1 Page 1 Overview Purpose This Devon Energy EHS Protocol establishes minimum requirements for securing, locking and tagging out energyisolating devices, and for the protection of workers from the unexpected release of hazardous energy during installation, maintenance, service and repair activities involving hazardous energy sources. Scope This protocol applies to all Devon operated equipment, facilities and all Devon employees. Contractors will have their own program that meets or exceeds Devon s Lockout/Tagout Protocol. Table of Contents 1.0 RESPONSIBILITIES TERMS AND DEFINITIONS Lockout/Tagout Terms and Definitions General Terms and Definitions PROTOCOL Provision of Lockout/Tagout Devices Lockout/Tagout Procedure Shutdown and Isolation Group Lockout/Tagout Re-energize and Test Equipment during the Job Release from Lockout/Tagout Shift Change Non-Owner Lock or Tag Removal Well Servicing Tasks Exempt from Lockout/Tagout Energized Electrical Systems Inspection RECORDKEEPING TRAINING REQUIREMENTS REFERENCES Appendix A Positive Isolation Appendix B Equipment Specific Isolation Procedure Exclusion Flow Chart Appendix C Lockout/Tagout Tag Attachment A Approval, Review, & Modification History Attachment B Equipment Specific Lockout/Tagout Procedure Attachment C Non-Owner Lockout/Tagout Device Removal Approval Form Attachment D Equipment Specific Lockout/Tagout Procedure... 22
2 Page RESPONSIBILITIES Division/ Unit Leadership Reinforce adherence to this protocol and provide resources for application of the protocol. Ensure employees responsible for lockout/tagout duties receive required training. Line Supervisor Understand how this protocol applies to personnel in their area of responsibility. Ensure employees have training, skills, knowledge and understanding to comply with this protocol. Check periodically to ensure the requirements of this protocol are being met. Provide equipment needed to complete lockout/tagout (e.g., locks, tags, chains, wedges, key blocks). Environmental, Health and Safety Monitor compliance through the audit process. Provide technical resources and tools for protocol application. Devon Employees Adhere to the requirements of this protocol. Identify and report gaps in this protocol. Complete required training. Contract Company Representative Comply with regulatory requirements and follow the Devon EHS protocol. 2.0 TERMS AND DEFINITIONS 2.1 Lockout/Tagout Terms and Definitions Affected Employee - an employee whose job requires the individual to operate equipment on which servicing or maintenance is being performed under lockout/tagout, or to work in an area in which servicing or maintenance is being performed. Authorized Employee an employee who has been trained and designated by supervision to lockout/tagout equipment to perform service or maintenance on that equipment. Capable of Being Locked Out - an energy-control device that has a means of attaching a lock, or locking devices, without the need to dismantle, rebuild or replace the energy control device, or permanently alter its energy control capability. Car Seal a uniquely numbered steel or plastic zip tie that can be affixed through the hole in the lockbox and cannot be removed unless broken. Energized - equipment that is supplied with an energy source, or contains residual or stored energy.
3 Page 3 Energy-Isolating Device - a mechanical device that physically prevents the transmission or release of energy. Check valves, push buttons, selector switches and other control circuit-type devices are not energy-isolating devices. Energy-isolating devices include, but are not limited to, the following: a manually operated electrical circuit breaker, a manually operated disconnect switch, a line valve, a block, and any similar device used to block or isolate energy (e.g., chaining pumpjack counter weights, blocking and locking engine flywheel). Energy Source - includes electrical, mechanical, hydraulic, pneumatic, chemical, thermal, stored energy, vacuum, wind, gravitational or other energy. Equipment - any piece of equipment that contains an energy source, which includes but is not limited to: Production equipment Pipelines and gathering lines Power tools Mobile equipment Exclusive Control when an authorized person is able to work on a piece of equipment with the energy isolation devices(s) physically located within arm s reach, and in the line of sight of that person. The authorized person must also be the only individual working on that piece of equipment and lockout/tagout must be implemented if the authorized person steps away from the isolation device(s) without completing the work. Group Leader - an authorized employee designated and responsible for coordinating and overseeing lockout/tagout for a set number of employees in a group. Group Lock locks that are keyed alike and with only one key assigned to a group lockbox and used to lockout isolation devices during group lockout. Group Lockout/Tagout - a system of securing energy-isolating devices using a set(s) of group locks on the energy-isolating devices, and a lockbox, when multiple individuals or crews are working on the same piece of equipment. Lockbox a secure box used to store group lock keys during group lockout, which allows personnel to install their personal locks on the box. Lockout - the placement of a lock on an energy-isolating device, in accordance with an established procedure, ensuring that the energy-isolating device and the equipment being controlled cannot be operated until the locking device is removed. Lockout Device - a device that uses a positive means (such as locks, cables, chains, blind flanges or bolted slip blinds) to hold an energy-isolating device in the safe position, and prevent the equipment from energizing. Personal Lock - a uniquely keyed lock issued to an employee for their personal protection. Positive Isolation the use of a double block and bleed, or a combination of blinds and block valves to secure an energy source. (See Appendix A for additional information and detailed descriptions.) Tagout the placement of a tagout device on an energy-isolating device, in accordance with an established procedure, to indicate that the energy-isolating device and the equipment being controlled may not be operated until the tagout device is removed.
