LOTO - template.docx
DOCX document 34 KB Posted
- Attached to
- Z2DA--FY25: NRM (PROJ: 516-25-608) DB Correct Building 100 Sprinkler Deficiencies (VA-25-00004184)
- Solicitation number
- 36C24825R0020
About this file
This is a Lock Out/Tag Out (LOTO) work instruction template for shutting down a domestic fire suppression system in Building 100's section 4A to disconnect and relocate fire hose boxes. The template outlines safety procedures including 4 locking points, 2 tagging points per team, and 1 lock required per team. It specifically covers the fire suppression riser and tamper switches.
The template contains procedural steps for energy isolation, including performing LOTO assessment, notifying affected personnel, coordinating with plumbing shop personnel, and locking out valves and tampers. The document emphasizes safety requirements, noting that only Electrical Qualified Maintenance personnel are authorized to work inside electrical equipment, with limited exceptions for specific trained personnel. This template appears to be a supporting document for the larger VA contract opportunity to correct Building 100 sprinkler deficiencies, which is described in the associated pre-solicitation notice.
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Other files
| File | Type | Posted |
|---|---|---|
| Work Plan Submission Form.docx | DOCX document | |
| PDF Original As-Builts.zip | ZIP file | |
| CAD files from old project 516-17-103.zip | ZIP file | |
| B100 FP Sprinkler and Fire Zones.zip | ZIP file | |
| 36C24825R0020 00001 dtd 01.17.25.docx | DOCX document | |
| 36C24825R0020 0001 with Attch.pdf | ||
| 36C24825R0020_1 with Attchs.pdf | ||
| 36C24825R0020.docx | DOCX document |
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Text version
Project Name and Number Lock Out/Tag Out Work Instructions
Plant/Facility:
Building 100 Work Description:
Shutdown domestic fire suppression system in 4A to disconnect fire hose boxes and plug at the main so they may be relocated at a later stage in the project.
Equipment:
List Energy Types (e.g. hydraulic, pneumatic, electrical, mechanical, chemical, gravity, etc.)
LOTO Areas:
1) Fire suppression riser
2) Tamper switches
| Number of locking points: 4 |
| Number of Tagging Points: 2 per team |
Number of Locks Required: 1 per team
Notes: Failure to follow lockout-tagout procedure may result in corrective action
· Only Electrical Qualified Maintenance personnel are authorized to work inside electrical equipment
· CAUTION: De-energizing an electrical conductor or circuit part and making it safe to work on is considered a potentially hazardous task.
· Non-Maintenance employees that have completed the “Bay Pines VA provided Electrical Training Class” can enter panels with three phase indicator lights installed. This exception is only to allow electrically task specific qualified employee to reset tripped overloads. No other work inside the panel is allowed under this provision and proper PPE is required.
· Stop work and contact plant management immediately if you cannot identify all the LO/TO points or are unsure of obtaining zero energy state.
· When performing each task initial the steps as completed. Provide completed form to the Maintenance Manager.
Sequence of Energy Isolation. Include all related equipment to be locked out.
| Step # |
| Initials |
| Instructions |
| Responsibility and Pictures |
| Perform LO/TO Assessment |
| Paste pic |
Notify all affected personnel equipment will be locked out.
Coordinate with plumbing shop personnel to both begin LOTO.
Lock out Valve and Tamper
Lock-Out Valve and Tamper
Restoration of Natural Gas
Remove locks from valve and tamper
REV:X 3/9/18
File details come from the government source that posted it. Updated .