Hazard Checklist: Lock-out Block-out Procedures
California State Compensation Insurance Fund
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California State Compensation Insurance Fund - Hazard Checklists
The following are links to all of the items in this collection:
Documents
- Hazard Checklist: Abrasive Wheel Equipment (Grinders)
- Hazard Checklist: Electrical
- Hazard Checklist: Flammable & Combustible Materials
- Hazard Checklist: Fueling
- Hazard Checklist: Hoist and Auxiliary Equipment
- Hazard Checklist: Housekeeping
- Hazard Checklist: Injury and Illness Prevention Program
- Hazard Checklist: Lock-out Block-out Procedures
- Hazard Checklist: Medical Services and First Aid
- Hazard Checklist: Noise
- Hazard Checklist: Personal Protective Equipment and Clothing
- Hazard Checklist: Portable Hand Tools and Equipment
- Hazard Checklist: Portable Power-Operated Tools & Equipment
- Hazard Checklist: Record Keeping
- Hazard Checklist: Toxic Substances
- Hazard Checklist: Transporting Employees
- Hazard Checklist: Walkways
- Hazard Checklist: Spraying Operations
Summary Statement
Checklist provided by the California State Compensation Insurance Fund to help contractors make sure they have taken the necessary steps to disengage, de-energize and block or lock-out equipment before the equipment is cleaned, serviced, adjusted, etc. Part of a collection. Click on the 'collection' button to access the other items.
| HAZARD | satisfactory | Needs Attention |
Target Date of Correction |
Date Corrected |
| Is all equipment capable of movement, required to be disengaged, de-energized and blocked or locked-out during cleaning, servicing, adjusting or setting up operations, whenever possible? | ||||
| Where the power disconnecting means for equipment does not also disconnect the electrical control circuit: | ||||
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| Is the locking-out of control circuits in lieu of locking-out main power disconnects prohibited? | ||||
| Are all equipment control valve handles provided with a means for locking-out? | ||||
| Does the lock out procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked-out for repairs? | ||||
| Are appropriate employees provided with individually keyed personal safety locks? | ||||
| Are employees required to keep personal control of their key(s) while they have safety locks in use? | ||||
| Is it required that only the employee exposed to the hazard, place or remove the safety lock? | ||||
| Is it required that employees check the safety of the lock out by attempting a start up after making sure no one is exposed? | ||||
| Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch? | ||||
| Is there a means provided to identify any or all employees who are working on locked-out equipment by their locks or accompanying tags? | ||||
| Are a sufficient number of accident preventive signs or tags and safety padlocks provided for any reasonably foreseeable repair emergency? | ||||
| If an operation requires the operator to leave his station to do other functions, & part of the machine could move if accidentally activated, is such element required to be locked or blocked out? | ||||
| In the event that equipment or lines cannot be shut down, locked-out and tagged, is a safe job procedure established and rigidly followed? | ||||
| Name | Date | |||