4 Page 4 Tagout Device - a highly-visible tag used as a warning. It is securely fastened to an energy-isolating device, in accordance with an established procedure, to indicate that the energy-isolating device and the equipment being controlled may not be operated until the tagout device is removed. Qualified Electrician an individual who has received training in, and has demonstrated skills and knowledge in, the construction and operation of electric equipment, installations and the hazards involved. Qualified Person an individual who has been trained and authorized to operate a specific piece of equipment. Zero Energy State - a condition in which an isolated piece of equipment is physically prevented from release of all potential and/or stored energy, and verified incapable of an inadvertent release. 2.2 General Terms and Definitions Appropriate Leader - the level of management necessary to approve documents, changes to documents and deviation for a given Division and/or Functional Group. Approval Date - date when a document has been finalized and approved by EHS VP, or appropriate leader, via electronic signature on Attachment A. Area - individual operating fields or components that collectively comprise a Region. Areas normally include an area office. Area Office - a field office with assigned employees that support an area. (e.g., Havre, Groesbeck, Riverton and Fort St. John). Unit - individual components that collectively comprise a Division. Units may also be referred to as Basins. Contract Company Representative - a contractor who is assigned responsibilities and oversight for a specific task that requires adherence to Devon EHS Procedures. Division - the division operations of Devon are Canada,, Marketing & Midstream and U.S. Enterprise Classification Structure - is part of Devon s strategic plan for managing information assets. The ECS is the published list of all records classes, the period of time for retaining each and their designated disposition. Facility - a collection of structures, piping, valves, vessels, tanks, compression and processing equipment located in close geographic proximity, that are involved directly in the development, production, processing or delivery of oil and gas to market (e.g., a tank battery, drill site, well-site, compressor station, pipeline and gas plant). Field EHS - a titled position that provides EHS guidance and support within a Division. Line Supervisor - a titled position that has assigned authority and responsibility for financials, production, maintenance, projects and personnel for a defined area. In Devon, this could be any Supervisor, Superintendent, Foreman or Assistant Foreman. - a person that has been authorized by Devon to perform specific tasks to comply with Devon EHS Protocols and/or regulatory requirements related to EHS. The PIC is defined in all procedures in the second column of the protocol section. Region/District - individual components that collectively comprise a Division.
5 Page PROTOCOL 3.1 Provision of Lockout/Tagout Devices Lockout/tagout devices must be uniquely identified and not issued for any other purposes (such as locking gates, toolboxes, lockers, out of service equipment, etc.) Line Supervisor Issue lockout/tagout devices to individuals upon successful completion of required training listed in Section 5. Note: Lockout/tagout devices shall be capable of withstanding the environment to which they are exposed for the maximum period of time that exposure is expected Line Supervisor Standardize lockout/tagout equipment for the facility or area, which will uniquely identify the lock types listed below in at least one of the following criteria: color, shape, or size. Personal Locks assigned to individuals for use during a personal lockout, or to attach to a lockbox during group lockout. Personal lock will be uniquely identified and have a single key. Group Locks assigned to a work group for use during a group lockout application. Locks will be uniquely identified in a manner that is durable enough to withstand workplace and weather conditions Employee Maintain control of key for personal locks Line Supervisor Upgrade equipment to accommodate lockout devices during major modifications or when replacement of equipment is performed. 3.2 Isolation Procedure The Authorized Employee must establish Equipment Specific Isolation Procedures, or use a previously developed procedure, for removing the energy sources from equipment and using the appropriate lockout/tagout devices on energy control devices Authorized Employee Establish Equipment Specific Isolation Procedure by identifying and documenting the following on the Equipment Specific Isolation Procedure Form (Attachment B or equivalent): Equipment Authorized Employee(s) Affected Employee(s) Lockout/tagout type: Group Lockout or Individual Lockout All types of energy sources (including, but not limited to: flammable gas/liquids, electric, hazardous chemical, hydraulic, steam, stored potential and pneumatic) Each individual isolation point required to render equipment/system safe (list in order of isolation)
6 Page 6 Drains, blow downs and vents required to depressurize a system and prevent the re-accumulation of pressure Shutdown position (i.e., Open, Closed, Off, Blinded) Isolation method Individual responsible for isolation Additional measure(s) required to provide the same level of effectiveness for tagout operations (see step 3.2.2) Method(s) to remove residual energy Specific steps to verify zero energy state, absence of trapped pressure and electrical systems have been disconnected Note: The Equipment Specific Isolation Procedure is required to be on-site when lockout/tagout operations are being conducted. Note: Written procedures are not required under certain circumstances; use the flow chart in Appendix B to determine if a written Equipment Specific Isolation Procedure is required Authorized Employee Authorized Employee Identify and document additional measures to be taken when isolation is managed only with tagout methods. Additional measures will be taken and can include, but are not limited to, the following: the removal of an isolating circuit element, blocking of a controlling switch, 3.3 Shutdown and Isolation opening of an extra disconnecting device, and removal of a valve handle(s). Note: Additional measures will reduce the likelihood of inadvertent activation. Apply locks when energy-isolating devices are capable of being locked out in combination with chains, wedges, key blocks or adapter pins. The Authorized Employee must ensure that equipment is safely shutdown and isolated. During the shutdown and isolation process stored energy (i.e., trapped pressure) will be safely removed from the equipment Authorized Employee Authorized Employee Perform the following actions in preparation for shutdown: Conduct a pre-task tailgate. Notify affected persons of shutdown and lockout/tagout prior to equipment shutdown. Inform contract workers of the isolation procedure. Follow the standard operating procedure for equipment when one exists for shutdown, startup and energy release activities.
