Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
Table of Contents
1.
Scope ........................................................................................................................................................... 1
2.
Core Information and Requirements ............................................................................................................ 2
3.
Training ....................................................................................................................................................... 13
4.
Documentation ........................................................................................................................................... 14
5.
References ................................................................................................................................................. 14
ATTACHMENT I – Energy Control Log Sheet .................................................................................................... 15
ATTACHMENT II – Lock Removal Authorization/ Notification Form .................................................................. 16
ATTACHMENT III – Lockout/Tagout Annual Program Review ........................................................................... 18
ATTACHMENT IV – Annual Program Review Log ............................................................................................. 19
1. Scope
The scope of this document is to establish standard site specific EHS procedures for Gulf Region
under T-O&M 152.
1.1. Operation Overview
This program establishes requirements for the lockout tagout (“LOTO”) of energy containing
devices in accordance with 29 CFR 1910.147. It should be utilized to ensure that the machine or
piece of equipment is isolated from all potentially hazardous energy and locked and/or tagged out
before employees or contractors perform any servicing or maintenance activities where the
unexpected energization, start-up, or release of stored energy could cause injury.
1.2. Definitions
Affected Personnel: Is an employee/contractor whose job task requires them to service or
maintain machines or equipment under lockout/ tagout energy control. These individual are
authorized and required to place their personal energy control lock and/or tag on the designated
energy control location i.e., group lockbox, hasp, single source lockout point. When group
lockout/tagout is used, individuals are to apply their personal lockout or tagout device as
described Section 2.2 of this procedure. In addition, these individual or representative must verify
group field energy control locations under group lockout/tagout. Each affected individual is trained
to ensure they apply their personal energy control lock and understand the group lockout/tagout
energy control procedure.
Authorized Personnel: Is a Kinder Morgan employee who is trained in implementing group
lockout/tagout procedures. Authorized Personnel and Qualified Person(s) are trained to attach a
flied lockout/tagout device to an energy isolating location for groups’ servicing/maintaining
machines or equipment under lockout/ tagout energy control. Operations and Maintenance
employees are trained to apply group field locks/tags and must complete an employee
demonstration checklist (EDC). Only Authorized Qualified Personnel are trained to isolate
lockout/tagout electrical equipment.
Note: Only Qualified Person(s) may lock out electrical energy sources.
Block: One solid piece of substantial material placed under a suspended load or machine part,
which completely immobilizes all potential vertical movement. A block must have a lock and tag
and logged on energy control sheet.
Continuous Control: A single lock out source within line of sight, that can be readily isolated,
services values and process openings monitored continuously by an Authorized Personnel or
Qualified Personnel who has visual contact with the valves or process openings at all times.
Disconnecting Device: A pipe valve, electrical switch, or other mechanical device, which will cut
off the source of power or supply at the entry point to the machine or equipment.
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
Energized: Connected to an energy source or containing residual or stored energy.
Energy Isolating Device: A mechanical device that physically prevents the transmission or
release of energy. Examples include: a line valve; a slip blind; a block; a manually operated
electrical circuit breaker; etc.
Note: Push Buttons, Selector Switches, and other control circuit devices are not energy isolating
devices.
Energy Source: Any source of electrical, mechanical, hydraulic, pneumatic, chemical, thermal
or other energy.
Energy Control Lock: A Gold Wilson Bohannan Model 511 lock used to secure equipment that
is being serviced/maintained under group lockout/ tagout energy control. Energy control locks
are individual locks or sets of locks that must be keyed individually. The group energy control
lock will be appropriately marked.
Craft Lock: A keyed alike lock used for general purpose by the Craft Group for identification
purposes only.
Note: Craft locks shall not be used as personnel lockout device.
Out of Service Lock: A lock that is installed for the purpose of rendering the system(s) or
equipment “safe” and in a de-energized state for an indefinite amount of time, or for the purpose
of abandonment of a system or portion of a system. NOTE: This cannot be a Gold Wilson
Bohannan Model No. 511 lock.
Personal Lock: An individually keyed lock that is uniquely identified to the owner and is not a Gold
Wilson Bohannan Model No. 511. The owner of the personal lock must remain in control of their
personal lock key.
Qualified Person: One who is skilled and has knowledge related to the construction, installation,
and operation of electrical equipment plus has received training on the hazards involved.
