• Compliance with the Lockout Law continues to be a challenge for employers.

• It was developed by OSHA to protect workers involved in equipment maintenance and service.

• In 2009 Lockout Tagout was the 5th most cited OSHA violation.

• There were 4,307 violations with penalties of more than $2 million in 2009.

Lockout TagOut required in a variety of industries

OSHA 29CFR 1910.147

• More than 50,000 instances of lockout accidents annually.• More than 120 fatal events annually.• Causes of these events include:

– Failure to stop equipment.– Failure to disconnect from power source.– Failure to dissipate (bleed, neutralize) residual

energy.– Restarting of equipment (intentional or inadvertent).– Failure to clear work areas before starting.– Indicative of improper or non-existent LOTO

procedures and training.

Lockout accident frequency is extremely high

Effective prevention programs can save lives and money

• Average cost of a non-fatal disabling injury: $38,000*

• Average cost of a fatal injury: $1,190,000*

• Work-related injuries in the U.S. cost more than $50 billion annually#

• OSHA fines can exceed $100,000.

• Cost of potential lawsuits in the millions.

• Productivity is adversely affected:

• Downtime cost can range from $500 / hour to $1,000’s / minute.

• Worker morale drops.

• With its new administration, OSHA is focusing on enforcement and penalties rather than compliance.

• OSHA is adding more than 100 new field inspectors.

Sources: *National Safety Council #Liberty Mutual

LockOut TagOut (LOTO) and its impact on hospitals

• Hospitals are accredited by The Joint Commission (TJC). TJC is the regulatory body having primary jurisdiction over hospitals:

• Joint Commission’s Environment of Care accreditation quality audit section specifies conformance to Federal Safety Regulations.

• OSHA Lockout / Tagout regulations apply.

• TJC concurs that the procedures must be readily accessible 24/7.

• TJC identifies nonconformance as a serious ‘Leadership Finding,’ which must be corrected within 45 days.

• Failure to implement jeopardizes accreditation and the facility’s Medicare/Medicaid funding.

• Hospitals have a wide variety of equipment (boilers, pumps, chillers, sterilizers, etc) requiring machine-specific procedures. Typical operations staffing levels are too low for internal

personnel to take on such an extensive project.

TJC recognizes OSHA LOTO requirements.

Four key OSHA requirements for Lockout compliance

Train employees andpromote awareness of safework practices.

Create an energy control policy and machine-specific lockout procedures.

Identify all energy control points.

Equip employees with the proper lockout tools and warning devices.

OSHA Requires Machine-Specific LOTO Procedures:

1) OSHA requires machine-specific LOTO procedures for equipment with more than one energy source.

2) These procedures must be documented and identify the equipment covered.

3) A separate procedure must be created for each distinct piece of equipment to be locked out.

4) The procedure must include specific steps for shutting down, isolating, blocking and securing equipment to control hazardous energy.

5) The procedure includes specific steps for the placement, removal and transfer of LO/TO devices.

6) The employer shall conduct and certify periodic inspections of the lockout procedures at least yearly.

OSHA requires machine-specific procedures and is stepping up enforcement.

OSHA requirement (How Graybar and Brady can help)

Brady and Graybar can help the hospital comply with this requirement by providingGraphical LockOut Procedures (G-LOP).

Brady’s trademark procedures are produced on laminated cardstock, include equipment pictures and color-coded tags that identify the energy isolation points, which tie back to the specific written lockout steps.

User-Friendly, Intuitive Visual Output

Effective compliance with Brady’s G-LOP Service

Color-coded tags affixed to energy isolation points

Effective compliance with Brady’s G-LOP Service

This one procedure supports multiple OSHA requirements by:

1. Providing an energy control procedure.

2. Identifying all energy control points .

3. Promoting awareness of safe work practices.

Brady Deliverable Machine Specific Procedure

8.5 x11 laminated procedure posted on equipment.

• Help keep employees safe.• Limit corporate liability.

• Lead to lower insurance premiums.

• Increase productivity & reduces equipment downtime.

• An industry best practice.