7 Page Authorized Employee Isolate equipment and release stored energy to achieve a zero energy state following the sequence listed in the Equipment Specific Isolation Procedure Line Supervisor Use blinds that are pressure rated for the system when the blind is used as the primary isolating device Employee Implement positive isolation for confined space entry work or when welding, cutting or grinding is to be performed. Positive isolation includes: Authorized Employee Double block and bleed with Lockout/Tagout Blinding Physically disconnecting Note: For completions operations, the Well Completion Procedure/Plan will be implemented to control hazardous energy from the well during wellhead installation. Document blinds installed during energy isolation on the Lockout/Tagout Procedure Form (Attachment B) Authorized Employee Authorized Employee Authorized Employee Authorized Employee Affix appropriate lockout/tagout device in accordance with the lockout/tagout procedure. Attach a tag, shown in Appendix C or equivalent, to each lockout device used. Note: When tagout is used, the tag will be affixed to clearly indicate that the operation or movement of the energy-isolating devices is prohibited. Verify equipment and process has been isolated, equipment will not start and stored or trapped energy has been released. Verification of isolation can be accomplished by using: visual verification, flow diagrams, schematics, or other positive means. Verification of de-energization includes, but is not limited to: actuating on/off switches (local), checking with a voltmeter, opening bleeder valves, or drilling a hole in piping before cutting. Note: When opening bleeder valves, it is important to ensure that the bleeder valve is not plugged inside. In situations where there is the potential for having trapped pressure behind a blind flange or a bull plug, care should be taken to relieve the pressure before the blind flange or bull plug is disengaged from the thread. Keep sole possession of personal lockout key. When group lockout/tagout is used, place the group lock key(s) in the group lockbox for isolation by individuals working on the equipment. Verify isolation and de-energization after shift changes, and following extended breaks or absences greater than one hour, to validate the equipment and
8 Page Group Lockout/Tagout process has been isolated, equipment will not start and stored or trapped energy has been released. Verification of de-energization includes, but is not limited to: actuating on/off switches (local), checking with a voltmeter, opening bleeder valves, and drilling a hole in piping before cutting. Group lockout/tagout process can be used in situations where there are multiple employees, contractors or crews working under lockout/tagout on a piece of equipment. All group lockout/tagout situations will use a lockbox and a set, or multiple sets, of group locks. Each employee in the group must have control over the sources of hazardous energy while involved in service or maintenance activities Line Supervisor Designate an Authorized Employee to act as the Group Leader for the group lockout Group Leader Verify that a group lock and a tag have been affixed to each energy-isolating device in accordance with the Equipment Specific Lockout/Tagout Procedure, and that the group lock key(s) is placed inside the lockbox prior to affixing a personal lock on the lock box. Note: Each employee participating in the group LOTO must be informed of their right to verify the effectiveness of the lockout measures, and each authorized employee must be allowed to personally verify, if they so choose, that hazardous energy sources have been effectively isolated Group Leader Install a numbered car seal on the group lockbox when the work will span more than a single shift, or when the box may have all the locks removed prior to completing all work. Document the car seal number on the Equipment Specific Isolation Procedure Group Leader Verify that each employee working on the equipment applies a personal lock and tag to the group lockbox Group Leader Verify that each affected employee working on the equipment removes their personal lock from the lockbox when they have completed their work. 3.5 Re-Energize and Test Equipment During the Job While performing maintenance on equipment, it is occasionally necessary to test the equipment as part of the diagnosis, or to verify resolution of the problem. The steps below list the Lockout/Tagout Process for re-energizing and testing equipment when necessary during the job Authorized Person Notify affected employees in the area of the need to re-energize and test the equipment.
9 Page Authorized Person Inspect the work area to ensure that nonessential items have been removed, guards have been reinstalled and the equipment s components are operationally intact Authorized Person Inspect the work area to ensure that all personnel are safely positioned or have been removed Authorized Person Remove the lockout/tagout devices Qualified Person Energize and test the equipment Authorized Person De-energize all equipment and implement lockout/tagout devices in accordance with the Equipment Specific Isolation Procedure. If a car seal was on the group lockbox, document that the old car seal was removed, and the new car seal number after Lockout has been re-implemented Authorized Person Notify affected persons in the area that the testing is complete. 3.6 Release from Lockout/Tagout Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Inspect the work area to ensure that nonessential items have been removed, guards have been reinstalled and the equipment s components are operationally intact. Inspect the work area to ensure that all personnel are safely positioned or have been removed. Verify work is complete and that all personal locks have been removed from equipment or group lockbox. Notify all affected persons that the lockout/tagout devices have been removed and the equipment is ready for use Qualified Person Re-energize the equipment; follow equipment start-up procedure when equipment has start-up procedures. 3.7 Shift Change When a group lockout will exceed a single shift (e.g., work will continue the following day, or the next shift), a numbered car seal will be placed on the group lock box and the number recorded on the Equipment Specific Isolation Procedure as an isolation device. This will allow the oncoming shift to verify that no keys were removed from the lock box during the shift change, and that the locks on the equipment are still in their original location On-Coming Authorized Person/Group Leader On-Coming Authorized Verify that the car seal number on the lockbox matches the number on the Equipment Specific Lockout/Tagout Procedure, and that the car seal has not been broken. If the car seal has been broken, then verify that all lockout/tagout devices are in-place according to the equipment specific lockout/tagout procedure. Once
10 Page 10 Person/Group Leader 3.8 Non-Owner Lock or Tag Removal verified place a new car seal on the group lockbox and record the car seal number on the equipment specific lockout/tagout procedure. The non-owner lock removal process is written for the few instances when the individual that applied a personal lockout/tagout device to a piece of equipment or group lockbox is not available to remove the lockout/tagout device. Non-Owner Lock or Tag Removal will not be used if the lock owner is at work Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Authorized Person/ Group Leader Verify that the lock/tag owner is not on location, at the facility or working elsewhere. If lock/tag owner is either at the facility or working elsewhere, stop the non-owner lock removal process. Attempt to make contact with the lock/tag owner using normal communication methods. Contact superintendent to obtain written approval to remove the personal lockout/tagout device. Written approval can be obtained using the Non-Owner Lockout/Tagout Device Removal Approval Form (Attachment C) or via . approval will contain the following information: Date Location Requestor name Lock owner name and employer Method used to attempt to contact lock owner Reason for removal Is equipment safe to operate Authorizing superintendent Method used to document notification of authorized person Note: Unauthorized removal of a personal lockout/tagout device can result in disciplinary action up to, and including, termination. Note: In the event the superintendent is unavailable, the superintendent s manager can be contacted for approval. Note: Devon superintendent approval and contract company manager approval is required for contractor lock removal. Verify removal of isolation device will not endanger anyone associated with the equipment or facility being locked out. Identify any safety concerns and apply corrective actions. Remove the personal lockout/tagout device Notify the authorized person whose personal lockout/tagout device was removed prior to their returning to the work site.