Project Lead: The individual responsible for identifying the scope of work that requires energy
isolation/control.
Tagout Device: A prominent warning device, such as a tag and a means of attachment, which
can be securely fastened to an energy isolating device (i.e., breaker handle, hand off auto control
switches, MOV valves, hand valves, fanning strips, fused control circuit, high voltage air switch) in
accordance with terminal procedures, to indicate that the energy isolating device and piece of
machinery or equipment, tank, or pipeline may not be operated until the tagout device is
removed.
Single Source: A single lock out source that disconnects or blocks a single piece of equipment.
A personal lock may be used for same shift applications. A craft lock will be applied and an energy
control log sheet created for past shift (overnight) applications.
Note: In single source applications the craftsman can be the Authorized, Affected, and in the IE
department, Qualified person.
2. Core Information and Requirements
The Site Specific Procedure (SSP) shall address the following the elements:
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
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•
•
•
No. KMLT EHS SSP-152-002
Revised: May 2012
All Specific environmental, safety and health considerations, and Quality precautions
All engineering and administrative controls
Means to reduce risk, hazard, and exposure
2.1. Responsibilities
It is the Manager of Operations responsibility to ensure energy control is performed in
accordance with this program and is in compliance with applicable government regulations.
The Manager of Environment, Health and Safety will provide the initial complement of locks,
lockboxes, and tags. In the event locks, lock boxes, or tags require replacement, the Manager
of Environment, Health and Safety is responsible ordering the material; however, the Manager
of Operation’s cost center will be charged for the replacement and maintenance of materials.
The Manager of Operations and the Manager of Environment, Health and Safety are responsible
for providing oversight of the energy control program to ensure compliance with procedures and
regulatory requirements.
Only Authorized Personnel are authorized to perform group energy control lockout/tagout.
A lock and/or tag must only be removed by the person who attached the device(s). The only
exception is as follows:
If an affected employee has lost their key or has failed to remove their personal lock from the
lockbox, the employee shall be contacted for the removal of the lock. If the affected employee is
unable to be contacted, their Supervisor is to be contacted to remove the lock. The area shall be
inspected to ensure no one is affected by the energy control. Upon return to work the supervisor
shall notify the affected employee that the lock has been removed. Documentation of the lock
removal and the attempt and follow-up notification of the affected employee shall be noted on the
Lock Removal Authorization/Notification Form (Attachment III).
Contractors are responsible for following KM Energy Control Procedures. Contractors are
responsible for training their employees on KM Energy Control Procedures. Contractors shall
provide their own satellite lockboxes and personnel locks.
2.2. Group Lockout/Tagout Procedure
Department Procedures
Lockout/Tagout shall be utilized whenever the unexpected or unintended motion, start up or
release of stored energy from any machine or system could occur and cause possible injury.
Lockout/Tagout procedures shall be conducted any time an employee places any part of his or
her body into an area on a machine or piece of equipment where work is performed (point of
operation) or where an associated danger zone exists.
Authorized Personnel shall review and verify equipment and systems that will need to be locked
out. The Authorized Personnel will be responsible for completing the Energy Control Log Sheet
(Attachment II).
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
Prior to conducting lock out or tag out, the Authorized Personnel will prepare the Energy
Control Log Sheet. The completed log is stored in a plastic zip lock pouch attached the
corresponding lockbox.
Note: Authorized Personnel are the only ones that can open/close valves during the lockout/
tagout. I&E Personnel are the only personnel qualified to lockout/tagout electrical devices.
Lock Box Procedures
Lock Boxes will be provided for the servicing/maintaining of machine or equipment, under
group lockout/ tagout energy control. For single source under continuous control a lock box
can replaced by placing a personnel lock on the device.
NOTE: Operations to ensure all valves are in “closed” position, and shall apply a lock out lock and tag.
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
Step-by-Step Group Lockout/Tagout Procedures
Responsibility
Step
Project Lead
1.0
Identifies scope of work for lockout/tagout.
Project Lead
2.0
Will provide a completed Affected Device List to Authorized Personnel to
discuss energy control.
2.1
Perform field walk through to determine energy control points for locking
out equipment. It is acceptable to begin preparing the draft energy
control log sheet during this walk through.
