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ERIAL NUMBER(S) Use the information in Step 1 to develop Machine-Specific LOTO Procedures (see Step 2). DEPARTMENT/LOCATION 2. What kinds of energy power the machine/equipment? Electrical Energy Volts Phase AC or DC Source 1 Source 2 Source 3 Source 4 Source 5 Note: Examples of stored energy include electricity in capacitors, air pressure in lines, coiled springs, elevated parts that could fall, and hot or cold pipes that take time to cool down or warm up. Potential Energy Stored/Residu.

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