will be required to attend and adhere to University  provided Lock-Out/Tag-Out training and procedures presented by  EH&S representative every calendar year.

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