11 Page Well Servicing Line Supervisor Develop site-specific SOP/JHA detailing how energy will be controlled during well servicing Operations. (This includes swabbing, wireline, workover etc.) Line Supervisor Discuss and review the SOP/JHA in detail during the pre-task tailgate meeting Line Supervisor Isolate well using LOTO when connecting or disconnecting well production equipment that is supplied with an energy source, or contains residual or stored energy (e.g., flow line, pump jack, ESP, etc.) Line Supervisor Follow SOP/JHA during rig up well servicing equipment (e.g., fluid pump, N 2 Tank, foam air unit, etc.) Line Supervisor Use SOP/JHA for energy control Line Supervisor Re-implement LOTO after well servicing operations are complete and before removing well servicing equipment to isolate the well and connected equipment to protect personnel during rig down process Line Supervisor Follow SOP/JHA during rig down well servicing equipment Tasks Exempt from Lockout/Tagout Authorized Person Exclude the following tasks from lockout/tagout: work on cord and plug electric powered equipment provided the equipment is unplugged and the plug is under the exclusive control of the employee performing work, battery operated electrical tool (batteries shall be removed before performing maintenance or adjustment), tasks performed where the energy isolation devices are under exclusive control of the individual performing the work, and hot tap operations provided a written specific hot tap is developed and approved by division management prior to the hot tap operations. Note: Exclusive control is achieved when the authorized person is the only person working on the piece of equipment, and an energy-isolation device(s) is physically located within arm s reach and in the line of sight of that person Energized Electrical Systems If work is required on an energized electrical system that cannot be shut down and de-energized, then the following steps are required to be completed Line Supervisor Assign employees who are trained and qualified for the type of work Line Supervisor Follow written safety-related work protocols and practices for energized electrical systems.
12 Page Qualified Electrician 3.12 Inspection Use safeguards and PPE necessary for protection. Note: PPE will be used as written in NFPA 70E and Devon Electrical Safety Practices. Periodic lockout/tagout inspections verify that written procedures are completed properly and adequately to provide worker protection. Additionally, it ensures that employees are familiar with their responsibilities under the Energy Isolation Protocol and continue to implement the Equipment Specific Lockout/Tagout Procedures properly. These inspections can be performed by any authorized Devon employee Line Supervisor Conduct periodic inspections by observing authorized employees executing equipment specific lockout/tagout procedures. Note: Foremen and assistant foremen with authorized employees will perform at least four inspections per year Lockout/Tagout Inspector Lockout/Tagout Inspector Observe the application of the procedure reviewing the following: the employees are following the steps in the lockout/tagout procedure, the employees involved know their responsibilities under the procedure, the procedure is adequate to provide the necessary protection, and are any changes needed. Document the lockout/tagout inspection and procedure review by completing and signing the Lockout/Tagout Annual Inspection & Review Form (Attachment D) Lockout/Tagout Inspector Correct any deviations from and/or inadequacies identified in the lockout/tagout procedures during the lockout/tagout inspection EHS Review the compliance of the Energy Isolation Protocol during an annual EHS field review or corporate EHS audit. 4.0 RECORDKEEPING 4.1 Authorized Person/Group Leader 4.2 Lockout/Tagout Inspector File completed Equipment Specific Isolation Procedures. File completed Lockout/Tagout Annual Inspection & Procedure Review Forms. 4.3 Line Supervisor File the records as noted below: Record Equipment Specific Lockout/Tagout Procedure File Location & Number See Field Office File Directory Retention Period 3 Years EH45 Enterprise Classification Structure Code
13 Page 13 Non-Owner Lockout/Tagout Device Removal Approval Form Lockout/Tagout Annual Inspection & Review Form Lockout/Tagout Hands on Checklist See Field Office File Directory See Field Office File Directory See Field Office File Directory 3 Years EH45 3 Years EH45 Employment + 5 Years HR 80 Note: The Records Management Enterprise Classification Structure Code is listed as a reference, which should be used when records are sent to stored records. 5.0 Training Requirements Lockout/tagout training ensures that employees understand the purpose, function, and restrictions of the Lockout/Tagout Protocol. 5.1 Line Supervisor Provide awareness level training to employees who enter the field, but are not authorized employees as defined in this protocol, that provides the purpose and use of energy-control procedures, including: recognition of when and why energy-control procedures are being used, purpose of lockout/tagout procedures, importance of not tampering with lockout/tagout devices, and importance of not starting or using equipment that has been locked or tagged out. 5.2 Line Supervisor Provide the information and skills necessary for the safe application, use and removal of lockout/tagout devices, including the following: recognition of hazardous energy sources, type and magnitude of the hazardous energy, hazardous energy sources in the workplace, and lockout/tagout procedures (to include the methods and means to isolate and control those energy sources). 5.3 Line Supervisor Assign an Authorized Person to perform the Lockout/Tagout Authorized Employee Hands On Checklist with any employee prior to their initial authorization to perform lockout/tagout duties. Note: The Line Supervisor can perform the hands on checklist or can assign another Authorized Person to perform the hands on checklist. 5.4 Line Supervisor Provide refresher training to be conducted whenever a periodic inspection under section 3.12 reveals, or whenever the employer has reason to believe that there are deviations from, or inadequacies, in the employee's knowledge or use of the energy control procedures. 5.5 Line Supervisor Provide retraining for all authorized and affected employees whenever there is a change in their job assignments; a change in machines,
14 Page REFERENCES OSHA Lockout/Tagout Regulation OSHA DIRECTIVE NUMBER: CPL , 2/11/08 Devon Lockout/Tagout Standard equipment or processes that present a new hazard; or when there is a change in the energy control procedures.
