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Page Title: Figure 3-4.—DANGER/CAUTION Tag-Out Record Sheet NAVSEA 9210/9 (Front)
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TAG-OUT  DOCUMENTS
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Electronics Technician, Volume 01-Safety
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Figure 3-5.—DANGER/CAUTION Tag-Out Record Sheet NAVSEA 9210/9 (Back)

Figure 3-4.—DANGER/CAUTION Tag-Out Record Sheet NAVSEA 9210/9 (Front). you  a  log  serial  number  from  the  DANGER CAUTION  Tag-Out  Index  and  Record  of Audit  sheet. (B)   SYSTEM   OR   COMPONENT:   Enter   the official   nomenclature   of   the   system   or equipment  you  are  tagging-out  (example, AN/WSC-3[V]). (C)  LOG  SERIAL  NO.:  Enter  the  number  assigned by the authorizing officer. (D)  REASON  FOR  TAG-OUT:  Briefly  describe the  reason  for  the  tag-out  (example,  “Pre- ventive maintenance”). (E)   PERSONNEL/EQUIPMENT   HAZARDS INVOLVED:   Briefly   describe   any   hazards that may exist (examples, “Shock hazard” or “Operation would damage equipment”). (F)   AMPLIFYING   INSTRUCTIONS:   Briefly describe any other instructions that may apply. 3-9

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