2.2
For LOTO of electrical equipment, the Authorized Employee is
responsible for requesting the assistance of a Qualified Person to
determine the electrical equipment LOTO locations.
Authorized
Personnel
3.0
Shall prepare and document the final Energy Control Log Sheet.
Authorized
Personnel
and
Qualified
Person(s)
3.1
The Authorized employee can require that the Qualified Person assist
with recording the electrical LOTO locations on the final Energy Control
Log Sheet.
Project Lead
and
Authorized
Personnel
Authorized
Personnel
and
Qualified
Person(s)
Description
NOTE:
An Energy Control Log Sheet must be completed for all work that requires energy control
except for a “Single Source” lockout.
Authorized
Personnel
4.0
Will isolate and LOTO the mechanical equipment from all energy
sources that could cause injury to personnel or damage to equipment if
inadvertently energized.
NOTE:
Valves shall be secured in such a manner that the valve handle/wheel cannot be operated or
opened inadvertently or purposely. I.e. single run of chain through multiple valve wheels should
be installed in such a manner so that it is incapable of being operated more than a ¼ turn.
Authorized
Personnel
Qualified
Person(s)
KMLT EHS Gulf Region
4.1
Will release all stored mechanical energy from equipment i.e. depressure.
5.0
Will isolate and LOTO the electrical equipment (if applicable) from all
energy sources that could cause injury to personnel or damage to
equipment if inadvertently energized. The qualified person must sign
the energy control log sheet in the locations where they have placed
the LOTO and at the top of the energy control log sheet indicating they
have completed the electrical energy control.
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Responsibility
Step
Qualified
Person(s)
5.1
No. KMLT EHS SSP-152-002
Revised: May 2012
Description
Will release all stored electrical energy from equipment.
NOTE:
Where the Authorized Personnel or the Qualified Person cannot apply a lock, a “Danger –
Do Not Operate” Energy Control Tag will be used to lockout the device. The tag must have a
unique number and recorded on the energy control sheet. Once the tag is applied the
authorized personnel shall record the tag number on Energy Control Log Sheet.
Will place all keys for the locks used to LOTO all the Energy
Insolating Devices into the lock box and lock with a Gold operations
lock. Maintenance employees that have completed the EDC are
authorized to perform energy isolation on maintenance activities
including but not limited to pump inspections and p.m’s , valve p.m,’s
and tank inspections. The Authorized Personnel Record on the
Energy Control Log Sheet:
Authorized
Personnel
6.0
•
•
•
•
•
Lock and/or tag numbers
Energy type
Location, Description, Equipment ID
Clock ID of the individual applying Lock/Tagged and Date
Clock ID of the individual removing Lock/Tagged and Date
Authorized Operational Gold locks or Authorized Craft Locks
will always be the first on and last off the lock box.
NOTE:
A lock box is not required for control of a single energy source.
If a lock or tag cannot be affixed directly to an energy isolating device, it must be located
as close to the device as safely as possible, in a position that will be immediately obvious
to anyone attempting to operate the device.
When a lock is used, a "Box Tag" tag may be affixed to the lock.
Affected
Personnel
In the
presence of
Authorized
Personnel
7.0
Determine methods to verify that all energy sources are isolated with
lock out devices and tagged out as listed on the energy control log
sheet using one of the following methods:
a. Field walk through of the equipment to validate energy control
per the Energy Control Log Sheet.
OR
b. Transfer of energy control overnight has taken place without
removing a Craft lock placed on the lock box by the Authorized
Personnel.
OR
c. Independent Audit
If step 7a. is used, the Authorized Personnel will verify the equipment
is de-energized.
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Responsibility
Step
Affected
Personnel
8.0
No. KMLT EHS SSP-152-002
Revised: May 2012
Description
Will place personal locks on appropriate lockbox or appropriate
continuous control single source.
NOTE:
Each Affected Personnel must have a personal lock on the lockbox the entire time they are
performing maintenance or servicing equipment that is under energy control.
Affected
Personnel
9.0
Will perform equipment maintenance or servicing.
Affected
Personnel
10.0
Will remove personal locks from the lockbox when the individual is not
performing work or at the conclusion of the task.
NOTE:
Place one copy of the Energy Control Log Sheet in the plastic zip lock pouch attached the
corresponding lockbox.