15 Page 15 Appendix A Positive Isolation Positive isolation can be achieved using several techniques. These techniques can include use of valves, blinds and bleeders. Example 1) Single blind inserted in a line Pressure Rated Blind Pressure Side Example 2) Isolation Valve, with an open bleeder valve followed by a blind Closed Locked Isolation Valve Fantail Blind (Not Rated) Isolation Side Pressure Side Open Bleeder Valve Example 3) Double blinded with an open bleeder Pressure Rated Blind Fantail Blind (Not Rated) Pressure Side Isolation Side Open Bleeder Valve Locked open Best practice not to have the unrated fantail blind. Example 4) Single isolation valve and blind without a bleeder valve Closed Locked Isolation Valve Pressure Rated Blind Pressure Side Isolation Side Example 5) Single Isolation Valve with plumbers plug and vent
16 Page 16 Closed Locked Isolation Valve Vent Line, vented outside area Pressure Side Plumbers Plug with By-Pass
17 Page 17 Complex System Isolation The isolation and de-inventory of a complex system needs to be well planned out. Isolating a pump may require the isolation of the energy source to the driver, as well as the inlet valve and outlet valve. Complex systems such as gas plants, compressor stations or water treatment facilities have a variety of systems that are interlocked and work together. These systems cannot be completely and effectively isolated for a complete or partial shutdown simply by isolating the inlet and outlet of the facilities. These systems isolation procedures need to correlate with the shut down and de-inventory process, to ensure the most efficient and effective isolation. The following items need to be taken into account when isolating a complex system: Scope of work to be done (e.g., confined spaces, hot work, line breaks) Effect of any ongoing facility or unit operations (i.e., flare system, storage tanks, vent lines) De-inventory system and connection (i.e., does it have a flare system, are there any system blocks) Is the system designed to allow trapped pressure to accumulate? Best Practices Shut system down to allow for systematic isolation and de-inventorying. Select blow down valves in system low points for liquids and high points for gases. Select multiple blow down valves to open for a system. Verification Prior to Restoring to service When restoring a complex system back into service, it is equally important to verify that all of the energy isolation devices have been removed (e.g., locks and blinds). Equipment will need to be reenergized and started up using the equipment or unit start up procedure to eliminate potential releases or overpressure situations.
18 Page 18 Appendix B - Equipment Specific Isolation Procedure Exclusion Flow Chart Does the equipment have potential for stored or residual energy or re-accumulation of stored energy after shut down which could endanger employees? No Does the equipment have a single energy source that can be readily identified and isolated? Yes Will locking out of the energy source completely de-energize and deactivate the equipment? Yes Yes No No A written Equipment Specific Lockout/ Tagout Procedure is required. Lockout/Tagout is required, a written Equipment Specific Lockout/ Tagout Procedure is not required Will a single lockout device achieve a locked-out condition? Yes Is the lockout device under the exclusive control of the authorized employee performing the work on the equipment? Yes Does the work performed create hazards for other employees? No Has the employer had other incidents involving the unexpected energization of the equipment? No No No Yes Yes
19 Page 19 Appendix C - Lockout/Tagout Tag Tags used for lockout operations shall meet the following requirements (example of a tag is provided below): The word DANGER must be written on both sides of the tag in red font, or white font with a red background. The only colors allowed to be used on the tag are Red, White and Black. One side of the tag will read the following or equivalent: DO NOT OPERATE EQUIPMENT LOCK-OUT THIS TAG & LOCK TO BE REMOVED ONLY BY THE PERSON SHOWN ON BACK Opposite side of tag shall have the following information: Name, Date, and Reason for Lockout.
20 Page 20 Attachment A Approval, Review, and Modification History Revision Number Approved/Revised/Reviewed By Approval/Revision/ Review Date Description (Initial Approval, Revision or Review along with further details of revision if needed) 00 Richard Luedecke 1/9/13 Initial Approval 01 Richard Luedecke 02/25/15 Periodic Inspections - This process change request provides greater clarification around who can perform equipment specific inspections and the frequency, as well as, the need to perform annual protocol compliance audits. Well Servicing - This process change request clarifies when proper LOTO isolation is necessary and when a site specific SOP/JHA is required during well servicing operations.
21 : 1/9/13 Area: Specific Equipment: Authorized Employee(s): Attachment B - Equipment Specific Isolation (LO/TO) Procedure Location: Group Lockout? Yes No If yes, name of Group Leader: Affected Employee(s): Transfer Lockout Responsibility? Yes No If yes, name of new Group Leader: Identify all types of hazardous energy sources (Check all that apply): Flammable gas/liquids Electric Hazardous chemical Hydraulic Steam Pneumatic Other (specify): Sequence of Isolation s STEP 1: Notify all affected employees of equipment shut down. STEP 2: Identify & list below each individual isolation point required to render equipment safe. (list in preferred order) STEP 3: Isolate each hazardous energy source in the order listed below. STEP 4: Apply Lockout/Tagout devices in the order listed below Isolation Point/Device Isolation Position (Open/Closed/ Off/Blinded) Isolation Method Normal Position Lockout Tagout (Open/Closed/ Off/Blinded) Individual Responsible STEP 5: Additional measures required for tagout only to provide same level of effectiveness as lockout: Valve/Device returned to Normal Position? (Initial) STEP 6: Method(s) to remove residual energy: STEP 7: Method(s) to try/test hazardous energy sources are isolated and equipment is safe by: Restoring Equipment to Service STEP 1: Inspect the work area and clear personnel and tools. STEP 2: Verify work is complete and Lockout/Tagout devices have been removed. STEP 3: Notify affected employees. STEP 4: Refer to operating procedure for proper alignment of valves and operations of equipment. Prepared by: Date: Form # Form Retention: EH45 CY+3
22 : 1/9/13 Attachment C Non-Owner Lockout/Tagout Device Removal Approval Form Date: Location: Requestor Name: Lock Owner Name: Lock Owner Employer: Method used to attempt to contact lock owner: Reason for Removal: Is equipment safe to operate: Authorizing Superintendent: Signature: Method Used to Notify Lock Owner: Form # Form Retention: EH45 CY+3
23 : 1/9/13 Attachment D Lockout/Tagout Annual Inspection & Procedure Review Form Facility/Site Equipment name or description Date Employee(s) being reviewed Review the energy control procedure and employee responsibilities with the involved employees and complete the following. Yes No 1. Is the Lockout/Tagout Procedure being followed and used correctly? 2. Do the involved employees understand their responsibilities under the procedure? 3. Is a copy of the Equipment Specific Isolation Procedure on location? 3. Are there any inadequacies in the employees knowledge, abilities, or use of the procedure? 4. Does the procedure provide adequate instructions to protect personnel from injury? Corrective : Address no answers by creating and implementing corrective actions. List the corrective actions below. Corrective Assignment Due Date Person(s) Conducting the Inspection & Review Name Signature Title Form # Form Retention: EH45 CY+3
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George Mason University Prepared by: January, 2015 Table of Contents Foreword... iv Acronyms... iii Document History... iv 1.0 Introduction... 1 1.1 Purpose... 1 1.2 Scope... 1 1.3 Lockout/Tagout Program...
