G-105

Lockout Tagout Devices

Section G — Equipment Revision 2 7 pages

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1.0 Purpose 
 
 This procedure defines the location and type of devices used for a proper Lockout/Tagout
 
 (LOTO) Program that is compliant with 29 CFR 1910.147 for proper Lockout and Tagout of
 equipment. This program also meets OSHA standards. 
 
 2.0 Scope 
 
 This procedure provides the general guidelines for type and placement of LOTO equipment.
 
 3.0 Responsibility 
 
 3.1 It the responsibility of authorized and affected employees to know the locations of
 LOTO equipment. 
 
 3.2 It is the responsibility of maintenance employees, authorized employees, and affected
 
 employees to understand how to handle the various lockout devices authorized for this
 facility. 
 
 3.3 It is the responsibility of the Department Heads, Managers and Supervisors to
 implement this procedure and ensure compliance by personnel with requirements in this
 
 procedure 
 
 3.4 It is the responsibility of Operations and Quality to ensure this procedure is being
 
 followed. 
 
 4.0 Definitions 
 
 4.1 LOTO - Lockout / Tagout; Safety procedures that identify equipment that is damaged
 
 or de-energized. 
 
 
 

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 Lockout/Tagout Devices G-105 2 age 2 of 5 
 
 4.2 OSHA - Occupational Safety and Health Administration; A division of the Department
 
 of Labor that sets and enforces occupational health and safety rules.
 
 4.3 Authorized Employee - an employee that has the authority to use lockout devices and
 is responsible for locking and tagging out equipment that is suspected of malfunction.
 
 4.4 Affected Employee — any employee that is aware when equipment is in Lockout or
 Tagout, and understands the procedure. 
 
 4.5 All employees — employees, contractors, temporary employees, or other personnel that
 
 may be exposed to or work around equipment that can be under Lockout / Tagout
 protocols. 
 
 4.6 Excessive — force or technique needed to remove a lock, such as the use of bolt cutters.
 
 5.0 References 
 
 5.1 29 CFR 1910.147 The Control of Hazardous Energy (Lockout/Tagout) 
 
 5.2 G-105-F1, Form, Equipment List for Lockout 
 
 5.3 G-105-F2, Form, Lockout Log 
 
 6.0 General Information 
 
 6.1 Locks and other Lockout device will be made of durable and tamper-proof material as
 
 defined by 29 CFR 1910.147(c)(5)(i1) and purchased from a reputable supplier.
 
 6.2 Color coded system will be used for LOTO locks. Other LOTO devices will be standard
 
 colors as provided by the manufacturer. 
 
 6.2.1 When possible, an authorized employee can use a tag with their name and attach
 
 it to the lock(s) that they are using. 
 
 6.2.2 Red — Maintenance (authorized employees) 
 
 

[SOP 

 Standard Operating Procedure SOP No | Rev 
 G-105 2 Page 3 of 5 
 Lockout/Tagout Devices 
 6.2.2.1 Each member of the Maintenance team will have their own set of
 
 company provided locks and devices as needed. 
 
 6.2.3 Blue — Operators (authorized employees) 
 
 6.2.3.1 Locks will be labeled based on department and/or location.
 
 6.2.3.1.1 Example: Room Specific Locks: P1-01, etc. 
 
 6.2.3.1.2 Example: Department Specific Locks: Blending-01, etc.
 
 6.2.4 Yellow — Quality Control (authorized employees) 
 
 6.2.4.1 QC inspectors will share a set of company provided locks.
 
 6.2.5 Green — Research and Development (authorized employees) 
 
 6.2.5.1 R&D will share a set of company provided locks. 
 
 6.2.6 Purple — Contractors (proof of authorized employee training is required).
 
 6.2.6.1 Contractor will be issued locks by Maintenance as needed.
 
 6.2.6.2 Locks will be numbered Contractor-01, etc... 
 
 6.3 Lockout Stations will be located as close to a department or room as possible.
 
 6.4 A copy of Form G-105-F2 will be located at each lock station so that locks can be
 
 monitored. Completed forms will remain at the lock station and can only be removed
 during an audit. 
 
 6.4.1] Each Form, G-105-F2 will have the location of the station written on the form
 and each page will be numbered in order. 
 
 6.4.2 When a device is to be locked, authorized employee(s) will go to the lockout
 station and retrieve locks and/or devices needed to lockout a piece of equipment
 
 or room. 
 
 

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 Standard Operating Procedure SOP No Rev > 
 Lockout/Tagout Devices G-105 2 age 4 of 5 
 
 6.4.3. Authorized employees will write down the number of the lock, their own
 
 initials, the current date, and the room or equipment number on Form, G-105-
 
 F2. 
 
 6.4.4 When locks are returned to the lock station, they must be signed back in on the
 
 log. The employee will initial and write the date. A supervisor will verify and
 initial that the lock has been returned. 
 
 6.4.5 Only fully completed G-105-F2 forms can be removed by an auditor and they
 
 will be delivered to Document Control for storage. 
 
 6.5 Form G-105-F1 will be filled out and approved by the Maintenance Manager or
 
 designee. This form describes all the equipment needing to be de-energized for a
 specific area. 
 
 6.6 If there are multiple pieces of equipment or more than one employee authorized to
 lockout devices, then the following procedure can be used: 
 
 6.6.1 Each authorized employee will retrieve 1 lock. 
 
 6.6.2 A Supervisor/Lead (authorized employee) will obtain 1 lock for themselves and
 
 all necessary lockout devices and locks as described in the room’s / equipment’s
 
 lockout guide. 
 
