PVS0204C171 Panduit Corp, PVS0204C171 Datasheet - Page 88

• Manufacturer Part Number: PVS0204C171
• Description: TAG CAUTION/LOCKOUT FOR SAFETY
• Manufacturer: Panduit Corp
• Type: Tagr

Specifications of PVS0204C171

• Label Type: CAUTION - LOCK OUT FOR SAFETY BEFORE YOU START
• Label Size: 2.250" x 4.500" (57.15mm x 114.30mm)
• Color: Black Legend, Yellow Background
• For Use With/related Products: Lock Out

Health and Safety Tags (cont.)
See
indicated below tag part numbers. Legends for Style A, B or C backs are shown on
Regulatory Safety Tags
See
86
Signed By:
Date:
DATE & TIME OF ISSUE
EQUIPMENT I.D.
EQUIPMENT LOCATION
EXPIRATION
WORK TO BE DONE
QUALIFIED
PERSON
OTHER QUALIFIED
PERSON
EMPLOYEE(S) TO ENTER
SUPERVISOR
PCT-218
Chemical Name
Common Name
Manufacturer
CONFINED SPACE
GAS
DANGER
ENTRY PERMIT
CONFINED SPACE APPROVAL
KEEP OUT
SEE OTHER SIDE
PVT-33-Q
CHECKLIST ON OTHER SIDE
Style C
MUST BE COMPLETED
page 85
page 85
BEFORE APPROVAL
Front
Front
PANDUIT
PANDUIT
PVT-218
PVT-218-Q
PCT -218-Q
PVT-236-Q
PCT -236-Q
PVT-33
for information on part number sizes and materials. Unless legend for back side of tag is shown, it is
for information on part number sizes and materials.
Tags
PCT-218
PCT-236
SPECIAL REQUIREMENTS
Lockout—De-energize
Lines Broken—Capped or Blanked
Purge—Flush and Vent
Ventilation
Secure Area
Breathing Apparatus
Resuscitator—Inhalator
Escape Harness
Tripod Emergency Escape Unit
Lifelines
Fire Extinguishers
Lighting
Protective Clothing
Respirator
TEST(S) TO BE TAKEN
(Valid for one 8-hour turn only)
% of Oxygen
% of L.E.L.
Carbon Monoxide
Hydrogen Sulfide
SPECIAL
NOTICE
Signed By:
Date:
PCT-55
KEEP
4
3
2
1
0
4
3
2
1
0
4
3
2
1
0
DANGER
CHECKLIST
OUT
Can cause death or major injury despite
medical treatment.
Can cause serious injury despite medical
treatment.
Can cause injury. Requires prompt
treatment.
Can cause irritation if not treated.
No hazard.
Very Flammable gases or very volatile
flammable liquids.
Can be ignited at all normal temperatures.
Ignites if moderately heated.
Ignites after considerable preheating.
Will not burn.
Readily detonates or explodes.
Can detonate or explode but requires strong
initiating force or heating under confinement.
Normally unstable but will not detonate.
Normally stable. Unstable at high temper-
ature and pressure. Reacts with water.
Normally stable. Not reactive with water.
W Water Reactive
PCT-55-Q
PVT-55-Q
Style A
Back
Back
PANDUIT
PANDUIT
PANDUIT
19.5% – 23.5%
Any % over 10
35 ppm
10 ppm
P.E.L.
OX Oxidizing Agent
Yes
Yes
PVT-218
PVT-236
No
PVT-55
No
Signed By:
Date:
PCT-56
WIRE
PCT-219
This space was checked:
DATE
TIME
FLAMMABLE
VAPOR
OXYGEN
H
CO
OTHER
SIGNED BY
2
Most commonly used parts appear in BOLD .
S
LIVE
CONFINED SPACE
INSPECTION TAG
DANGER
SEE OTHER SIDE
HEALTH
FLAMMABILITY
REACTIVITY
PROTECTIVE
EQUIPMENT
PVT-56-Q
PCT -56-Q
Style A
Front
Front
PANDUIT
PANDUIT
PCT-237-Q
PVT-237-Q
PVT-56
PVT-219-Q
PCT-219-Q
%LEL
PVT-219
ppm
ppm
%
PCT-237
PCT-219
Comments:
Signed
Date
Signed By:
Date:
NO SMOKING
INHALATION
SKIN ABSORPTION
NO HEALTH HAZARD
TOXIC
HIGHLY TOXIC
REPRODUCTIVE TOXIN
IRRITANT
CORROSIVE
SENSITIZER
CARCINOGEN
NO PHYSICAL HAZARDS
COMBUSTIBLE LIQUID
COMPRESSED GAS
OXIDIZER
FLAMMABLE GAS
EXPLOSIVE
FLAMMABLE LIQUID / SOLID
PYROPHORIC
ORGANIC PEROXIDE
WATER REACTIVE
UNSTABLE (REACTIVE)
LUNGS
HEART
KIDNEY
EYES
SKIN
PROSTATE
BLOOD
LIVER
CONFINED SPACE
INSPECTION TAG
DANGER
MATCHES
TARGET ORGANS & EFFECTS
OR OPEN
(CHECK OFF APPROPRIATE BOXES)
CHEMICAL NAME
PVT -11-Q
LIGHTS
PHYSICAL HAZARDS
SEE OTHER SIDE
ROUTE OF ENTRY
HEALTH HAZARDS
Style C
Back
Back
PANDUIT
PANDUIT
PANDUIT
INGESTION
SKIN OR EYE CONTACT
CENTRAL NERVOUS SYSTEM
CARDIOVASCULAR SYSTEM
MUCOUS MEMBRANES
AUTONOMIC NERVOUS SYSTEM
RESPIRATORY SYSTEM
BLOOD
MUTAGEN
TERATOGEN
PVT-237
PVT-219
PVT-11
See
To order custom legend tags, refer
Signed By:
Date:
PCT-215F
HAZARD IDENTITY
Same as Front
RADIATION
Chemical Name
Common Name
Manufacturer
PCT-220
legends and
to Custom Tag Order Forms
PCT-215F-Q
pages 39-44
SEE OTHER SIDE
page 85
Front
PANDUIT
Electrical legends.
PANDUIT
on
pages
.
PVT-220
PCT-220-Q
PVT-220-Q
pages 58-61
for Lockout/Tagout
60-61.
PCT-220
INHALATION
SKIN ABSORPTION
NO HEALTH HAZARDS
TOXIC
HIGHLY TOXIC
REPRODUCTIVE TOXIN
IRRITANT
CORROSIVE
SENSITIZER
CARCINOGEN
NO PHYSICAL HAZARDS
COMBUSTIBLE LIQUID
COMPRESSED GAS
OXIDIZER
FLAMMABLE GAS
EXPLOSIVE
FLAMMABLE LIQUID / SOLID
PYROPHORIC
ORGANIC PEROXIDE
WATER REACTIVE
UNSTABLE (REACTIVE)
LUNGS
HEART
KIDNEY
EYES
SKIN
PROSTATE
BLOOD
LIVER
(CHECK OFF APPROPRIATE BOXES)
TARGET ORGANS & EFFECTS
CHEMICAL NAME
PHYSICAL HAZARDS
SEE OTHER SIDE
HEALTH HAZARDS
ROUTE OF ENTRY
Back
PANDUIT
INGESTION
SKIN OR EYE CONTACT
CENTRAL NERVOUS SYSTEM
CARDIOVASCULAR SYSTEM
MUCOUS MEMBRANES
AUTONOMIC NERVOUS SYSTEM
RESPIRATORY SYSTEM
MUTAGEN
TERATOGEN
for
PVT-220