James E. Thompson, Inc. dba JTS Construction

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1 INSTRUCTIONS LOCKOUT/TAGOUT: Pg. 7 Complete the Procedure and Authorized Person form. Pg. 8 Lockout/Tagout form to be completed as needed. DISCARD THESE INSTRUCTIONS WHEN COMPLETE

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3 Energy Control: Lockout/Tagout EEAP All Rights Reserved.

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5 LINE Energy Control: Lockout/Tagout INTRODUCTION: To enhance the safety of our employees when servicing machinery and equipment, James E. Thompson, Inc. dba JTS Construction has implemented a Lockout/Tagout (LOTO) program in accordance with T8 CCR Lockout/Tagout is a safety procedure used in the workplace to ensure that machines are properly shut down prior to, and cannot be restarted during, maintenance and servicing. Lockout refers to the use of devices and procedures to isolate or secure prime movers on machinery and equipment to prevent injury from unexpected startup or release of stored energy. Locked out machinery or equipment cannot be restarted unless the lockout device is removed. Once the machinery or equipment is locked, you can safely do your work. Tagout means a tag has been placed on the controls of the power source that indicates it is prohibited to restart or operate the machinery or equipment during service or repair. Failure to lockout and tagout machinery before working on it is a major cause of serious injury and death in California for employees who perform tasks such as cleaning, repairing, servicing, setting-up, un-jamming and adjusting equipment. It is imperative that all potential energy sources are identified and secured or blocked. If the machinery or equipment must be capable of movement during the servicing period in order to perform the specific task, the hazard must be minimized by the required use of extension tools or other methods or means to protect employees from injury due to such movement. DEFINITIONS: 1. Affected employee or person: a. Any person whose job requires that he/she operates or uses a piece of equipment on which maintenance or service is being performed under lockout/tagout. b. Any person whose job requires that he/she works in the area of the equipment where service is being performed under lockout/tagout. c. Any person in close proximity to the equipment being serviced under lockout/tagout. 2. Authorized employee or person: A qualified employee who initiates lockout/tagout in order to service specific equipment. 3. Lockout: The use of devices and procedures to isolate or secure the prime movers on machinery and equipment. 4. Prime mover: The source of power for a machine, whether mechanical, hydraulic, pneumatic, chemical, electrical, thermal, etc. 5. Tagout: The use of a printed or handwritten tag that clearly indicates a piece of machinery or equipment is not to be operated. The name of the person who tagged the equipment and the time and date the equipment was tagged is documented on the tag. 6. Blockout: To physically block moveable parts of machinery to prevent movement during servicing and repair EEAP All Rights Reserved.

6 PROGRAM ELEMENTS: Our lockout/tagout program includes the following elements: 1. Phil Engler has been selected to oversee the lockout/tagout program and has full authority and responsibility for implementing the program. 2. All equipment that will start automatically should a power failure occur has been marked with signage that highlights this danger. 3. Employees authorized to perform servicing and repair have been indicated on the Lockout/Tagout Procedures form, and have been issued their own set of locks and tags. Locks and tags are stored in their designated locations. 4. A specific lockout/tagout procedure has been structured for each piece of equipment and is outlined on the Lockout/Tagout Procedure Form. 5. All employees receive general training on the lockout/tagout procedure and how it affects their job. This training is repeated every 12 months, is documented, and the records are kept on file for 12 months. 6. Authorized employees who service or repair machinery receive lockout/tagout training specific to the particular equipment they are assigned to service. 7. Lockout/tagout procedures are reviewed annually, and whenever a new machine is installed or a procedure has been modified EEAP All Rights Reserved

7 LOCKS, TAGS and BLOCKS: Locks Each authorized employee must have his/her own lock and the only key to that lock. The lock must be durable and have the name of the employee on it. Locks need to be able to withstand 50 pounds of pull of pressure. If a machine requires more than one worker for servicing, a lockout adapter needs to be used which allows all workers to place their locks on the disconnecting means. After the work is completed, each worker removes his/her own lock before the machine is restored to service. Tags Do not use tags alone. Tags are used in addition to locks. Tags must indicate: the reason for the lockout. the name of the employee who is working on the equipment. the date and time the tag was placed. Tags must be non-reusable and able to withstand at least 50 pounds of pull pressure. Blocks Blocks are another safety device for ensuring safety during repair or servicing of machinery or equipment. Stored energy must be blocked to prevent accidental movement. Blocks must be placed under lifts or any equipment that might inadvertently move by sliding, falling or rolling. Before installing blocks, bleed down steam, air or hydraulic lines to get rid of any pressure EEAP All Rights Reserved. 3

