PLANT *BUILDING *EQUIPMENT *MANUFACTURER *ASSET # *PURPOSE *DATE WRITTEN *DATE REVISED *DATE REVIEWED *REVIEWING PERSONEL *DATE APPROVED *APPROVAL PERSONEL *EMERGENCY CONTACT INFO *NUMBER OF LOCKOUT POINTS *LOCKOUT DEVICE(S) NEEDED *TextNOTICELOTO Tags Require: 1. Date 2. Workers Name 3. Workers Phone NumberLOCKOUT TAGOUT PROCEDURE DETAILS1. Prepare for shutdown - Identify ALL hazardous energy sources2. Notify any affected employees working on or around the asset of the LOGO** Notify workers of time asset will be locked and/or tagged out. And if known, when power will be restored!3. Take SCADA offline** VERIFY THAT NO OTHER PROCESSES WILL BE AFFECTED BY TAKING THE EQUIPMENT OFFLINE IN SCADA **LOCKOUT PROCEDURE STEPSLOCKOUT EQUIPTMENTUpload image fileChoose FileNo file chosenDelete uploaded fileSend Message
