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Section V:

Human Resources


Safety and Benefits



Current Effective Date:


Revision History:

3/1/16, 5/1/09, 4/1/04, 7/1/03

Original Effective Date:




The purpose of this policy is to establish a safe environment for employees when working on or with energized equipment. This policy applies to all DHHS staff working on or with energized equipment.


It is the policy of DHHS to protect employees, patients, clients, residents, and any other individuals from hazards associated with energized equipment. This policy establishes lockout/tagout (LOTO) guidelines to ensure compliance with the Occupational Safety and Health Administration (OSHA) standards.


Affected Person - A staff member whose job requires them to operate or use a machine or piece of equipment on which servicing, maintenance, or repair work is, or may be, performed under LOTO procedures, or whose job requires them to work in an area where this type of servicing, maintenance, or repair is being performed.

Authorized Person - A designated staff member who is authorized to lockout and tagout a machine or piece of equipment so the servicing, maintenance, or repair can be performed, and who has received the required training to do so. All safety staff are considered Authorized Persons.

Lockout/Tagout - A safety procedure which is used to ensure that dangerous machines are properly shut off and not able to be started up again prior to the completion of maintenance or servicing work.

Universal Waste Lamp - the bulb or tube portion of an electric lighting device. A lamp is specifically designed to produce radiant energy, most often in the ultraviolet, visible, and infra-red regions of the electromagnetic spectrum. Examples of common universal waste electric lamps include, but are not limited to, fluorescent, high intensity discharge, neon, mercury vapor, high pressure sodium, and metal halide lamps.

Roles and Responsibilities

Safety Programs Manager
The Safety Programs Manager (SPM) ensures that a written plan is in place to establish a lockout/tagout policy for hazardous energy control. The SPM reviews the policy periodically.

Safety Officer
The Safety Officer is responsible for monitoring compliance with this policy, providing training, and conducting periodic inspections of multi-energy source equipment annually.

The manager/supervisor identifies and reviews all machines and equipment under their control and operation, to determine what energy sources are involved with the operation of each, and to identify specific procedures involved in applying the LOTO procedures. This information is documented and kept on file.

DHHS Staff
Staff are responsible for complying with this policy. Affected staff complete training and testing as required.


Program Scope
The LOTO procedure applies to any source of the following types of energy

Written Procedures
All machines which operate by a single energy source will be locked and tagged out according to the general lockout/tagout procedures. Machinery (dual source) or equipment which does not meet all of the following elements must have specific written procedures for lockout/tagout:

Sequence of Lockout

Restoring Equipment to Service
When the servicing or maintenance is completed and the machine or equipment is ready to return to normal operation the following steps will be taken:

Assignment of Lockout Devices

Lockout and Tagout Device Requirements

Shift and Personnel Changes
The continuity of staff protection will be ensured by the orderly transfer of lockout or tagout device protection between off-going and incoming employees. Upon initiating a shift or personnel change, the incoming employee will place their lockout or tagout devices on any machinery, equipment, or stored energy source that has been locked or tagged out. The off-going employee will then remove their lockout or tagout devices from the machinery, equipment, or stored energy source. This will help to minimize exposure to hazards from the unexpected energization or start-up of the machine or equipment or the release of stored energy.

Contractor Services
Contractors performing tasks requiring lockout/tagout procedures will comply with the requirements of this plan and 29 CFR 1910.147. The contractor and Project Representative or Contracting Officer must inform each other of their respective lockout or tagout procedures. The Project Representative or Contracting Officer must ensure that his/her staff understand and comply with the restrictions and prohibitions of the outside contractor’s energy control program.

Removal of Locks
Each lockout or tagout device will be removed from each energy isolating device by the employee who applied the device. In the event a lock needs to be removed after hours, the Plant Operations Supervisor is contacted. The Plant Operations Supervisor will contact the appropriate employee to have the lock removed.

Exceptions to Lockout Application
There are certain exceptions to the requirement of locking out machinery and equipment before servicing or performing maintenance and repair. These exceptions are found in OSHA 29 CFR Sections 1910.147 and 1910.331 through 1910.335. Exceptions which may affect departments are as follows:

Electrical Safety Related Work Practices
Due to the extreme hazards involved in working with electrical energy, specific requirements and procedures in relation to servicing, maintenance, and repair of electrical circuitry and devices must be followed.

Training is the key to the understanding and implementation of this Plan and the standards of OSHA. The required training falls into two areas:

Retraining/updated training is provided for all categories of personnel at least annually or whenever there is a change in job assignments, machine equipment, or process that presents a new hazard, or change in energy control procedures.

Additional retraining/update training is provided whenever an inspection that is made under the provisions of this plan reveals that the deviations or inadequacies in the control procedure or the knowledge of both staff and inmate does not meet the requirements of this plan.

Periodic Inspections
The Safety Department ensures that a documented periodic inspection of the energy control procedures is conducted at least annually (see Attachment B), and that the inspection is performed by an authorized employee (All safety staff are considered Authorized Person’s) other than the one(s) practicing the energy control procedure being inspected.

The inspection is done to ensure the procedures and requirements of the plan and the standards of 29 CFR Sections 1910.147 and 1910.331 through 1910.335 are being followed and to correct any deviations or inadequacies identified. Energy control procedures are also monitored through the monthly inspection and Operational Review processes.


For questions or clarification on any of the information contained in this policy, please contact Human Resources. For general questions about department-wide policies and procedures, contact the DHHS Policy Coordinator.

This checklist must be completed annually as a periodic review of the Energy Control Program. The completed form is kept on file by the Safety Officer.




    Locked Out? Yes No

    Assessment Completed by:


    Authorized Employees Observed:














    Was the written Energy Control Procedure (ECP) present during the inspection? (inspection cannot be performed without the written ECP present)


    Have the Authorized Employees received appropriate training within the past year?


    If training was completed, is documentation available?


    Is the ECP that was used effective to provide full employee protection during the LOTO procedure? (i.e. all sources of energy were disabled)


    Has there been a change in equipment/machinery that presents a new hazard or a change in the ECP?


    Did the Authorized Employees demonstrate their roles and responsibilities under the LOTO Program?


    Are the tags being used durable, legible, understandable to all Affected and Authorized Employees and securely attached?


    Was the ECP performed correctly?


    Provide detailed information if any deviations/inadequacies were identified requiring corrective action:

    If no deviations or inadequacies were identified during the inspection the inspection can be completed and certified. This form requires two signatures; the signature of the individual who performed the inspection and the signature of the individual certifying that the process was completed.




    Printed Name:



    Certified by:


    Printed Name:



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