Chapter 51: Control of Hazardous Energy

Tag Templates
Product ID: 448 | Revision ID: 1761 | Date Published: 1 August 2015 | Date Effective: 1 November 2015
URL: http://www-group.slac.stanford.edu/esh/eshmanual/references/coheTemplateTag.docx
ENVIRONMENT, SAFETY & HEALTH DIVISION

These tag templates meet federal Occupational Safety and Health Administration (OSHA) requirements for uniformity. For additional information on
lockout/tagout equipment and how to attach a tag, see Control of Hazardous Energy: General Requirements (SLAC-I-730-0A10S-004).

1 Personal Lockout Tag

Follow these steps to create a personal lockout tag:
1. Type your identifying information into the text boxes. The minimum required information is your name and contact information such as your four
digit extension.
2. Optional: insert your online SLAC ID photo or other suitable identifying image. Size it to fit.
3. Include an explicit warning such as DO NOT OPERATE, DO NOT START, DO NOT ENERGIZE or similar wording.
4. Print the tag in color, fold, cut, and, laminate. Use a hole punch to make a hole as indicated. Slip the lock through this hole when using the tag.

My life is Photo
on the Here
(optional)
line.
Name:
Dept:
Ext: Cell:
Pager:

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SLAC National Accelerator Laboratory
Environment, Safety & Health Division
Chapter 51 | Tag Templates

2 Group Lockout Energy Isolation Tag

Follow these steps to create a group lockout energy isolation tag:
1. Type your identifying information into the text boxes. The minimum required information is worker name and contact information or operations
group name and contact information, and group lockout ID. ELP ID is optional.
2. Include an explicit warning such as DO NOT OPERATE, DO NOT START, DO NOT ENERGIZE or similar wording.
3. Print the tag in color, fold, cut, and, laminate. Use a hole punch to make a hole as indicated. Slip the lock through this hole when using the tag.

Group Lockout
LOTO ID:
Group Lockout
Isolation point:

Lead authorized worker or

operations group:

Extension:

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SLAC National Accelerator Laboratory
Environment, Safety & Health Division
Chapter 51 | Tag Templates

3 Group Lockout Master Tag

Follow these steps to create a group lockout master tag:
1. Type your identifying information into the text boxes. The minimum required information is Group Lockout ID, lead authorized worker name and
contact information or operations group name and contact information. If used with an ELP, the ELP ID is optional.
2. Print the tag in color, fold, cut, and, laminate. Use a hole punch to make a hole as indicated. Slip the lock through this hole when using the tag,
or use a nylon tie to affix the tag to the group lockout master lock.

DO NOT REMOVE THIS TAG

Group Lockout
Master Lock
Workers: Sign Permit
Before Locking On Group Lockout
LOTO ID: Master Lock
Lead authorized worker or
operations group:

Extension:
SEE OTHER SIDE

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SLAC National Accelerator Laboratory
Environment, Safety & Health Division
Chapter 51 | Tag Templates

4 Administrative Control Tag

Follow these steps to create an administrative control tag:
1. Type your identifying information into the text boxes. The minimum required information is worker name and contact information or operations
group name and contact information. Optional information includes the equipment id, reason for lockout, and date the lock was applied.
2. Print the tag in color, fold, cut, and, laminate. Use a hole punch to make a hole as indicated. Slip the lock through this hole when using the tag.

Administrative
Lockout
Name:

Dept:

Ext: Pager:

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