 6.6.3 The Supervisor/Lead (authorized employee) will lockout all devices. Keys for
 
 each locked out device will be placed in a lockbox. 
 
 6.6.4 Each authorized employee will place their lock on the lockbox.
 
 6.7 When a contractor applies a lock and tag to a piece of equipment, an Ion Labs
 authorized employee must place a hasp on the energy isolating device and put his/her
 
 lock and tag on first. 
 
 6.7.1. When the contractor is ready to remove the lock and tag, the contractor removes
 
 his/her lock and tag first. The Ion Labs authorized employee will check to make
 sure all affected employees have been notified, all tools and parts have been
 
 

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 Standard Operating Procedure SOP No | Rev Pace 5 
 Lockout/Tagout Devices G-105 2 age 5 of 5 
 
 removed and all machine guards have been replaced and then remove his/her
 
 lock and tag. 
 
 6.8 If a lock needs to be replaced because of loss or sanctioned removal, the new lock will
 get the same number of the lock it is replacing and will be noted in the yearly audit
 
 record. 
 
 6.9 Each lock purchased will have only 1 key so that the Program follows the “one person,
 
 one lock, one key” mantra. 
 
 6.10 LOTO devices need to be purchased by Maintenance or designee. The designee will
 
 ensure there are sufficient number and sizes of various LOTO devices available.
 
 6.11 Each room/ standalone equipment will have an Equipment List for Lockout, Form G-
 105-F1 located in or near the room/equipment. 
 
 6.11.1 The room number and description of the room will be written on the form.
 
 6.11.2 Each piece of equipment that requires lockout during normal cleaning,
 
 calibration, or maintenance will be listed on the form along with the lockout
 devices needed to lockout the device. 
 
 6.12 Tagout stations will have a sufficient supply of durable tags and durable plastic straps
 (zip ties) to affix tags to equipment. 
 
 6.12.1 A sufficient number of Tagout stations will be located in each department.
 
 6.13 Locks that need to be replaced must be submitted in writing using a Purchase Request
 
 that is approved by the Production Director or CFO. 
 
 7.0 Revision History 

| Rev | Date | Description of Changes | CCR # | By |
|-----|----------|------------------------|-------|----|
| 0 | 10/29/18 | New procedure. N/A K. Tyrrell l 03/05/21 Update procedure to reflect current requirements. CC-21-0093 B. Almand | - | - |
| 2 | 02/10/22 | Updated procedure to reflect current requirements. CC- | 22-0068 | B. Almand |

 

[SOP 

 IAN LABS Equipment List for Lockout 
 Form: G-105-F1 CCR No. CC-22-0068 Revision: 2 
 
 Description: 
 e Post in or near each room or piece of equipment. 
 e List all equipment that needs to be de-energized. If ION# is not available, give description and/or
 include picture of equipment requiring lockout. 
 ¢ Check all types of lockout devices required for energy source (may be more than | type).
 
 ROOM # Description of room or area: 
 
 List of Equipment Needing Lockout Equipment 
 
 C] Plug Lockout 
 
 [J Ball Valve Lockout 
 0 Circuit Breaker Lockout 
 
 C] Plug Lockout 
 [J Ball Valve Lockout 
 CJ Circuit EreaketSocwoul 
 REE AT rr— 
 Oo Plug Lockout & 
 
 [] Ball Valve Lockout 
 LI Crmeull Breaker Lockout 
 geataT 
 Gate | Valve Lockout 
 Pneumatic Lockout 
 Other: 
 Gate Valve Lockout | 
 Pneumatic Lockout 
 Device(s) 
 olU we es 
 Gate Valve Lockout 
 Pneumatic Lockout 
 Ouier: 
 on. 
 iS ”wT 
 oO Gate Valve Lockout 
 [] Ball Valve Lockout Cl Pneumatic Lockout 
 C] Sus Breaker Lockout H Other: 
 oAOo Plugoe 
 o Gate Valve Lockout 
 C] Ball Valve Lockout C] Pneumatic Lockout 
 CJ Circuit Breaker Lockout [J Other 
 e 
 e 
 Dey ;wi ae akonLockout —_ 
 C] Plug Lockout 
 [C] Ball Valve Lockout [C1 Pneumatic Lockout 
 C Circuit Breaker Lockout 
 Tl Gate Valve Lockout 
 oO Plug Tackaut 
 [J Ball Valve Lockout [J] Pneumatic Lockout 
 [J Circuit Breaker Lockout CJ Other: 
 Approval Signature Job Title Date 
 

[SOP 

 ISNLABS Lockout Log 
 Form: G-105-F2 CCRNo. CC-22-0068 Revision: 2 
 
 ATTENTION / ATENCION / PAZNJA 
 e By signing out a lock and corresponding key, you are taking ownership of this lock and key
 until it is returned and signed back in to this station. 
 
 e Do not give this lock and/or key to any person for any reason. It must be returned to this station
 and signed back in on this form and confirmed by a Supervisor’s initials.
 e Failure to follow this and all Lockout/Tagout Policies and Procedures can result in serious
 injury and/or death. 
 e Failure to adhere to this Policy could result in disciplinary action up to and including
 immediate termination. 
 
 STATION: