LOTO1 Example_Redacted.pdf

This document is a Lockout/Tagout (LOTO) safety procedure guide for equipment maintenance at Little Creek Health Care. The procedure establishes mandatory requirements for isolating energy sources on machinery and equipment before maintenance or servicing to prevent accidental startup, energy release, or employee injury.

The document identifies six major energy source categories requiring lockout procedures: electrical, compressed gas/other inert gas, hydraulic, water, natural gas/LP gas/other fuel gas, and mechanical/kinetic/stored energy. It outlines a six-step lockout application process requiring employee notification, equipment shutdown using normal procedures, isolation of energy sources, release of stored energy, application of lockout/tagout devices, and verification that all energy sources are isolated before work begins. The guide details a lockout removal process including machine testing, safety verification, restoration of power, and notification of affected employees. Specific lockout steps are provided for four identified energy sources at the facility: a gravity-operated blow elevator (3,000 lbs), two electrical knife disconnects (268 Volt AC and 120 Volt AC), and a hydraulic manual valve (495 PSI). Each energy source entry includes identification number, magnitude rating, isolation apparatus type, location, specific lockout procedure, test method, and photographic reference of the energy source. The procedure requires authorized personnel to implement all LOTO measures and prohibits operation of equipment until all lockout devices are confirmed removed.