Energy Control Removal Procedures
11.0
The Project Lead and on-duty field controller will verify the scope of
work is completed and notify the affected personnel energy control is
being removed,
1. Verify non-essential items have been removed.
2. Ensure employees are safely positioned or removed from the
work area.
Qualified
Person(s)
11.1
Qualified Person is responsible for verifying electrical equipment is in
the off/neutral position prior to removing the energy control.
Authorized
Personnel
12.0
Will conduct a double check of the system prior to removal of any locks
to ensure the system is secure and ready to be placed back in service.
Project Lead
and
On Duty Field
Controller
Authorized
Personnel
13.0
Qualified
Person(s)
13.1
Will retrieve the Lock Box. Authorized Personnel will retrieve keys
from the Lock Box and remove locks. If electrical equipment is
involved in the energy control, the Authorized Personnel is responsible
for contacting a Qualified Person to remove the locks/tags.
Qualified Person is responsible from removing locks from electrical
locked/tagged equipment and providing the locks/tags to the
Authorized Personnel. The Qualified Person and the Authorized
Personnel are to work together to close out the energy control log
sheet.
Authorized
Personnel
14.0
Will perform a final check to ensure all locks and tags have been
removed, noted on the Energy Control Log Sheet, and notify affected
departments that the system is back in service.
Authorized
Personnel
15.0
Will turn in the completed Energy Control Log Sheet into on duty Field
Controller.
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Responsibility
Step
Operations
16.0
No. KMLT EHS SSP-152-002
Revised: May 2012
Description
Send Completed LOTO Log sheets to the Site Lead Permit Writer’s
Office.
Stripping pump use during lockout tag out
If a stripping pump is required to evacuate product from a section of pipe during a lockout, the lock out
should be performed in accordance with KM procedure with one exception. The stripping pump suction
valve to be used should be treated as a single source lockout. An authorized person will lockout the
stripping pump suction valve using chain and a personal lock. Only the authorized person with his lock
on the suction valve will be allowed to operate the suction valve during the lockout. In the event the
suction valve needs to be opened, the following steps must take place:
1. All affected personnel working in the area must be notified the valve is going to be opened.
2. The stripper discharge must be lined up to a receiving tank.
3. The stripper pump must be started before valve is opened.
Once the stripping pump valve is opened and flow is verified, the authorized person must stay in the area,
within line of sight of the pump, until the valve is closed and secured by an authorized person using chain
and a personal lock, or use of the stripper pump will no longer be necessary and the suction valve can be
added to the lockout.
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
Testing or Positioning Equipment / Machines Procedure
The purpose of this procedure is to outline the steps necessary for temporary removal of energy control
for testing and positioning equipment, i.e. performing rotation checks and ensuring that the machines or
equipment that energy control has been temporarily removed are re-isolated before service or
maintenance related activities are continued.
In situations where lockout or tagout devices must be TEMPORARILY removed from the energy isolating
device and the machine or equipment energized to test or position the machine, equipment or component
the following sequence of actions shall be followed:
1.
2.
3.
4.
5.
Clear the machine or equipment of tools and materials.
Remove all unnecessary personnel and/or equipment from the area.
Remove Lockout/Tagout devices.
Energize and proceed with testing or positioning.
De-energize all systems and reapply energy control measures before work or repairs continue on
that system.
REQUIREMENTS:
1.1
While the equipment is re-energized, the Authorized Craft Employee must be present at all
times to ensure that no personnel are exposed to the energy source.
PROCEDURE
The following steps shall be taken to ensure that the machines or equipment that energy control
has been temporarily removed are re-isolated from all potentially hazardous energy, and
locked/tagged out before individuals perform any service or maintenance related activities are
continued.
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Responsibility
Step
No. KMLT EHS SSP-152-002
Revised: May 2012
Description
Project Lead
1.0
Notify the Authorized Operations Employee of the need to temporarily
remove energy source.
Authorized
Operations
Employee
2.0
Verify that the removal of Energy Control is necessary for testing or
positioning of equipment prior to removing Energy Control.
Authorized
Craft
Employee
3.0
Clear tools, material and personnel safely away from the equipment.
Authorized
Operations
Employee
4.0
Cancel any other Work Permits that may be affected by the energy
sources.
Project Lead
and/or
Authorized
Craft
Employee
5.0
Remove Personal and/or Supervisor/Craft Safety Lead locks from the
lockbox
Authorized
Operations
Employee
6.0
Remove the gold operations lock from lockbox.