Besides meeting OSHA requirements G-LOP will:

Beyond OSHA’s requirements; machine-specific procedures improve worker safety

Hospitals Colleges Food & Pharma- Petroleum & Utilities Pulp & Automotive General Hotels/Types of equipment Health Care Univ. Beverage ceutical Refining Paper Manuf Resorts

Air Compressors x x x x x x x x x xVacuum Pumps xChillers x x x xBoilers x x x x x x x x xExhaust Fans x x x x x x x x x xAir Dryers x x x x x x xAir Cond/Air Handlers x x x x x x x x x xDehumidifiers x x x x x xHeaters x x x x x x x x x xPumps x x x x x x x x x xSterilizers x xGenerators x x x x x x x x x xWelders x x x x xCranes x x x xJib Hoists x x x xBattery Chargers x x x x

Automated Equip x x x x xConveyors x x x x xGlue Pots x x x xRobotics x x x x x xDrill Presses x x x xFreezers/Refrigeration x x x x xKitchen Equipment x x x x xPrinters x x x x

Typical projects are greater in scope and complexity than generally anticipated.

Brady is experienced with procedures for all common, complex types of equipment.

Lockout Procedures: Equipment Complexity

• Experience and track record with hospitals (see reference list).

• Brady adheres to a systematic methodology.

• We guarantee the correctness & completeness of our procedures.

• We provide on-site training.

• We can conduct annual audits and procedure refreshes.

• Brady’s sustainability and long term support is assured.

• Maintenance staff prefer Brady’s comprehensive user-friendly visual (G-LOP) output.

The Brady Advantage

Brady Field Proven Systematic Engineering Approach Assures Correctness

• More than 80 years of collective experience in procedure-writing and safety audit services.

• All team members have more than 15 years related experience.• Extensive experience with industry-leading companies in health

care, chemical and pharmaceutical, pulp and paper, petroleum and refining, food and beverage, utilities, educational, governmental and other industry segments.

• More than 30,000 procedures created and installed.• Professional project management leadership.• Related expertise in mechanical and facility identification.

Experience is important.

The Brady Advantage

• On-site assessment performed by Brady project engineer for

all equipment.

• Comprehensive, easy-to-follow Graphic procedures developed for each

piece of equipment.

• Create & install durable, laminated procedure output directly on equipment,

at the point of need.

• Install color-coded energy source ID tags at each energy control point.

• Provide electronic files of all machine-specific LOTO procedures, and

software template used.

• Training on how to create and update procedures.

• Desk copy of all procedures in 3-ring binder.

• Develop recommended LOTO product list based on your specific

equipment and personnel needs.

Brady G-LOP Service deliverables

Brady’s G-LOP is a turnkey service, complete with employee training.

• Advocate Health Care

• Anheuser-Busch

• Caterpillar

• Coca Cola

• ConAgra

• DuPont

• HealthEast Care System Hospitals

• Honda

• Pepsi

• Robbins AFB

• St. Louis Children’s Hospital

• US Postal Service

• UW Hospital & Clinic

A selection of G-LOP Clients – hospitals and beyond

• Professional team with a clear understanding of the OSHA regulations.• “Brady came in and left us alone…” Hennepin Hospital

• Lack of time and resource availability to produce these internally.• While hospitals have the best intentions, they are not following through.

• Peace of Mind on Regulation Compliance and Worker Safety for the long run. • Compliance for the future, audit services, and add-on equipment.

Customer value derived from Brady’s G-LOP Service

Our Guarantee: Dependable Performance

We guarantee our performance, and make it unconditional. Your graphical machine-specific lockout procedures will be accurate and meet or exceed OSHA regulations and Joint Commission requirements.

Graybar and Brady have the Experience, Quality/Reliability Track Record, Resources and Commitment to support the customer needs for the long term.

100% Procedure Quality & Reliability

Project Scope Consultation (PSC)

A free phone consultation with the Brady project manager.

This call will help to:

• Further explain the project deliverables and timelines.

• Help define the project scope (type and quantity of equipment to be included).

• Review project cost estimate.

• Answer any of your questions.

• A no-cost, no-obligation Project Proposal is drafted for your review following the phone consultation.

Getting started with Brady’s G-LOP Service

Contact Your local Graybar Healthcare representative or for a Project Scope Consultation

Getting started with Brady’s G-LOP Service