Lockout/Tagout (LOTO) Compliance Guide Prepared for By Date Scope The OSHA Control of Hazardous Energy (Lockout/Tagout) standard (29 CFR 1910.147) covers the servicing and maintenance of machines and equipment
The University of Connecticut Division of Public and Environmental Safety Department of Environmental Health and Safety POLICIES AND PROCEDURES Lockout/Tagout Policy (the Control of Hazardous Energy) Effective
Department of Environmental Health & Safety Energy Control and Power Lockout Program for Facilities Management January 2009 1 TABLE OF CONTENTS 1. Introduction 3 2. Objective 3 3. Scope 3 4. Definitions
BWC Division of Safety and Hygiene A SAMPLE LOCKOUT/TAGOUT PROCEDURE A good Lockout/Tagout Procedure, at a minimum, should contain the following elements: 1. All maintenance personnel shall be provided
The purpose of Lockout/Tagout is to keep employees safe while servicing equipment. Lockout refers to blocking energy flow from a power source to the equipment and keeping it blocked. Tagout refers to placing
Lock-out/Tag-out Environmental Health and Safety Department 800 West Campbell Rd., SG10 Richardson, Tx 75080-3021 Phone 972-883-2381/4111 Fax 972-883-6115 http://www.utdallas.edu/ehs Modified: March 2012
University of Nevada, Reno THE CONTROL OF HAZARDOUS ENERGY (LOCKOUT/TAGOUT) PROGRAM Program Contact Person: John A. Braun, CSP Environmental Health and Safety University of Nevada, Reno Phone: 775-784-6478
CALIFORNIA STATE UNIVERSITY FRESNO LOCKOUT TAGOUT PROGRAM November 2011 California State University Fresno Lockout Tagout Program 1.0 Regulatory Authority 1 2.0 Policy 1 3.0 Purpose 1 4.0 Scope and Application
Number C-1.0 Issued: 1/2009 Revised: 8/2015 Page 1 of 7 1.0 PURPOSE: To ensure equipment is in a zero energy state prior to work being performed which may endanger a worker(s) due to unexpected start-up
Page85 Lock-out Tag-out Plan Page86 Lock-out / Tag-Out Plan Table of Contents 1. Policy 2. Purpose 3. Scope 4. General Procedures 5. Application of Control Procedure 6. Release from Control Procedure 7.
WKU HAZARDOUS CONTROL PROGRAM (LOCKOUT / TAGOUT) GENERAL PURPOSE Western Kentucky University is committed to minimizing risk of injury to its employees and providing a safe workplace. The Environmental
Lockout/Tagout Compliance Guide and Checklist Scope: The OSHA Control of Hazardous Energy (Lockout/Tagout) standard (29 CFR 1910.147) covers the servicing and maintenance of machines and equipment in which
NORTHEAST COMMUNITY COLLEGE LOCKOUT/TAGOUT PLAN October 2005 Revised: October 2008 February 2012 August 2013 March 2015 NORTHEAST COMMUNITY COLLEGE LOCKOUT/TAGOUT PLAN Per Board Policy BP 3220, Environmental
LOCK-OUT/TAG-OUT PROGRAM I. Purpose This procedure establishes requirements for the lockout of energy isolating devices. It should be used to ensure that the machine or piece of equipment is isolated from
1 UNIVERSITY OF WEST FLORIDA LOCKOUT/TAGOUT (LOTO) SAFETY PROGRAM (EQUIPMENT HAZARD DE-ENERGIZING AND ISOLATION) DEPARTMENT OF ENVIRONMENTAL HEALTH AND SAFETY 11000University Parkway Pensacola, FL 32514
Western University of Health Sciences IIPP SUB-PROGRAM LOCKOUT/TAGOUT PROGRAM Table of Contents 1.0 INTRODUCTION 1 2.0 PURPOSE 1 3.0 RESPONSIBILITIES 1 Supervisors 1 Employees 1 4.0 TRAINING 2 5.0 WRITTEN
Safe Operating Procedure (5/11) LOCKOUT/TAGOUT FOR MACHINES & EQUIPMENT: WRITTEN PROCEDURES (For assistance, please contact EHS at (402) 472-4925, or visit our web site at http://ehs.unl.edu/) Introduction
Issue No.: 1 Revision: 0 Page 1 of 16 A. Purpose. In order to prevent injury to employees, this policy requires Facilities Management Department (FMD) to establish a program and utilize written procedures
SAFETY & HEALTH NEWS S&H #192 (originally published 1/12/90) LOCKOUT TAGOUT RULES NEW OSHA REGULATION The Occupational Safety & Health Administration has issued a new safety standard requiring controls
Environment, Health and Safety Standard Operating Procedure SOP-01 Lockout / Tagout Produced by Environment & Safety Office Campus Facilities Department Table of Contents 1 Overview... 1 1.1 Purpose...