7.0
Update Energy Control Log to reflect removal of Lockout (Devices).
8.0
Remove only applicable keys from the lockbox.
9.0
Attend the equipment while energy control is removed.
Authorized
Operations
Employee
Authorized
Craft
Employee
WARNING:
The authorized Craft employee retains responsibility for energy control while testing and/or position
work is completed
Authorized
Operations
Employee
10.0
Energize the necessary systems.
Authorized
Craft
Employee
11.0
Complete work required for testing and/or positioning of equipment.
Safety Lead
12.0
Notify an authorized Operations employee of equipment status.
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Authorized
Operations
Employee
No. KMLT EHS SSP-152-002
Revised: May 2012
13.0
Isolate equipment from all energy sources and re-apply lock/tag out
devices.
14.0
Inspect equipment to insure that it is de-pressured and all stored
energy is dissipated.
15.0
Verify energy control by testing the Start/Stop button or equivalent in
the presence of the Safety Lead.
16.0
Replace keys into lockbox.
17.0
Update Energy Control Log to reflect replacement of Lockout Device
NOTE:
If Craft Lead or Authorized Craft Employee was not present for the duration of the temporary
removal process, the complete isolation must be re-verified through a field walk down.
Craft Locks can be removed by anyone within that craft.
Safety Lead
and/or
Authorized
Craft
Employee
1.1.a
18.0
Replace personal and/or Supervisor/Craft Safety Lead locks on the
lockbox.
Violation of LOTO Policy
Failure to follow Kinder Morgan’s Lock Out Tag Out policy will result in disciplinary action
through Kinder Morgan’s Progressive Disciplinary process up to or including termination
of employment or removal from the facility.
1.1.b
SHIFT CHANGE PROCEDURE
All affected employees will remove their personal locks at the end of their shift or upon
completion of the job requiring energy control. If the job is not complete at the end of the
shift, a group lock can be placed on the box to insure energy control is maintained.
If a job requiring energy control is turned over from maintenance to engineering, the
qualified person can be changed from a maintenance I&E employee to an engineering
I&E employee.(This change needs to be noted on the log sheet in the location designated
for electrical control.)
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
1.1.c
No. KMLT EHS SSP-152-002
Revised: May 2012
OUT OF SERVICE LOCKS
An out of service lock is not considered a part of the LOTO program nor required to
adhere to the requirements listed within the LOTO procedure for servicing or
maintenance activities on equipment but instead used to take a system or a part of a
system out of service indefinitely. Out of Service locks and record keeping management
will be maintained by the Maintenance Department. Information pertaining to when an
Out of Service lock was installed, the purpose, and location will be maintained
electronically and located on the G:\.
G:\Environmental\Safety\LOTO\OutofService\etc.
1.1.d
LOCK, TAG, & TRY
Prior to work beginning on any system that has been deenergized, locked out and tagged
out, in preparation for servicing or maintenance activities, all START/STOP stations or
switches & all ON/OFF buttons must be tested or “Tried” by actually pushing the local
“ON” or “START” button to ensure that there is no residual energy present and that the
system has been effectively DEENERGIZED. After testing the start/stop - on/off switches
to verify the system has been properly deenergized be sure that the switch is in the OFF
or STOP position before continuing work. This may include testing remote start/stop
operations from the control house, field locations, and/or block houses.
1.1.e
LOCK REMOVAL
If a key has been lost or a lock/tag has been left on, a member of the authorized
employee’s line of supervision authorized to conduct energy control procedures shall be
contacted for removal of the lock and/or tag. An attempt to contact the employee is
required prior to lock and/or tag removal. The individual authorized to remove the
lock/tag must thoroughly inspect the area prior to removal. Once removed, a Lock
Removal/Authorization Form must be completed stating the reason for removal and
methods used to attempt to reach the individual who left their lock in place. The affected
employee shall be notified that the lock has been removed immediately upon him/her
returning to work. SEE APPENDIX III
1.2
Blind Installation & Documentation
Operations personnel are responsible for identifying and securing all mechanical energy control
points, i.e. valves, MOV’s, etc. excluding pumps. For blind installation or installation of threaded
plugs on the ends of broken/separated unions is necessary, the Authorized Employee &
Operations personnel will identify where the blinds/plugs are to be installed. This will be
documented on the Energy Control Log by writing the location as to where the blind/plug should
be installed along with any other pertinent information such as size and or description of the line.
i.e. suction line, return line, by-pass, etc. so that the maintenance person/ contract person will
know where the blind(s) should be installed. After the blinds/plugs have been installed by the
maintenance person or contractor, the person who installed the blinds or the supervisor will
ensure the checklist has been updated by signing and dating when the blinds have been
installed.
