Get Mosaic Forced Safety Lock Or Tag Removal 2012-2025

Filling out the Mosaic Forced Safety Lock Or Tag Removal form is a crucial process for ensuring safety compliance in the workplace. This guide will provide you with detailed, step-by-step instructions tailored to help you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Enter the name of the person to whom the lock/tag was assigned in the designated field labeled 'Lock/tag assigned to: Name.' Include the department in the corresponding field.
3. Provide a detailed reason for the lock/tag removal in the area marked 'Reason for lock/tag removal.' Make sure to be clear and concise to ensure proper communication of the rationale.
4. Attempt to contact the employee who did not remove their safety lock/tag. Record their phone number in the 'Phone no.' field and the time contacted in the 'Time contacted' field.
5. Indicate whether the employee was contacted by selecting either 'Yes' or 'No.' If 'Yes,' you can proceed to remove the lock/tag and advance to step 7. If 'No,' you need to contact the employee's supervisor, superintendent, or plant manager for authorization and record their name and contact time.
6. Check the area to ensure that all work is complete and that it is safe to remove the lock. Once verified, proceed to remove the lock.
7. Notify the employee, upon their return to the work location, that their lock/tag has been removed.
8. Send copies of the completed Lock Removal form to the Safety Group and to the employee’s supervisor and manager to keep all parties informed.
9. Fill in the supervisor's name who removed the lock/tag in the appropriate field. Ensure to sign and date the form, and indicate the time the lock was removed.
10. Have the lock owner sign the form in the designated area and include the date.
11. Finally, review the completed form for any errors, save your changes, and utilize the options to download, print, or share the form as needed.

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