California Institute of Technology Lockout/Tagout Program Caltech Environment, Health, and Safety Office 1200 E. California Blvd., M/C 25-6 Pasadena, CA 91125 Phone: 626.395.6727 Fax: 626.577.6028 Email:
Lock-out / Tag-out What is Lockout / Tagout Lockout: placing a lock (lockout device) on the energyisolating device of a machine or piece of equipment so that it CANNOT be operated. Tagout: placing a tag
Lockout/Tagout Training Program (Student Handouts) Name Date This page intentionally left blank. Notes page: 2 Notes page: 3 Sample Written Program for Control of Hazardous Energy (Lockout/Tagout) 4 1910.147
Purpose The purpose of the lockout/tagout procedures is to establish minimum requirements for the lockout of energy isolating devices whenever maintenance or servicing is done on machines or equipment.
INTRODUCTION. To comply with WAC 296-803 "The Control of Hazardous Energy (LOCKOUT/TAGOUT)", to save lives and to reduce the risk to life and health of Eastern Washington University employees, the requirements
LOCKOUT/TAGOUT 1. REQUIREMENTS AND PROCEDURES 1.1. Purpose To establish requirements and procedures to prevent the unintended release of energy electrical, potential, gravity, hydraulic, pneumatic, etc.
CONTROL OF HAZARDOUS ENERGY PROGRAM Section: Hazard Assessment & Risk Control Date of Issue: 2007.07.24 Issued By: Environmental Health &Safety Part: Risk Control Revision #: -- Revision Date: -- Pages:
UNIVERSITY OF TORONTO General Procedure for Lockout Purpose and Scope The purpose of this general procedure is to establish minimum requirements for lockout to control potentially hazardous energy associated
Lockout/Tagout Program I. Policy It is the policy of California State University, Fullerton to maintain, insofar as is reasonably possible, a campus environment for faculty, staff, students and the public
1 HARVARD-SMITHSONIAN CENTER FOR ASTROPHYSICS CONTROL OF HAZARDOUS ENERGY SOURCES LOCKOUT/TAGOUT PROGRAM MANUAL (ADAPTED FROM THE HARVARD CONTROL OF HAZARDOUS ENERGY SOURCES LOCKOUT/TAGOUT PROGRAM) For
SOP-17 PROCEDURE FOR LOCKOUT / TAGOUT Objective Purpose Responsibility Management Department It is the policy and objective of Reddy Ice that all mechanical or electrical devices shall remain in a state
Southwestern University Safety & Risk Management Policies and Procedures Energy Control Policy Safety & Risk Management Policies and Procedures Title: Control of Hazardous Energy Policy (LockOut TagOut)
Energy Control Procedures Lockout/Tagout 29 CFR 1910.147 Massachusetts Amusement Device Safety Seminar March 9-13, 2015 Subpart J - General Environmental Controls (1910.141-147) Lockout/Tagout - Program
Environmental Health and Safety Name: Lockout Tagout Program Date Created: 2/1/2014 Date Revised: 11/17/2014 Created By: Jill Jones Table of Contents Purpose and Regulatory Standards... 1 Scope... 1 Employer
Lockout / Tagout Awareness 1 Introduction Lockout/Tagout ( LOTO ) is a technique used to prevent energy from being released during the servicing of equipment. This is accomplished by placing locks on energy
THE UNIVERSITY OF MAINE Lock-out Tag-out Program (Zero Mechanical State) Department: The University of Maine Safety and Environmental Management Department Page i TABLE OF CONTENTS Section Title Page 1.
LOCKOUT/TAGOUT TRAINING FOR EMPLOYEES This easy-to-use Leader s Guide is provided to assist in conducting a successful presentation. Featured are: INTRODUCTION: A brief description of the program and the
Facilities Procedure Facilities Energy Control Lockout/Tagout FOM-0010-01 1.0 POLICY 1.1 It is the policy of University of Delaware that any individual engaging in the maintenance, repairing, cleaning,
No: 4.1.7 Maintenance and Energy Services Effective Date: June, 2007 Standard Operating Procedure Revision Date: N/A Subject: Lockout/Tagout Program: Control of Hazardous Energy Distribution: MES Approved:
CATSS L.L.C. A SAFETY TRAINING GUIDE 1 LOCK-OUT/TAG-OUT PROCEDURES A. PURPOSE. These procedures establish the minimum requirements for the lockout or tag out of energy isolating devices whenever maintenance
ENVIRONMENTAL HEALTH AND SAFETY Control of Hazardous Energy Guideline (Lockout/Tagout) June 2014 Control of Hazardous Energy Guideline (Lockout/Tagout) TABLE of CONTENTS I. General II. III. IV. Definitions
Brown County Lockout/Tagout 1910.147 Where are the Regulations? The Occupational Safety and Health Administration (OSHA) regulates lockout/tagout through the Control of Hazardous Energy standard, found
Environmental Health & Safety THE CONTROL OF HAZARDOUS ENERGY (Lockout/Tagout/Verify) PROGRAM October 2016 480-965-1823 ASKEHS@asu.edu Purpose: Control of Hazardous energy is the purpose of the Lockout-Tagout-Verify
LOCK OUT TAG OUT THE CONTROL OF HAZARDOUS ENERGY Prepared By: ENVIRONMENTAL HEALTH AND SAFETY OFFICE 07/2014 Revision TABLE OF CONTENTS 1.0 PURPOSE STATEMENT... 1 2.0 SCOPE:... 1 3.0 RESPONSIBILITY:...
