P & D Environmental Services, Inc.

Striving To Provide the Most Professional Products and Services for
Promoting A Safe Workplace Environment.

SAMPLE TOPICS FROM THE LOCKOUT/TAGOUT PROGRAM

I. PURPOSE

II. RESPONSIBILITY

III. PROTECTIVE MATERIALS AND HARDWARE

IV. INSPECTIONS

 (Name of the Inspector) shall conduct (time period, at least annually) inspections to ensure that the procedure of this program 
	is being followed. The inspection will include the following:
   		
			1. 	Correcting any deviations or inadequacies observed.

   		2. 	Where lockout devices are used, an interview shall be conducted with each authorized
   				employee regarding responsibilities under the energy control procedure being inspected.

   		3. 	Where tagout devices are used, an interview shall be conducted with each authorized and effected employee 
					regarding responsibilities under the energy control procedures being inspected and the tagout system as 
					outlined in the training section of this program.

Certified inspections shall be performed to identify the machine or equipment, the date of the inspection, the employees 
included in the inspection and the person performing the inspection.

V. TRAINING AND COMMUNICATION

VI. PREPARATION FOR LOCKOUT OR TAGOUT

VII. SEQUENCE OF LOCKOUT OR TAGOUT SYSTEM PROCEDURE

VIII. TESTING OR POSITIONING

IX. PROCEDURES INVOLVING MORE THAN ONE PERSON

X. SHIFT OR PERSONNEL CHANGES

XI. OUTSIDE CONTRACTORS