Equipment-Specific Lockout Procedure (ELP) Template: Control of Hazardous Energy
Equipment-Specific Lockout Procedure (ELP) Template: Control of Hazardous Energy
This equipment-specific lockout procedure (ELP) template meets SLAC Control of Hazardous Energy (CoHE) program requirements
for an ELP. SLAC groups who develop their own ELP template must meet specifications set forth in Control of Hazardous Energy:
General Requirements (SLAC-I-730-0A10S-004).
Preparer
A. Procedure Purpose
The purpose of this procedure is to identify all hazardous energies and hazardous energy isolation points and list all required steps to safely shut
equipment down and return it to service after work is completed.
Failure to follow this lockout procedure may result in injury to personnel or damage to equipment and may result in severe disciplinary
action, including termination.
B. Equipment Description
Equipment description: (equipment name)
Property control numbers (PC #s):
Equipment custodian/ procedure owner:
(asset #)
Equipment location:
Vacuum
Radiation, ionizing
Other: describe
2. Notify
Before starting work, notify the equipment custodian and all affected workers of the lockout.
Also notify the equipment custodian(s) of any associated or affected equipment.
3. Shut down equipment
(describe steps to safely shutdown equipment)
Important: zero energy verification (ZEV) is required if equipment will be locked and
tagged after testing.
(add as many rows as necessary to list all energy sources identified in Section D)
I. ELP Permit
The lead authorized worker signature indicates that the lockout is complete and the system is safe for work.
Continuity of protection: The lead authorized worker must lock on and sign on before start of any work under this ELP,
and must stay locked on until all work is complete and all authorized workers have locked off and signed off. If a group
lockbox is used, the lead authorized worker must apply a group lockout master lock to the group lockbox. The group
lockout master lock is applied before start of any work, and must remain locked on until all work is complete and all
authorized workers have locked off.
If necessary, lead authorized worker duties may be reassigned to another authorized worker. All workers performing work
under this ELP must be informed of the reassignment.