Start-Work Check – Energy Isolation (Checklist)
Two-page start-work check for energy isolation, to complete before any isolation activity starts. It has 6 controls to confirm, with guidance for each: equipment identified in the isolation plan, all energy sources identified, isolation points identified, isolation devices set in position, locks and tags installed, and zero energy verified. It includes sign-off fields for the person performing the work and the start-work verifier. Useful as a field checklist for LOTO and maintenance jobs.
From the document
Start - Work Check Energy Isolation WHEN TO COMPLETE – Before the start of any Energy Isolation activities Confirm each control / safeguard below before starting work Guidance for confirming each control / safeguard Person(s) Performing Work Start- Work Verifier I HAVE CONFIRMED: The circuit, system, and/or equipment to be worked on is identified in the isolation plan or drawing • Tags or markings identify the circuit, system, and/or equipment indicated by the isolation plan or drawing All hazardous energy sources have been identified • Complete a task risk assessment specific to the scope of work • Discuss hazards with the work team prior to starting work • Inspect equipment for potential energy sources (e.g., electrical, pressure, hydraulic, mechanical, etc.) • Identify and mitigate hazards on any nearby energized circuit/systems/equipment Isolation points are identified per the isolation plan and/or drawing • All isolations points are in place and tagged or marked (use an isolation diagram, equipment isolation procedure, P&IDs, or process flow diagram) Isolation devices are set in the identified position per isolation plan or drawing • Valves are open or closed per the diagram …