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
1. Writing the date the blind/plugs was installed
2. Initialing next to the date of installation by the person who installed the blind/plug or
his/her supervisor.
After the blinds have been installed, the person who installed the blind must affix a tag to the blind
handle or to the installed plug if it is a union that has been opened/separated and document the
tag number on the Energy Control Log.
When the work is complete and when placing systems back in service after blinds/plugs have
been removed the Energy Control Log must be updated by the Authorized Employee.
2.3. Periodic Review
An inspection of the Lockout Tagout Program will be conducted annually to ensure that the Lockout
Tagout program is being maintained properly and in compliance. The inspection will be documented
on the T-OM 100-17 Lockout Tagout Annual Program Review Form. Facility Site Safety will be
responsible for scheduling and conducting the inspection. All completed Annual Inspection Forms will
be placed in the Lockout Tagout Binder and must be maintained for three years for auditing purposes.
3. Training
This section will reference the Training Matrix for Initial and Refresher Training Requirements on
procedures. Review these guidelines at least once per each calendar year. Please refer to the KM
Terminals Business Unit procedure “KMT Training, Awareness and Competence Procedure”.
Authorized, Qualified and Affected personnel will receive initial training.
Minimum training
requirements are as follows:
1. Review of 1910.147 “The Control of Hazardous Energy” requirements as pertain to KMLT.
2. Type and magnitude of energy sources at the facility.
3. Purpose and adherence to energy control program procedures.
4. Nature and limitations of tags and locks.
5. Procedures for isolating energy sources, equipment and machinery.
6. Conditions for restarting energy sources, equipment and machinery
Training maybe be computer based or classroom based on updates to site procedures and
effectiveness reviews.
Provide retraining when:
1. Periodic inspection indicates inadequacies or deviations from this procedure
2. Introducing new or revised procedures
3. There is a change in job assignments, equipment, or procedures which present a new hazard
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Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
4. Documentation
Inspections shall be documented and records maintained for a minimum of one year.
All completed checklists shall be filed in the Lockout Tagout Binder for a minimum period of one year
following the completion of a lockout/tagout.
Training records shall be maintained in accordance with OSHA standards and KMT policy.
Document lockout/tagout training on T-OM100-20, Training or Safety Meeting Attendance.
5. References
29 CFR 1910.147.The Control of Hazardous Energy
T-OM100-17, Lockout/Tagout Annual Program Review
T-OM100-20, Training or Safety Meeting Attendance
T-OM100-50 Lockout/Tagout Checklist
KMLT EHS Gulf Region
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No. KMLT EHS SSP-152-002
Revised: May 2012
ATTACHMENT I – Energy Control Log Sheet
Area/Unit:
Date:
Lock Box #:
Equipment:
Electrical Sign-off
All energy control measures /actions must be documented on the Energy Control Log Sheet and Each energy control
application requires a separate log sheet.
Lock/Tag
Number
Energy
M B E
Location/Description/Equipment No
Locked/Tagged
By/
Clock No
Date
Removed
By/\
Clock No Date
Project Manger(s)
Name:
Date:
Completed:
KMLT EHS Gulf Region
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Energy Control/Lockout Tagout
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No. KMLT EHS SSP-152-002
Revised: May 2012
ATTACHMENT II – Lock Removal Authorization/ Notification Form
PERSONAL LOCK REMOVAL FORM
DATE:
TIME:
AREA:
LOCATION:
EQUIPMENT NAME & NUMBER:
LOCKBOX#:
EMPLOYEE WHOSE LOCK
WILL BE REMOVED:
REASON FOR REMOVAL
Steps To Be Taken Prior To Removal
Number
Completed
Description
1
YES / NO
Make a reasonable effort to contact the employee to inform that the energy
control device will be removed.
2
YES / NO
Verify that employee who applied device is not at facility.
