4th Quarter E-Safety Meeting 2017-18
I understand that it is my responsibility to familiarize myself with the content of the information provided by the Department of Facilities and Risk Management as an employee of Central Louisiana Technical Community College. Workplace safety is not only the responsibility of CLTCC as an organization, but also, safety is the responsibility of each employee who is a part of the organization.

I understand that I must complete this form evidencing acknowledgement of the information listed below and provided in the communication. Content coverage includes: (1) Lock Out/Tag Out (2) BBP Post Exposure Evaluation and Follow Up. Please submit your acknowledgement as soon as possible.

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Lock Out/Tag Out


CLTCC procedure states that any individual engaging in the maintenance, repair, cleaning, servicing, or adjusting of machinery or equipment on site facilities and grounds will follow the procedures outlined in this document. These procedures are designed to meet or exceed applicable OSHA standards and ORM guidelines for safe work practices. Currently CLTCC does not perform LO/TO.
The primary purpose is to help ensure that all individuals on the site are protected from injury or death resulting from the accidental or unexpected activation of equipment during maintenance, repairing, cleaning, servicing, or adjustments.


Lockout – The practice of using keyed or combination security devices (“locks”) to prevent the unwanted activation of mechanical or electrical equipment.

Tagout – The practice of using tags in conjunction with locks to increase the visibility and awareness that equipment is not to be energized or activated until such devices are removed. Tags will be non-reusable, attachable by hand, self-locking, and not easily removed.

Affected employee – an employee whose job requires him/her to operate or use equipment on which servicing or maintenance is being performed under the lockout or tag out. The job requires that this individual work in the area in which the servicing or maintenance is being performed. Affected employees must have received training on proper lockout/tagout work procedures.

Authorized employee – an employee who locks out or tags out equipment in order to perform servicing or maintenance and who has received training on lockout/tagout procedures.


Remove equipment from service:
1. An authorized employee must determine which equipment will need to be locked out or tagged out.

2. The initial lockout/tagout log entry must be made.

3. Affected equipment must be shutdown. All hazardous energy sources will need to be controlled. Ensure the correct piece of equipment is shutdown. Potential energy must also be dissipated or minimized so that injury will not occur if released.

4. After the equipment is verified to be shut down and hazardous energy source(s) isolated, test the equipment to ensure that it will not run or start. Ensure that no one is exposed to the equipment when testing. After testing, return power switches to the off position.

5. Locks and/or tags used to indicate that equipment is not to be operated must be put in place.

6. Assistance is used to assure switches, breakers, etc. are not accidentally turned on in additional to Lock-out/Tag-out devices.

Return equipment to service
1. Verify that all work is complete. Ensure that everyone working on the equipment is notified that work has been completed and that equipment is to be returned to service. Area should be check to ensure that no one would be exposed to hazards when restarting equipment. Ensure all tools/materials have been removed from equipment and area around equipment.

2. After all parties have been notified of work completion, lock(s) or tag(s) can be removed.

3. Equipment may be restarted. Once again ensure that no one is near enough to the equipment to be exposed to any hazards.

4. Clean area and pick up any remaining tools.

5. Make final lockout/tagout log entry.

Training and Record Keeping
A. Affected Facilities Services employees and all supervisors will receive annual lockout/tagout training and testing on basic procedures. Initial and refresher training is to be provided so that employees will understand the procedures and purpose as well as the skills and knowledge to perform work safely. Refresher training is to be provided annually by the maintenance supervisor.

B. Training is the responsibility of the Maintenance Supervisor. For training requirements, refer to 29CFR, specifically 1910.147 (c)(7)(i),(ii), & (iii) and SORM guidelines.

C. Training and basic knowledge testing documentation will be maintained by the Department of Facilities Services for audit and institutional compliance review purposes, for a minimum of three years following the close of the active fiscal year. Training records will include an outline of topics covered, a sign in sheet of those employees attending, and copies of basic test documents.

Logout/Tagout Inspection Log
• Department of Facilities and Risk Management will maintain a record of all logout/tagout actions.

• At a minimum, the log will include the following information: Initial date of Lockout/Tagout; Description of machinery or equipment being secured; Hazard/Malfunction; Date that Lockout/Tagout Removed; Comments (if any); Initials of person making log entry.

• Maintenance Supervisor shall annually review this procedure with the Safety Officer and make any changes as directed by OSHA or ORM.
• This procedure will be maintained in the CLTCC website under the Facilities and Risk Management section.

BBP Post Exposure Evaluation and Follow Up
A. All exposure incidents shall be reported, investigated, and documented. When the employee incurs an
exposure incident, it shall be reported to (list position that has responsibility for investigation of
exposure incidents):

Following a report of an exposure incident, the exposed employee shall immediately receive a confidential
medical evaluation and follow-up, including at least the following elements:

-Documentation of the route of exposure, and the circumstances under which the exposure incident

-Identification and documentation of the source individual, unless it can be established that identification is
infeasible or prohibited by state or local law.

-The source individual's blood shall be tested as soon as feasible and after consent is obtained in order to
determine HBV and HIV infectivity. If consent is not obtained, the (name of position) shall establish that
legally required consent cannot be obtained.

-When the source individual's consent is not required by law, the source individual's blood, if available,
shall be tested and the results documented.

-Results of the source individual's testing shall be made available to the exposed employee, and the
employee shall be informed of applicable laws and regulations concerning disclosure of the identity and
infectious status of the source individual.

Collection and testing of blood for HBV and HIV serological status will comply with the following:

-The exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained;

-If the employee does not consent to the HBV and HIV testing, a blood sample may be collected and
preserved for 90 days. If within 90 days of the exposure incident the employee elects to have the baseline
sample tested, it should be completed as soon as feasible.

All employees who incur an exposure incident will be offered post-exposure evaluation and follow-up in
accordance with the ORM standard. All post exposure follow-up will be performed by (insert name of clinic,
physician, department).

B. Information provided to the Healthcare Professional:

The (insert name of position) shall ensure that the healthcare professional responsible for the employee's
Hepatitis B vaccination, if applicable, is provided with the following:

-A written description of the exposed employee's duties as they relate to the exposure incident;
-Written documentation of the route of exposure and circumstances under which exposure occurred;
-Results of the source individuals blood testing, if available; and
-All medical records relevant to the appropriate treatment of the employee including vaccination status.

C. Healthcare Professional's Written Opinion:

The (insert name of position) shall obtain and provide the employee with a copy of the evaluating
healthcare professional's written opinion within 15 days of the completion of the evaluation.

The healthcare professional's written opinion for HBV vaccination shall be limited to whether HBV
vaccination is indicated for an employee, and if the employee has received such vaccination.

The healthcare professional's written opinion for post exposure follow-up shall be limited to the following

-A statement that the employee has been informed of the results of the evaluation; and

-A statement that the employee has been told about any medical conditions resulting from
exposure to blood or other potentially infectious materials that require further evaluation or

NOTE: All other findings of diagnosis shall remain confidential and shall not be included in the written

I acknowledge that I have read the information provided, and will implement these procedures to provide a safe workplace. *
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