SCOPE

AUTOMATED WORKPLACE SAFETY, INC.

Energy Control Procedure

For the

Mixing Tank

Equipment # 32-A

SCOPE

This energy control procedure details the lockout/tagout requirement(s) for the control of any hazardous energy associated with the Mixing Tank.

PURPOSE

To protect all employee(s) from injury or death during work operations on or around equipment by ensuring the Mixing Tank is isolated and locked out from any hazardous energy.

RESPONSIBILITY

The following authorized employee(s) can participate in lockout/tagout operations for the Mixing Tank:

LAST NAME:

Doe

FIRST NAME:

Jane

IDENTIFICATION NUMBER:

123 00 0001

DATE:

1998/04/14

REMARKS:

Completed Lockout/Tagout procedure training

LAST NAME:

Doe

FIRST NAME:

Tim

IDENTIFICATION NUMBER:

123 00 0001

DATE:

1998/05/14

REMARKS:

Completed OSHA 40 hour Hazardous Materials Specialist Training

LAST NAME:

Donning

FIRST NAME:

Pete

IDENTIFICATION NUMBER:

01-2

DATE:

1998/03/22

REMARKS:

Completed lockout procedure training

PROCEDURES

Prepare for lockout/tagout

Hazardous energy summary:

HAZARD CLASS:

ELECTRICAL

HAZARDOUS ENERGY:

Electrical units

LOCATION:

Electrical wiring and Electrical components

MAGNITUDE:

600 VOLTS

HAZARD CLASS:

PNEUMATIC

HAZARDOUS ENERGY:

Compressed Air

LOCATION:

Next to electrical disconnect

MAGNITUDE:

100 PSI

HAZARD CLASS:

HYDRAULIC

HAZARDOUS ENERGY:

Hydraulic Pressure

LOCATION:

Hydraulic system associated with the equipment

MAGNITUDE:

40 PSI

HAZARD CLASS:

MECHANICAL

HAZARDOUS ENERGY:

Mixing Blades

LOCATION:

Bottom of mixing tank

MAGNITUDE:

Severe

Application of Lockout/Tagout Devices

Notify all affected employee(s) of intention to lockout/tagout the Mixing Tank and the reason.
Shut the Mixing Tank down following standard operating procedure(s).
Isolate the Mixing Tank by the following isolation procedure(s):

Device:

Primary Electrical Disconnect

ID NUMBER:

A-04

LOCATION:

On the operator side of the equipment

Action to Device:

Turn disconnect switch to 'OFF' position

Device:

Ball Valve

ID NUMBER:

7-15

LOCATION:

Next to operator panel above the electrical disconnect

Action to Device:

Turn handle 90 degrees to close

Device:

Hydraulic System Disconnect

ID NUMBER:

A-01

LOCATION:

Hydraulic control panel

Action to Device:

Throw switch to 'off'

Device:

Main Switch

ID NUMBER:

001-A

LOCATION:

On the control panel, next to the primary electrical disconnect switch

Action to Device:

Throw switch to 'OFF'

Lockout/tagout the isolating device(s) for the Mixing Tank by the following lock application procedure(s):

Device:

Primary Electrical Disconnect

LOCK:

Hasp and lock

LOCK APPLICATION:

Secure hasp through switch and close pad lock through hasp

Device:

Ball Valve

LOCK:

Ball Valve Lock

LOCK APPLICATION:

Place clamp over valve handle and close padlock over handle and through clamp

Device:

Hydraulic System Disconnect

LOCK:

Hasp and lock

LOCK APPLICATION:

Secure hasp over switch and close pad lock down through hasp

Device:

Main Switch

LOCK:

Multi-Pole Breaker Lock

LOCK APPLICATION:

Secure clamp over breaker and close pad lock down through clamp

Release any stored hazardous energy from the Mixing Tank components by following stored energy release procedures.
Verify the total isolation of hazardous energy from the Mixing Tank by the following verification procedure(s):

Hazardous Energy:

Electrical units

Verification Procedure:

Try to operate the switch at the lockout point to ensure the effectiveness of the lockout. Use a voltmeter to verify lockout of electrical energy

Hazardous Energy:

Compressed Air

Verification Procedure:

Try to manually activate the valve

Hazardous Energy:

Hydraulic Pressure

Verification Procedure:

Try to operate the switch at the lockout point to ensure the effectiveness of the lockout

Hazardous Energy:

Mixing Blades

Verification Procedure:

Physically inspect lockout device and use voltmeter to verify effective lockout

Release from Lockout/Tagout

After the work operation is completed, reinstall any Mixing Tank components such as guards and interlocks.
Remove all tools and related equipment, and clean up the work area.
Inspect the work area for any missed items.
Notify all affected and other employee(s) of intention to remove lockout from isolating device(s).
Inspect area to ensure all employee(s) are out of possible exposure area.
Remove the lock(s) from their assigned device(s) by the following lock removal procedure(s):

Lock:

Hasp and lock

Isolating Device:

Primary Electrical Disconnect

Lock Removal Procedure:

Open padlock and remove from hasp. Remove hasp from switch

Lock:

Ball Valve Lock

Isolating Device:

Ball Valve

Lock Removal Procedure:

Open padlock and remove from clamp. Remove clamp from valve handle

Lock:

Hasp and lock

Isolating Device:

Hydraulic System Disconnect

Lock Removal Procedure:

Open padlock and remove from hasp. Remove hasp from switch

Lock:

Multi-Pole Breaker Lock

Isolating Device:

Main Switch

Lock Removal Procedure:

Open padlock and remove from clamp. Remove clamp from breaker

Reactivate the energy isolation device(s) to restore energy to the Mixing Tank.

PERIODIC INSPECTION

LAST INSPECTION:

1998/03/31

REMINDER DATE:

1999/03/31

INSPECTED BY:

Tom Doe

Historical Notes

DATE:

1997/08/02

REMARKS:

Periodic maintenance

DATE:

1998/04/24

REMARKS:

Tim Doe reported an unusual noise coming from the equipment. Maintenance report filed

DATE:

1998/05/04

REMARKS:

Maintenance of equipment reveals worn bearings, service order issued

DATE:

1998/05/24

REMARKS:

Service request fulfilled, equipment repaired

AUTHORIZATION

The Mixing Tank hazardous energy procedure is approved by John Doe

The Mixing Tank hazardous energy analysis was performed by Pete Doe

The inspector of the Mixing Tank was Tom Doe

END OF DOCUMENT

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