LOCKOUT/TAGOUT TEST

NAME:__________________________ Emp. #______________________ DATE:_______________

T F 1. There are no laws that govern lockout/tagout procedures.

T F 2. It is OK to use tape to render a breaker or switch inoperable.

T F 3. The removal of fuses by themselves does not constitute a proper lockout.

T F 4. Once you have locked out and tagged out a valve / circuit, there is no need to check
pressure / voltage at the work area to see if the line / circuit is de-energized.

T F 5. Manufacturers make multi-lock devices so that more than one person can have
control of the circuits or lines being de-energized.

T F 6. There is no need to place a tag with a lock when performing lockout/tagout.

T F 7. Notification to other personnel on the job site that the power or piping system is affected is not
necessary.

T F 8. If you cannot securely lockout/tagout a power source close to where you are,
you must go further back to the main power source until you can find a proper
place to lockout/tagout.

T F 9. Lockout/tagout is designed to protect all workers on the job site - when it is

done properly.

10. The tag that accompanies the lock in lockout/tagout procedures needs to have what information on it?
a. The Project Managers home number.
b. Name of the person who installed the lock
c. The company phone number
d. The amount of time the location will be locked out.
e. The date.
f. The company’s safety man’s name

11. The energy source is: Any source of electrical, mechanical, hydraulic, pneumatic, chemical,
thermal, or and other energy. True False

12. The definition of an affected employee is: An employee whose job requires him/her to operate or
use a machine or equipment on which service or maintenance is being performed under Lockout or
Tagout, or whose job requires him/her to work in an area in which servicing or maintenance is being
performed. True False

13. The definition of Authorized Employee is: A person who locks out or tags out machines or
equipment in order to perform servicing or maintenance on that machine or equipment. An affected
employee becomes an authorized employee when that employee’s duties include performing service or
maintenance. True False

Rev. 9-15-10