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checklist for shutting down a jobsite due to act

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Jobsite Shutdown Checklist

This checklist is to be used when shutting down a jobsite due to an incident, hazard, or other unforeseen event. The purpose is to ensure a systematic and safe shutdown, preventing further incidents and securing the site [1].

Instructions: Complete each item on this checklist. If an item is not applicable, mark it as N/A. Note any corrective actions needed in the space provided. Ensure all personnel understand the shutdown procedure and their roles [1].

I. Initial Assessment and Notification

  • [ ] Assess the reason for shutdown (Act of God, safety hazard, etc.).
    • Corrective Actions:
  • [ ] Notify all personnel on-site of the shutdown order.
    • Corrective Actions:
  • [ ] Notify relevant authorities and stakeholders (e.g., client, safety officer, regulatory agencies).
    • Corrective Actions:
  • [ ] Document the reason for shutdown and initial actions taken.
    • Corrective Actions:

II. Equipment Shutdown Procedures

  • [ ] Mobile Equipment:
    • [ ] Park all mobile equipment on a hard, level surface 5, 6.
      • Corrective Actions:
    • [ ] Lower all attachments to the ground 9, 10.
      • Corrective Actions:
    • [ ] Engage parking brake 3, 4.
      • Corrective Actions:
    • [ ] Allow engines to idle for 5 minutes before shutdown to prevent overheating 3, 4, 5, 6, 12.
      • Corrective Actions:
    • [ ] Turn off all equipment and remove keys 9, 10.
      • Corrective Actions:
    • [ ] Secure all equipment to prevent unauthorized use 9, 10.
      • Corrective Actions:
  • [ ] Stationary Equipment:
    • [ ] Follow the established lockout/tagout procedures to isolate energy sources 11, 14.

*Corrective Actions:

  • [ ] Apply lockout/tagout devices to all energy-isolating devices 11, 14.
    • Corrective Actions:
  • [ ] Relieve or restrain all stored energy (electrical, hydraulic, pneumatic, etc.) 11, 14.
    • Corrective Actions:
  • [ ] Verify the isolation of equipment by testing or observation [2].
    • Corrective Actions:

III. Site Security and Hazard Control

  • [ ] Secure the perimeter of the job site to prevent unauthorized access.
    • Corrective Actions:
  • [ ] Implement erosion control measures, if applicable.
    • Corrective Actions:
  • [ ] Ensure proper barricading and signage are in place to warn of any hazards.
    • Corrective Actions:
  • [ ] Disconnect electrical power to temporary site buildings and facilities, if possible [3].
    • Corrective Actions:
  • [ ] Inspect and secure any hazardous materials or chemicals on-site [1].
    • Corrective Actions:

IV. Environmental Considerations

  • [ ] Implement measures to prevent environmental contamination (e.g., spill control).
    • Corrective Actions:
  • [ ] Secure or cover any open excavations or pits.
    • Corrective Actions:
  • [ ] Ensure proper storage of waste materials.
    • Corrective Actions:

V. Communication and Documentation

  • [ ] Communicate shutdown procedures and expectations to all personnel.
    • Corrective Actions:
  • [ ] Document all shutdown activities, including equipment status, security measures, and environmental controls.
    • Corrective Actions:
  • [ ] Maintain a log of all personnel leaving the site.
    • Corrective Actions:
  • [ ] Provide contact information for emergencies and site status updates.
    • Corrective Actions:

VI. Post-Shutdown Inspection

  • [ ] Conduct a final inspection of the site to ensure all procedures have been followed.
    • Corrective Actions:
  • [ ] Verify that all equipment is properly shut down and secured.
    • Corrective Actions:
  • [ ] Confirm that all hazards have been controlled or mitigated.
    • Corrective Actions:

VII. Lockout Permit

  • [ ] Complete a Lockout Permit [4].
    • Corrective Actions:
  • [ ] Determine the type of lockout to be performed (group lockout or individual lockout) and check the appropriate box on the permit [2].
    • Corrective Actions:
  • [ ] Name or describe the equipment or system to be locked out [2].
    • Corrective Actions:

Checklist Completed By:

Name: __________________________

Date: __________________________

Signature: _______________________

Supervisor Verification:

Name: __________________________

Date: __________________________

Signature: _______________________

4 source record(s)

Sources used for this answer

[1] Rules for the Administration of the Oregon Safe Employment Act (General Occupational Safety and Health, Division 2, OSHA Oregon)

