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Lock-Out/Tag-Out: Beyond the Written Procedure
Blair Brewster (blair@electromark.com)
Allen Clapp (allen@clappresearch.com)
The lock-out and tag-out requirements of OSHA,
the National Electrical Safety Code, NFPA Standard 70E and other
national standards are based upon a two-part, simple premise.
First, LOCK-OUT- make sure that inappropriate levels of mechanical
or electrical levels of mechanical or electrical energy cannot get
to you before you work on mechanical or electrical devices and consider
them benign: cut the energy off from its source and, if practical,
lock it out. For some items, this means locking a valve
in the closed position. For others, it means locking a
switch in the off position. Second, TAG-OUT – warn
others who have access to the switches, valves, etc., (so that they
will not inadvertently re-energize the devices) by placing appropriate
temporary accident prevention tags at all sources of control.
These specific, strict rules and regulations have been developed
over a century of good and bad behavior. For example, consider
the following accident.
In a power plant, several main and auxiliary steam
lines were taken out of service to add equipment and reroute some
lines. One of the workers involved in installing a new piece
of equipment turned the steam on to test the new equipment. Unfortunately, he turned on the wrong line and four
people were seriously burned (scalded). Had a proper lockout/tag-out
system been in place, each of the valves would have been properly
identified with accident prevention tags meeting ANSI Z535.5 to
assure that they were not turned back on until all crews had been
cleared.
Inadequate personal protective equipment, poor
worker training, deficient equipment design and non-conformance
with established safety work policies are all to often contributory
factors in accidents like these. But, there is a little question
that safety locks, tags and signs work toward overriding such factors. They can be your last line of defense. A well-designed
program of safety tags, locks and personalized training can help
save lives.
Lock Out/Tag-Out Regulations
Lock-Out/Tag-Out , Or “LOTO” is the second most
cited OSHA regulation violation. The primary regulations are
OSHA (S) 1910-147 Lock-Out/Tag Out, (S) 1910.269 for Electric Power
Generation, Transmission and Distribution and (S) 1910.268 for Telecommunications.
These rules require that all energy sources be turned off and either
locked-out while service or maintenance work is being performed.
By protecting the worker from accidental release of energy (electrical
shock, mechanical action, heat, etc.), the rule is saving hundreds
of lives. These rules when coupled with an aggressive enforcement
effort by OSHA, larger fines and, increasingly, criminal liability
for the utility, mean that few companies can remain uniformed.
In some ways, the work rules of the National Electrical
Safety Code (NESC) and NFPA Std. 70E are more strict on locking
and tagging than OSHA. The NESC is adopted by law or regulation
(or otherwise used by the courts and regulatory commissions) in
every state. Where locks are practical, tags are also required
to identify those requesting the de-energization. Tags are allowed without locking only in specific situations.
NFPA 70E is the standard from which the recent (S) 1910.333 and
related regulations for electricians were taken; it has been the
mainstay of manufacturing plant-operating routines since the early
1970’s.
LOTO Procedures & Continuing Failures
A Lock-Out/Tag-Out program has three elements:
written procedures, employee training, and locks and/or tags. By now, most utilities already have well-established
written procedures with clear goals, specific procedural steps to
take when working on an energized project, an inventory of potential
hazards, group lock-out programs and descriptions of the manager’s
auditing and control responsibilities.
Now, we must turn out attention to how written
procedures can be implemented more effectively. The outside
plant environment is unique and, to be effective, a LOTO procedure
must address the following trends in the outside plant environment.
Expanding Diversity of Workforce. Utilities
are struggling with higher turnover and greater numbers of entry-level
trainees than ever before. Many utilities respond by hiring
outside contractors and this brings yet another level of complexity
and uncertainty over lines of communication an authority.
Technological Acceleration. Today’s
outside plant is far more sophisticated than a decade ago.
For example, activation of a circuit may occur a control center
that is miles away from the actual maintenance work. The work
may overlap several shifts and involve teams of electricians.
May of the current LOTO training programs built around the needs
of a manufacturing environment and directed to simple nearby repair.
The “one-person-one-lock” scenario suitable for cleaning a simple
machine is unworkable when you have dozens of control points.
Similarly, asking CATV employees, for example, to endure a training
session on machine guarding is inappropriate.
Deregulation. There is a greater pressure
than ever to increase worker productivity – i.e., to get the linemen
out of the classroom and back out on the job as fast as possible,
while asking them to do more things faster.
Greater reliance on Tag-Out and Tag Durability. In comparison to general industry, utilities are more
likely to rely upon tags alone, since locks are not practical for
many pieces of equipment. And, unlike manufacturing environments,
safety tags used in outside plant must be able to withstand rain,
sunlight and wind.