3
YES / NO
Review the status of the job that the device is protecting to insure the device
can be safely removed.
4
YES / NO
Inspect related equipment or systems.
5
YES / NO
Determine that no harmful exposure to personnel or equipment will result from
activation the equipment or system.
6
YES / NO
Electrician personal locks may not be removed without the inspection and
approval of a qualified electrician.
NOTE: All steps above must be taken prior to removing the energy control device(s).
7
YES / NO
KMLT EHS Gulf Region
Ensure that employee will be notified prior to resuming work at the facility.
Page 16 of 19
Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
Authorizing Signatures:
Required Approvers
No. KMLT EHS SSP-152-002
Revised: May 2012
Print/Sign Name
Date
Time
Field Controller
Area Operator:
*Electrical Craft Representative:
(when applicable)
* Electrical craft may provide permission over the radio or phone to remove a
personal lock. Record the name of the person providing the approval to remove
the electrical employee personal lock in the space provided.
KMLT EHS Gulf Region
Page 17 of 19
Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152-002
Revised: May 2012
ATTACHMENT III – Lockout/Tagout Annual Program Review
Team performing annual review must include at least one “Authorized Employee”
Review Name
Position
Review Date
1. Employees Affected by Lockout/Tagout – Are all affected employees and/or contractors notified of the
application and removal of lockout or tagout devices before the controls are applied and after they are
removed from the machine or equipment.
2. Types and Magnitude of Energy and Hazards at
(location). The equipment and/or processes that could cause damage or harm if not isolated are
(check those that apply):
Electrical system high and low alternating current and high voltage direct current systems; single
and three-phase (de-energize)
Compressed air above 30 psig (isolate and relieve pressure)
Hydraulic systems high pressure oil (block or relieve pressure)
Product Piping/tubing; high and low pressure (isolate, relieve pressure and plug/blind)
Steam lines and boiler(s) hot surface; temperature above 212° F (isolate and allow to cool)
Stored electrical systems e.g., capacitors, transformers been discharged by a qualified person
Standby battery direct current; sulfuric acid and nickel cadmium batteries (disconnect)
4. All affected personnel are to be notified: 1) Prior to the application of the appropriate lockout/tagout
device and 2) Following the removal thereof. Any changes to this equipment that would affect this
procedure should be brought to the attention of the EHS Representative as soon as possible.
Personnel shall strictly adhere to all procedures set forth in the LOTO PROGRAM.
5. Means of Isolation: Complete page 3 of this form to document equipment observed during annual
review/inspection where LOTO is currently in use.
6. Additional Review Questions:
a. Is the local log/record for the lockout/tagout activities available where all employees can access?
b. Are lockout devices installed properly?
c.
Is any equipment locked out, but is not listed in the local log/record?
d. Are facility employees and contractors familiar with lockout/tagout procedures?
e. Are all electrical breakers capable of being locked out?
f.
Are all lockout devices in good condition?
g. Also see KM “Energy Control Audit Worksheet”.
7. Other
Comments:______________________________________________________________________
Page 18 of 19
Energy Control/Lockout Tagout
Gulf Region Liquid Terminals
No. KMLT EHS SSP-152
Revised: May 2012
ATTACHMENT IV – Annual Program Review Log
Date Revised
Revision Request By
May 2010
Ember Michel
September 2010
Dan Airhart
Jan 24, 2011
Bruce Tylock/John Lockhart
May 2012
Bruce Tylock, Tammy Moeller
Clark, Jessica Toll
Reason for Revision
Revision to Site Energy Control/Lockout Tagout
Program. Addresses 2010 audit finding indicating
terminal LOTO practices must be revised to meet
O&M/OSHA requirements.
Minor revisions based on post implementation of
program. FAQ created re-training not required.
Annual LOTO System use review. Procedure
implemented as intended; updated system use
checklist. Other findings related to enforcement of
procedures.
Reviewed by KM Corp, EHS Gulf Liquid and
Lakewood Legal for compliance with 1910.146; in
addition, changes includes as feedback from LOTO
Audits.
Page 19 of 19
Approved by EHS
Manager or Designee
Date
Bruce Tylock
July 1, 2010
Bruce Tylock
Oct 3, 2010
Bruce Tylock
Jan 24, 2011
Bruce Tylock
May 31, 2011