Control of Hazardous Energy Sources (Lockout/Tagout) Lockout/tagout is a process by which a piece of equipment is secured against accidental energization during repairs or maintenance. Lockout/tagout procedures
Columbia School District No. 400 The Control of Hazardous Energy (Lockout/Tagout) Columbia School District complies with all federal and state rules and does not discriminate in any programs or activities
PURPOSE To establish and define the procedures to prevent accidental and/or unauthorized use of equipment and to protect against unexpected energization/start up, or the release of stored energy, which
Hazardous Energy Lockout Standard 2011 Safety Resources Title: Issued By: Lockout Standard Safety Resources Author: Director Brian Bjorndal Print Title Print Name Signature Authorized By: Director Brian
Energy Control Lockout/Tagout Page Introduction Purpose. 2 Background. 2 Who s Covered... 3 Responsibilities. 3 Explanation of Key Terms. 4 How It Works General Lockout/Tagout Procedure. 5 General Lock/Tag
PSU Lockout/Tagout Training for Authorized Employees (Note: This training is intended to be presented by EHS) www.ehs.psu.edu Objectives Clarify requirements of PSU Lockout/Tagout (LOTO) Program Ensure
UNIVERSITY OF WASHINGTON FACILITIES SERVICES LOCKOUT/TAGOUT SAFETY PROGRAM FOR THE CONTROL OF HAZARDOUS ENERGY May 2011 Page 1 of 21 TABLE OF CONTENTS I. SCOPE.. 4 II. DEFINITIONS 4 III. PROGRAM RESPONSIBILITIES..
Created by: Nora Velazquez Date: 02/13/03 Approved by: Nora Velazquez Supersedes: New Lockout - Tagout Program 3.1 Purpose 3.1.1 The safe control of hazardous energy is the purpose of the Lockout- Tagout
The intention is for maintenance personnel to provide supervisors with information to assist in the generation of these instructions. These instructions may be included in the shop s program manual, attached
LOCK-OUT / TAG-OUT SAFETY TRAINING Introduction Welcome to Lock-out Tag-out Training "So I m on the job one day, doing some repair on a cutting machine.replacing a guide on the table. Pretty routine everything
National Tooling & Machining Association NTMA P R E C I S I O N Business Management Advisory For Precision Custom Manufacturers TC28 File: TECHNICAL OSHA S LOCKOUT/TAGOUT RULE SUMMARY New federal requirements
Written Energy Control Procedures Joel Anderson, Chief Operator Portland Water District Written Energy Control Procedures Employers must develop, document, and use specific procedures to control potentially
GENERATOR SERVICE VENDOR LOCKOUT/TAGOUT POLICY KEENE STATE COLLEGE Written by: William Sevigny Powers Generator Service EHS Manual Effective 11/15/2010 Lockout/Tagout Policy Table of Contents I. Purpose
CONTROL OF HAZARDOUS ENERGY (Lockout Tagout) Many workplace accidents are caused by machinery that accidentally becomes activated while being serviced or maintained. This accidental activation is called
DRAFT SAMPLE WRITTEN LOCKOUT/TAGOUT PROGRAM For Compliance With Wyoming General Rules and Regulations 1910.147 Wyoming Department of Workforce Services OSHA Division Consultation Program ACKNOWLEDGEMENTS
Lockout / Tagout Hershey Entertainment and Resorts Company Revised 2006 29 CFR 1910.147 rlenker Scope Covers servicing and maintenance of machines when UNEXPECTED start-up or release of stored energy could
Plant Operat tions Lockout Tagout Program Prepared by: The Department of Occupatio onal Safety & Environmental Health LOTOProg3.doc 6/10/10 PLANT OPERATIONS LOCKOUT/TAGOUT PROGRAM TABLE OF CONTENTS Page
TAMUCC LOCKOUT TAGOUT Training LOCKOUT TAGOUT TRAINING OUTLINE Rules & Regulations Terms & Definitions Different sources of hazardous energy Procedures for locking and tagging out Multiple Energy Sources
OSP-012 Approved by: Academic Coordinating Committee Authorizer: Director, Safety and Security Effective Date: September 8, 2010 Procedure Title: Lockout-Tagout Procedure Conestoga College Institute of
1. Purpose Michigan Municipal Workers Compensation Fund Sample Lockout/Tagout Procedure A. To prevent injury from the unexpected energizing, startup or release of stored energy that could cause injury.
Safe Operating Procedure LOCKOUT/TAGOUT FOR MACHINES & EQUIPMENT: SPECIAL CIRCUMSTANCES (For assistance, please contact EHS at (402) 472-4925, or visit our web site at http://ehs.unl.edu/) Introduction
THE UNIVERSITY OF SOUTHERN MAINE Lock-out Tag-out Program (Zero Mechanical State) Department: University Environmental Health and Safety 2 TABLE OF CONTENTS Section Title Page 1.0 Scope and Responsibilities.
XX. LOCKOUT / TAGOUT PROGRAM 20-1 20. LOCKOUT/TAGOUT PROGRAM Lockout / tagout is a safety procedure requirement to prevent deaths and injuries caused by the activation of machinery through the sudden unexpected
a Environmental Health & Safety Compliance Procedure for FIT Lockout/Tagout Safety Program For Studios, Labs and Shops Lockout/Tagout Safety Program-Studios, Labs, and Shops Control of Hazardous Energy
LOCKOUT/TAGOUT PROGRAM SOP #18 I. PURPOSE To ensure that machinery or equipment is isolated from all potentially hazardous energy, and locked out or tagged out before employees perform any servicing or
CITY OF EL CENTRO LOCKOUT/BLOCKOUT/TAGOUT PROCEDURES I. PURPOSE This procedure establishes the minimum requirements for lockout/blockout/tagout procedures of energy sources that could cause injury to personnel.
Lockout - Tagout Control of Hazardous Energy OSHA Standard 1910.147 You will learn Purpose of Lockout-Tagout Requirements for LOTO Types of Hazardous Energy Procedures for LOTO Types of Energy Electrical
Department of Environmental Health & Safety Lock Out/Tag Out Program Issued by: Jeff Campbell Date Effective: November 2010 Date Revised: April 2014 General Policy Ohio University Lockout/Tagout Policy