A written program can only go so far. Documenting that employees have all been subjected to
the annual viewing of 20 minute LOTO videotape is not enough. The limiting factors too often remain: (1) the execution
of the training program and, (2) the quality of the tag itself.
Engage Employees to Make LOTO Training More Effective
The trick with any training program is getting
workers to buy into the program. Training cannot be too static.
To be effective, support materials need continual change. Many utilities now use their own video recorders to
personalize the training. Everyone has gone through orientation
training, but how many times do you see colleagues working on your
actual equipment? Case histories that are relevant to your
workplace are important. Overcome apathy by discussing accidents
that are relevant to your work environment. Understand that it may take longer to follow the lock-out
steps and to complete the tag than to make the actual repair. Training has to emphasize that there are no shortcuts.
Finally, it’s helpful to understand how enforcement
may be needed. OSHA writes in the preamble to 1910.147, “…it
is the fourth element, discipline, which appears to be the most
critical to the cusses of these programs; the companies with effective
tag-out programs apply various types of disciplinary action to both
supervisors and employees who violate the tag-out procedures.”
A common line on Lock-Out tags is “You will be fired if you remove
this tag without authorizations.” Allowing violations to occur
without penalties is inviting apathy and will provoke disrespect
for your program. Obviously, as in any case of work safety
rules violations, the punishment should be commensurate with the
level of hazard created. In the case of serious, life threatening
violations, it is better for a person to lose his job than to lose
his arms and legs.
Use of Tags Vs. Locks
Although tags are generally used in conjunction
with a lock, many utilities still use tags alone. This approach
works only when the company’s training and tracking program is well
established and effective. In writing the OSHA 1910.147 rules,
the issue of tags versus locks was debated extensively. Ultimately,
OSHA decided that lock-out was the preferred and safer way to ensure
that equipment remains de-energized. Yet, they also recognized
tags alone could be used when an energy isolating device was not
capable of being locked-out. Tags could also be used when
the employer can “demonstrate that the tag-out program will provide
a level of safety equivalent to that obtained by using a lock-out
program” 1910.147 (a)(3)(c)(3). This more flexible approach
is fraught with pitfalls, if training, supervision and disciplinary
programs do not match the level of seriousness of the hazards involved.
Many users acknowledge that tags are much easier
and faster to use and hence more likely to be implemented than a
program relying only on locks. Indeed, there are occasions
when using a lock is impractical and even more dangerous than a
tag. But, in developing your own program, you must honestly
assess the effectiveness of your training, your written procedures,
and capabilities of your work force, and then you must match them
with the equipments being worked on and the work procedures involved.
Expect More From your Tag
Increasingly, companies are integrating their work
order procedures with their lock-out tags. Detailed instructions,
information on control pints and even simple diagrams are being
printed on the lock-out tags. After all, a tag is usually
only part of the work flow that starts with a work or maintenance
request. Many companies find it useful to attaché a stub from
the actual tag to the work papers. The sub is often used to
indicate that the work has been completed and traces back to the
individual performing the work. Similarly, a paper carbon
or NCR copy of the tag can provide this record.
Finally software programs can now be used to store
detailed LOTO instructions, allowing users to print job-specific
tags on laser and desktop thermal printers. Highly readable
laser-printed tags help reduce the problems on handwritten instructions,
which are frequently difficult to read. Often, the personnel
writing tags are confronted with the need to make hundreds of tags.
Importantly, they are often performing this task under time pressures,
such as a storm-related emergency. These are situations during
which, time and accuracy are of critical importance. Laser
printed tags help eliminate the human error. Now that laser
printers have dropped below the $500 threshold, they are a remarkable
affordable solution.
Tags Should be Durable
The tags, themselves, can be upgraded from paper
to plastic. Investment in safeguarding equipment and training
will be lost if the lock-out tag is not durable. The tag is
after all, the last line of defense against a potential lethal mistake.
Plastic tags resist oil, sunlight and water attack. In contrast, paper tags mildew, rip, and become illegible
in the rain. Putting a paper tag into a plastic bag is even
worse – the bag creates the greenhouse condition what can accelerate
the tag’s deterioration. Tags should have a ½” hole, so that
they can accommodate the width of a lock shank. OSHA”s guidelines
define that the tag-out device shall have “an unlocking strength
of no less than 50 pounds” 1019.147 (S symbol) (c) (5) (C) (2).
When used with a non-conductive plastic snap-grommet, these plastic
tags exceed a 50 pound pull test. On the other hand, tags
need to be easily removable at the end of the work cycle.
Old, redundant tags con corrupt the integrity of your program.
Having a small slot or perforation allows personnel to rip it in
half and remove it when the job is complete.
