Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the system or component in the designated field. This information should reflect the specific system being worked on.
3. In the next field, fill in the log serial number. Be sure to check that this number corresponds with the records you have.
4. Provide amplifying instructions that are mandatory for caution tags. This section should include any additional guidance necessary for the tasks at hand.
5. Detail the operations or work items included in the tag-out. This ensures that everyone involved is aware of the scope of work.
6. Enter the reason for the tag-out along with any applicable documentation numbers, such as TWD, JSN, WAF, etc.
7. Fill in the date and time when the tag was issued or added to the record.
8. Identify the petty officer in charge and have them sign the form to confirm their responsibility.
9. Next, the authorizing officer should provide their signature to give approval for the work to proceed.
10. Complete the work center representative section by signing to indicate that they are aware of the tag-out.
11. If applicable, note the independent reviewer by signing in the designated area.
12. Once work is complete, enter the date at which the task was finalized and any other relevant comments.
13. Indicate whether additional sheets are required by checking the checkbox if continued on an additional sheet.
14. Fill out the remaining fields such as tag number, system/component ID, tagged position/condition, and posting details.
15. Ensure all relevant initials and signatures have been completed, particularly from the watch officer/duty officer and those checking postings.
16. Finally, save your changes, download, print, or share the form as necessary to complete the filing process.

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