Page 1643

Open source document

Source excerpt

Division 2 AO 6-2017 Oregon Administrative Rules Oregon Occupational Safety and Health Division - B. The Lockout Overseer will place the second 'secondary lock' on the lockbox. - C. Each individual has the right to verify the lockout of all energy sources and/or to place his/her own personal lock on each lockout point. - D. Each authorized employee must have his or her personal lock on the lockbox while working on the affected equipment. - E. Whenever there is a transfer of custody, the replacement(s) will verify that the primary locks are properly placed. - F. When the work is complete and all other secondary locks are removed, the Responsible Person will verify that the area is clear before removing his/her secondary lock and primary locks. - G. When contractors use a lockbox, the contractor supervisor will be a Lockout Overseer. - H. Lockbox Locks are to be unique primary locks and so identified. ## VI. Permit Procedure The LOCKOUT PERMIT (see attachment A) is completed in the following steps: - A. Determine the type of lockout to be performed (group lockout or individual lockout) and check the appropriate box on the permit. When group lockout is used the Responsible Person and Lockout Overseer, in addition to developing the lockout procedure, will also place the primary locks and verify energy isolation. - B. Fill in the date that the permit is issued. - C. Name or describe the equipment or system to be locked out. - D. Determine the scope of the work to be done, and indicate this on the permit. (For example: To replace carbon rings on dryer cans #1 through #25.) - E. Name the Lockout Overseer and Responsible Person on the permit. (Please Print) - F. Identify the affected employees to be notified before the lockout begins and those to be notified before energy is restored. - G. If equipment is being locked out at this time, verify the equipment has been shut down using proper shutdown procedures. List any special procedures to be used for shutdown or star…

[2] Rules for the Administration of the Oregon Safe Employment Act (General Occupational Safety and Health, Division 2, OSHA Oregon)

Page 605

Open source document

Source excerpt

Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 3-2019 Division 2 - (D) Emergency shutdown including the conditions under which emergency shutdown is required, and the assignment of shutdown responsibility to qualified operators to ensure that emergency shutdown is executed in a safe and timely manner. - (E) Emergency operations; - (F) Normal shutdown; and, - (G) Startup following a turnaround, or after an emergency shutdown. - (ii) Operating limits: - (A) Consequences of deviation; and - (B) Steps required to correct or avoid deviation. - (iii) Safety and health considerations: - (A) Properties of, and hazards presented by, the chemicals used in the process; - (B) Precautions necessary to prevent exposure, including engineering controls, administrative controls, and personal protective equipment; - (C) Control measures to be taken if physical contact or airborne exposure occurs; - (D) Quality control for raw materials and control of hazardous chemical inventory levels; and, - (E) Any special or unique hazards. - (iv) Safety systems and their functions. - (2) Operating procedures shall be readily accessible to employees who work in or maintain a process. - (3) The operating procedures shall be reviewed as often as necessary to assure that they reflect current operating practice, including changes that result from changes in process chemicals, technology, and equipment, and changes to facilities. The employer shall certify annually that these operating procedures are current and accurate.

[3] Rules for the Administration of the Oregon Safe Employment Act (General Occupational Safety and Health, Division 2, OSHA Oregon)

Page 1646

Open source document

Source excerpt

Special Industries R Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 6-2017 Division 2 Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 6-2017 Division 2 ## Lockout Permit ## Attachment (A) Lockout Type: Group Lockbox  Individual  Issue Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Equipment to be Locked Out: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Work to be Performed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Lockout Overseer: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Responsible Person: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Please Print) (Please Print) Affected Employee to be Notified: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Shutdown Procedure Completed  Special Procedure \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Energy Source: ( ) Electrical ( ) Chemical ( ) Thermal ( ) Pneumatic ( ) Radiation ( ) Hydraulic ( ) Mechanical Potential ( ) Other: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Authorized Employee: Time-on Time-off For group lockout Energy Source Equipment ID Lockout Location Status Authorized Employees (initial each item locked) Resp. Person Lockout Overseer Tested Return to Service Procedure: ( ) Work Area Insp…

[4] Safety Standards for General Safety and Health Standards (Chaper 296-24 WAC)

Page 488

Open source document

Source excerpt

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ requirements of this section. You must follow the requirements in the order in which they are presented (i.e., (b)(i) of this subsection first, then (b)(ii) of this subsection. - Note 1: As used in this section, fixed equipment refers to equipment fastened in place or connected by permanent wiring methods. - Note 2: Lockout and tagging procedures that comply with chapter 296-803 WAC, Lockout/tagout (control of hazardous energy) will also be deemed to comply with (b) of this subsection provided that: - 1. The procedures address the electrical safety hazards covered by this part; and - 2. The procedures also incorporate the requirements of (b)(iii)(D) and (b)(iv)(B) of this subsection. - (i) Procedures. You must maintain a written copy of the procedures outlined in (b) of this subsection and you must make it available for inspection by employees and by the director and their authorized representatives. - Note: The written procedures may be in the form of a copy of subsection (2) of this section. - (ii) Deenergizing equipment. - (A) You must determine safe procedures for deenergizing circuits and equipment before circuits or equipment are deenergized. - (B) You must disconnect the circuits and equipment to be worked on from all electric energy sources. You must not use control circuit devices, such as push buttons, selector switches, and interlocks, as the sole means for deenergizing circuits or equipment. You must not use interlocks for electric equipment as a substitute for lockout and tagging procedures. - (C) You must release stored electric energy which might endanger personnel You must discharge capacitors and you must short-circuit and ground high capacitance elements if the stored electric energy might endanger personnel. - Note: If the capacitors …

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