Attaching And Then Discarding A Tag
Historically, there have been many ways to attach
a tag: cotton string, nylon cords, wire, ball chain and ties. OSHA 1910.147 is quite clear though, “the employer is
required to provide a means of tag-out device attachment having
the general design and basic characteristics of being at least equivalent
to a one-piece, all environment-tolerant nylon cable tie” OSHA 1910.1477
(c)(5)(ii)(C)(1). When asked to rule on the suitability of
using a cord, an OSHA officer writes, “Neighbor the cords nor the
tag appear to be all environment-tolerant, that is, if wet, neither
would hold up.”
Also, remember that tags should be temporary. The integrity of your LOTO program depends on old tags
being discarded or logged out. Some users request a perforated
section on the tag so that the tag stub can be sent back to the
office to record a completed job.
A Tag Should Not Be a Wallflower
Above all, make the tag conspicuous. Remember that the tag is guarding, someone’s life and
must stand out. Fluorescent colors or a striped border can
be used to help the tag stand out.
Recent changes to the ANSI Z535.1-1997 standards
that define Lock-Out tag designs. The simple Danger header
using the signal alert triangle is emphasized, instead of the traditional
Danger design using the read and white oval shapes.
Make tags large enough to read. A blocking
tag must be filled out completely. Leaving too little room
to complete the information on the tag will frustrate the operator. In a hurry, he will often sloppily complete the tag. The next worker, who is then deciding which switch to
energize may, for example be too vain to admit that he needs bifocals.
Obviously, this is a recipe for disaster. Larger tags allow
the Danger header to be sized big enough to meet the OSHA 1910.145
requirement, the signal word should be “readable at a distance of
five feet or such great distance as warranted by the hazard.”
Lastly, it is important not to forget the back
of the tad. The best tags give instructions on the back of
the tag on how to follow your LOTO procedures.
Warnings on Tags
The tag is often protecting someone’s life. Make sure that your message is clear and direct.
The primary message of the tag should give the necessary action
to take (for example, “ Do not Operate”). Make this primary message large and bold. Other
common messages are: Do Not Connect, Do Not Energize, Do not Open, Do Not
Reclose, Do Not Start, Keep your Hands Off, Hold Tag, Lock Out and
My Life Is On the Line.
The use of symbols is also encouraged by the new
ANSI standards. An appropriate symbol conveys the danger quickly
and powerfully, even to workers who do not read English well or
cannot read small print.
Many plants even add a photograph to the tag. Some use digital cameras to take a picture and then
instantly translate it to an electronic form. Others scan
a regular photograph. With such a record, you can translate
your personnel photos for inclusion in the LOTO procedures and the
tags. A personalized lock-out tag not only helps you find
someone, especially when you have many contractors on a project,
but helps convey the singular immediacy of the danger.
Conclusion
Many LOTO programs have not fulfilled their promise,
due to lack of follow-through by supervisors and trainers. Employees too often like bystanders to an arbitrary
management procedure, because the procedures and training they receive
do not adequately reflect their needs and work procedures.
Training programs tailored to your work environment will help change
these attitudes. Durable, easy to fill out and understandable
tags that are integrated with your procedures reinforce the importance
of your LOTO program and empower the employee. Both initiatives
signal a fundamental respect for the employee’s safety and that
means fewer accidents.
Regulations
OSHA 1910.147, Control of Hazardous Energy Source
(Lock-Out/Tag-Out), 1989
OSHA 1910.269, Electric Power Generation, Transmission
and Distribution; Electrical Protective Equipment, 1994
OSHA 1910.145, Specifications for Accident Prevention
Signs and Tags, 1971.
National Electrical Safety Code (ANSI C2), Part
4: Work Rules.
ANSI Z244.1, For Personnel Protection- Lockout/Tagout
of Energy Sources- Minimum Safety Requirements, 1992.
ANSI Z535.5, American National Standards. Accident
Prevention Tags (for Temporary Hazards), 1997.
NFPA Std. 70E Standard for Electrical Safety
Requirements for Employee Workplaces.
Authors
Blair Brewster, President Electromark, a manufacturer of safety signs,
labels and lock-out tags; member of ANSI Z35 main committee, subcommittee
2 on Environmental and Facility Safety Signs and Chair of ANSI Z535
Subcommittee 5 on Safety Tags and Barricade Tapes. blair@electromark.com
Allen Clapp, President of Clapp Research Associates, P.C., Consulting
Engineers; member and Past Chair National Electrical Safety Code
Committee; member ANSI Z535 main committee and Chair ANSI Z535.2
Subcommittee on Environmental Facility Safety Signs. allen@clappresearch.com
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