8 LOCKOUT/TAGOUT PROCEDURES: Our hazardous energy control procedure has been developed, documented, and shall be enforced whenever servicing is required on machinery or equipment. The procedure includes specific outlines detailing the purpose, authorization, rules and techniques to be utilized for the control of hazardous energy, including but not limited to the following elements: The intended use of the procedure. The steps for shutting down or isolating the prime movers. The steps for the placement or removal of lockout devices. The requirement for testing the machinery to determine and verify the effectiveness of the lockout device. When performing a shutdown of machinery for servicing, the following steps shall be followed: 1. Notify all affected employees before initiating a lockout/tagout procedure. Be sure that no one is operating the machinery prior to turning off the power. Sudden loss of power without warning could cause an accident. 2. Locate all energy sources that power the equipment to be serviced. Some machines have more than one source of power. a. Shut off the power switch. b. Isolate or disconnect the equipment from its energy source. All energy sources which could activate the machine must be locked out. Stored energy such as springs, fly wheels, hydraulic systems, air, gas, etc., must be safely released or blocked. c. Test to be sure all the power and energy is off. 3. Secure the machine to prevent accidental start up. a. Lock the power disconnect in the off position and tag. The locks and tags must be strong enough to prevent unauthorized removal and be able to withstand a 50 lb. pull test. Each person who will be working on the machine must apply his/her assigned lock, and it shall indicate the date and time and the name of the owner. The lock and tag shall be kept in place until the work is completed, at which point each person removes their own lock. b. Verify that the lockout method prevents the release of energy and startup. Test the machinery to make sure it can t be turned on and operated. 4. Sometimes machinery needs to be serviced with the power on. a. NEVER reach into moving machinery b. Minimize the hazard by using extension tools, such as swabs, brushes or scrapers. When re-starting machinery after servicing, the following steps shall be followed: 1. Prior to removing lockout/tagout equipment, remove all non-essential items. 2. Replace all machine guards. 3. Inform all affected employees that the machinery is to be restarted. 4. Check to see that all authorized and affected employees and bystanders are in a safe position. 5. Make sure everyone is clear of the machine before removing the lock and restarting. Lockout/tagout equipment must be removed by the person who placed it. 6. Verify that the equipment is working properly before resuming work EEAP All Rights Reserved

9 PERIODIC INSPECTIONS: As required by Cal/OSHA T8 CCR 3314, here at we conduct periodic inspections of our energy control procedures to evaluate their continued effectiveness and to determine the possible need for updating our written procedures. These inspections are conducted at least annually, and by an authorized employee other than the one who uses the particular energy control procedure that is being inspected. The inspection includes a review between the inspector and the employee of their responsibilities under the energy control procedure that is being evaluated. Once completed, Phil Engler certifies that the inspection has been performed. The certification includes the identity of the machinery, the date of the inspection, the employees who utilize lockout/ tagout procedures for the particular piece of equipment, and the person who performed the inspection EEAP All Rights Reserved. 5

10 WRITTEN PROCEDURES: Our written lockout procedure details the following: the equipment involved, and the purpose for the lockout. the energy sources for each machine. the steps for shutting down and securing each machine. the steps for verifying the effectiveness of the lockout. the steps for applying the lockout and tagout. the steps for restarting the machinery after service is completed. the employees authorized to perform lockout. the annual compliance audit. TRAINING: The risk of injury to employees from equipment and machines varies depending on their job duties. Before starting work, employees shall be trained on all sources of hazardous energy and have an understanding of the importance of turning off and de-energizing machinery and equipment prior to servicing, and/or shall be trained and familiarized with the safe use and maintenance of extension tools. Authorized employees shall be trained on hazardous energy control procedures and the hazards associated with cleaning, servicing, un-jamming, setting-up, and adjusting machinery and equipment. Each affected employee shall be instructed in the purpose of hazardous energy control procedures. All other employees who work in areas where energy control procedures are utilized shall be instructed on the prohibition of restarting or reenergizing machinery and equipment that has been locked out and/or tagged out. This training shall be documented in accordance with T8 CCR EEAP All Rights Reserved

11 LOCKOUT/TAGOUT PROCEDURE AND AUTHORIZED PERSON FORM Machine Name & Identification: Date: / / Location of Machine: PERSON(S) TRAINED AND AUTHORIZED TO PERFORM LOCKOUT/TAGOUT PROCEDURES ON THIS EQUIP- MENT: (Signing below indicates that I have been trained, understand, and accept responsibility for the lockout/tagout procedures for this equipment.) Name: Name: Signature: Signature: Name: Name: Signature: Signature: Name: Name: Signature: Signature: LOCKOUT/TAGOUT STEPS SPECIAL SAFETY CONSIDERATIONS FOR THIS PIECE OF EQUIPMENT: 2010 EEAP All Rights Reserved

12 SUMMARY OF BASIC STEPS WHEN PERFORMING LOCKOUT/TAGOUT PROCEDURES Machine Identification: Location of equipment: Date & Time LOTO initiated: Date: / / Time: : Name of employee authorized to perform work: LOTO steps prior to performing maintenance and/or service: (Authorized employee must initial as each step is completed.) 1. Notify affected employees prior to lockout/tagout. 2. Authorized employee has properly identified all energy isolating devices (valves, breakers, switches, etc). 3. Machinery/equipment has been shut off. Power source has been disconnected. 4. Machinery/equipment has been secured with locks and tags where required. 5. Hazardous energy has been properly controlled and machinery will not operate. LOTO steps prior to lock removal: (Authorized employee must initial as each step is completed.) 6. Tools and equipment have been retrieved after service completion and prior to lock removal. 7. Machine guards have been replaced. 8. Employees have been notified prior to restoring power, and are clear of the equipment. 9. All locks have been removed by the owner of the lock. 10. Power has been restored and the equipment is operating correctly OR the identified problem has not been repaired and the lockout/tagout procedure must be repeated. LOTO released: Date: / / Time: : LOTO completed: Signature of authorized employee 2010 EEAP All Rights Reserved