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DOE-STD-1030-96
If a form like the sample Lockout/Tagout Record Sheet (Appendix A) is used,
the release at the end of a shift should be recorded in Block [10] of the sheet. At
the beginning of the next shift, each individual or work group representative
should be entered on a new line in Blocks [7] and [8]. Authorization for work to
begin should be recorded in Block [9] for each period of work. Sheets should be
added as required to record additional entries.
4.8 Periodic Inspection
Facility procedures should outline periodic review and inspection responsibilities for
lockout/tagout. Documentation for each review/inspection should include the date and time
of the inspection, the name/signature of the person conducting the inspection, any
deficiencies noted, and corrective action(s) taken.
Facility operators should inspect for correct placement of tagout devices (and locks, if used)
and correct position of tagged equipment as part of their normal rounds. Operators should
notify the responsible supervisor or manager if deficiencies are noted.
Each shift, lockout/tagout holders should inspect the work boundary isolation devices to
verify that tagout devices (and locks, if used) are properly installed. At facilities where
ALARA concerns would limit such inspections, operations management should establish an
inspection frequency that is consistent with dosage control considerations. Lockout/tagout
holders should inform affected personnel and the responsible supervisor or manager if
deficiencies are noted.
Supervisors should inspect work boundary isolation devices to verify that tagout devices are
properly completed and installed to warn against operation, locks (if used) are properly
installed to prevent inadvertent operation, and devices are properly positioned to provide the
required protection. They should interview personnel installing, removing, and working
under lockouts/tagouts to determine their knowledge of responsibilities. They should
review the documentation for current and removed lockouts/tagouts to ensure that the
documentation meets all requirements and accurately reflects the current status. Supervisors
should document each inspection, including the date, person(s) performing the inspection,
equipment and procedures involved, and personnel participating in the inspection. They
should initiate corrective action for any deficiencies.
Managers should inspect facilities or areas under their control at least annually for overall
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