Asset Identifiers:

18342

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Created by & Date:

Rick Davis, 8-17-2021

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Revised by & Date:

 

Facility:

Swan Island CSO Pump Station

Asset Location:

LL-4

Asset Description:

 

Motor, Dry Weather Pump, #4

 

 

 

SYMBOL

ENERGY TYPE

X

MAGNITUDE

 

SYMBOL

ENERGY TYPE

X

MAGNITUDE

image

Chemical

   

image

Electrical

X

Electrocution

image

Mechanical

X

Accidental Start up

 

image

Hydraulic

X

Engulfment

image

Thermal

   

image

Pneumatic

  

image

RF Radiation

   

image

Gravitational

  
        

Check

Lockout Application Process

Check

Lockout Removal Process

 

Notify affected Personnel.

 

Ensure all tools and items have been removed.

 

Properly shut down unit.

 

Confirm all employees are safely located.

 

Isolate all energy sources.

 

Verify controls are in neutral.

 

Apply all lockout devices

 

Remove lockout devices and re-energize the unit.

 

Verify total de-energization of all sources.

 

Notify affected employees servicing is completed.

 

#

Energy

Lockout Location

Method

Type of Device

1

image

Drive/MCC room

Main building

Open drive input

Breaker

Tree, tag, & locks

2

image

Drive/MCC room

Main building

Open VFD breaker

Tree, tag, & locks

3

image

Suction valve

LL-4

 

Close valve actuator at local controller. Place selector in off position

Tree, tag, & lock

4

image

Discharge valve

LL-2

Close valve actuator at local controller. Place selector in off position

Tree, tag, & lock

5

image

Seal water

LL-4

Close valve

Tag

6

image

Drain valve

LL-4

Open drain valve

Bleed off system pressure

N/A