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Hello, Guest!

  • Home
  • All Topics
  • Resources
    • OSHA Program Wizards
      • Emergency Action Plan
      • Transitional Work Program
      • Personal Protective Equipment
      • Energy Control (LOTO)
      • Hazard Communication (HAZCOM)
      • Confined Space Program
      • Hearing Conservation Program
      • Ergonomics Program
      • More…
    • Program Audits
      • Confined Space
      • Emergency Planning
      • Employee Training
      • Hazard Recognition and Control
      • Hearing Conservation
      • IIPP
      • Lockout Tagout
      • Personal Protective Equipment
      • More…
    • Major Loss Source Assessment Tools
      • Amputation
      • Falls from Elevation – Construction
      • Falls from Elevation – Extension Ladders
      • Falls from Elevation – Orchard Ladder
      • Falls from Elevation – Stepladders
      • Lifting Below the Knees
      • Lifting With Arms Extended
      • More…
    • Supervisor Resources
      • California SB 553 Workplace Violence Prevention
      • New York Workplace Violence Prevention
      • Employer’s Guide HazCom
      • Employer’s Guide Lockout Tagout
      • 2026 OSHA Outreach 10 Hour Virtual Training Course
      • Forklift Train the Trainer
      • Train the Trainer
      • Business Case for Safety
      • Special Reports
      • Newsletters
      • Incident Investigations
    • Training Calendars and Bundles
      • ICW Ladder Elimination Challenge
      • Quarterly Safety Checkup
      • Training Calendars by Industry
      • Essential 29
      • Landscaping Safety
      • Fundamental 55
      • Tree Trimming
      • Towing Bundle
    • Training Engagement and Retention
      • Picture This
      • Stats and Facts
      • Fatality Reports
      • Puzzles and Games
      • Safety Checklists
    • Webinars
      • Work Comp Fraud: The Modern Fraudster
      • Returning to the Workplace During COVID-19
      • Respiratory Protection Must Haves
      • Beat the Heat: Outdoors
      • Beat the Heat: Indoors
      • More…
    • When An Injury Occurs
      • Help Injured Workers
      • Nurse Triage Hotline
      • If You’ve Been Injured
      • Transitional Work Program
      • Incident Investigation Wizard Form
      • Top 10 Tips to Lower Your Ex-Mod
  • Webinars
    • Webinars
      • Work Comp Fraud: Identifying the Modern Fraudster
      • Returning to the Workplace During COVID-19
      • Breathe Easier With These Respiratory Protection Must Haves
      • Beat the Heat: Outdoors
      • Beat the Heat: Indoors
      • Machine Guarding: 7 Questions Everyone Should Ask
      • 5 Tips for Impactful Safety Observations
      • More…
  • Ask The Expert
  • Favorites
Lockout-Hazard-Identification-Risk-Assessment-Worksheet
Lockout-Hazard-Identification-Risk-Assessment-Worksheet
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BENEFITS

Companies have a duty to protect workers both while using equipment and machinery for their intended purpose and when repairing and maintaining that equipment. The primary way of fulfilling that duty is through what’s called “lockout,” which is when a equipment has been turned off and rendered inoperable with the use of a lock.  In order to ensure that all the hazards of a piece of equipment or machinery are identified, it’s necessary to do a hazard identification and risk assessment. The easiest way to do this is by using the Lockout Hazard Identification & Risk Assessment Worksheet, which lists the various types of energy involved with equipment or machinery.

HOW TO USE THE TOOL
  1. Identify the equipment or machinery and its location. Use the best description possible so that no one will make a mistake later about which piece of equipment or machinery the hazard assessment is for.
  2. Review the list of hazard types in Column A and identify those that will apply to the equipment / machine being assessed.
  3. In Column C, list the tasks that will be done on this equipment/machinery.
  4. In Column D, list the specific hazards that will affect each task. (Column B provides some typical examples that might apply).
  5. In Column E, list the method of isolating the energy that will be most effective for each hazard identified. Examples include blocking, closing valves, undoing linkage, bleeding hydraulics, etc.
  6. If de-energization or lockout is not possible, write “alternative procedures” in this column. This will require written procedures that provide equal or better protection to workers.
  7. In Column F clearly identify where the lockout point will be for this isolation source. If there is a number or other method of identification use it.  Provide a drawing if possible.

Once the form is completed, use the information to develop a Lockout Procedure for that machinery or equipment.

ADDITIONAL RESOURCES

AB: Guide to Part 15 of the OHS Code 2009
BC: Lockout Booklet; Lockout Safety Talk; Video: Lockout: A guide to safe work practices0
MB: Guideline for Safeguarding Machinery and Equipment
NB: Lockout Hazard Alert; Lockout Handout; Lockout Safety Talk; Lockout Checklist
NS: Lock-out: A Guide to Part 6 of the Occupational Safety General Regulations

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