SYMBOL
ENERGY TYPE
X
MAGNITUDE
SYMBOL
ENERGY TYPE
X
MAGNITUDE
Chemical
Electrical
X
Electrocution
Mechanical
X
Accidental Start up
Hydraulic
X
Engulfment
Thermal
Pneumatic
RF Radiation
Gravitational
Asset Identifiers: 5711 _______________________________ Created by & Date: Rick Davis, 8-17-2021 _______________________________ Revised by & Date:
| Facility: Sullivan Pumphouse | Asset Location: Sullivan pump station |
Asset Description:
Sewage Pump #4 | ||
SYMBOL | ENERGY TYPE | X | MAGNITUDE | SYMBOL | ENERGY TYPE | X | MAGNITUDE | |
| Chemical |
| Electrical | X | Electrocution | |||
| Mechanical | X | Accidental Start up |
| Hydraulic | X | Engulfment | |
| Thermal |
| Pneumatic | |||||
| RF Radiation |
| 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 |
| MCC Electrical building | Open breaker on VFD | Tree, tag, & lock |
2 |
| MCC Electrical building | Open breaker to drive input | Tree, tag, & lock |
3 |
| Suction valve Lower level | Close valve using actuator at local control. When closed place selector into off position. | Tree, tag, & lock |
4 |
| Discharge valve Lower level | Close valve using actuator at local control. When closed place selector into off position. | Tree, tag, & lock |
5 |
| Seal water | Close seal water valve | Tag |
6 |
| Drain valve | Open drain valve bleed off system pressure | N/A |