NASA-LLIS-1368
Lessons Learned – Implementation and Verification of Lockout/Tagout Procedures
| Organization: | NASA |
| Publication Date: | 29 August 2002 |
| Status: | active |
| Page Count: | 4 |
scope:
Abstract:
An employee received an electrical injury after coming in contact with an energized electrical circuit while wiring a relocated emergency generator; the employee subsequently died of the injury. The subsequent investigation revealed three central themes involved in the mishap:
1. Implementation and Verification of Lockout / Tagout Procedures (the subject of this lesson),
2. Accurate Drawings of Facility Systems as a Prerequisite to Project Implementation, and
3. Demand and Ensure High-Quality Safety Performance from all Contractors.
Each theme is published as a separate lesson. (A fourth lesson underscores the successful implementation of the preliminary investigation, which was critical to performing a successful, formal mishap investigation.)
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