Template

CRCP 4 De Energization Safety Audit Checklist

by Surmont 2 HSE, from the Community

This de energization audit template supports safe control of hazardous energy during construction and commissioning. It covers site specific procedures, labeling of isolation points, personal locks and tags, zero energy state verification, and lock removal processes. It also guides communication and coordination for commissioning and start up, including responsibilities between construction, commissioning, and the client. Sections include corrective actions, audit and operations review, and HSE and supervisor review to help teams strengthen compliance and reduce risk.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Hazardous Energy LOTO Compliance Check
This hazardous energy LOTO compliance checklist helps teams verify lockout tagout controls during maintenance and production. Inspect lock colors, tags, and access to personal locks, confirm shift handover to ensure all workers are locked onto the lock box, and review removal of keys and proper storage. Assess identification of locks and tags, including danger and out of service tags, and check commissioning tags. Verify energy control devices such as valve and handle covers, circuit breaker covers, HASP, and blocks and chains for stored energy. Use this template to standardize audits, improve worker safety, and support compliance with LOTO procedures across your site.
by Jason Graham, from the Community
Downloads: 0
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Template
LOTO Monthly Audit Checklist
This Lockout Tagout (LOTO) monthly audit checklist helps EHS, maintenance, and operations teams verify that energy isolation procedures are correctly followed. Assess training currency, availability and identification of personal locks and tags, access to written procedures, shutdown steps, isolation of all energy sources, control of stored energy, verification testing, and proper removal and notification. Capture issues, corrective actions, and signatures to strengthen compliance and worker safety across industrial facilities.
by Dan Da Costa, from the Community
Downloads: 20+
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Template
Metering Test and Commissioning Service Record
Use this metering test and commissioning service record to document energy meter installation and commissioning. Log meter identification, location, cabling, labeling, electrical and communication terminations, CT ratios, Modbus addresses, operational checks, and comments. Capture commissioning dates, site details, preparer information, and customer signature for sign off. Helpful for electrical contractors, commissioning engineers, and facility teams to verify installation quality and maintain records.
by Bilal Dabboucy, from the Community
Downloads: 20+
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Template
Switchboard Energization Checklist Test ITC-001
This switchboard energization checklist guides electrical teams through safe, step by step commissioning. It covers initial site assessment and permits, test equipment verification, detailed visual inspections, and pre energization tests including earthing continuity, insulation resistance, and polarity. It then directs final checks, neutral identification, post energization verification such as 10 point voltage and phase rotation tests, remote earth voltage checks, and optional load testing, aligned to AS 3000 practices and LOTO procedures.
by Jacquie Fisher, from the Community
Downloads: 0
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Hazardous Energy LOTO Compliance Check

This hazardous energy LOTO compliance checklist helps teams verify lockout tagout controls during maintenance and production. Inspect lock colors, tags, and access to personal locks, confirm shift handover to ensure all workers are locked onto the lock box, and review removal of keys and proper storage. Assess identification of locks and tags, including danger and out of service tags, and check commissioning tags. Verify energy control devices such as valve and handle covers, circuit breaker covers, HASP, and blocks and chains for stored energy. Use this template to standardize audits, improve worker safety, and support compliance with LOTO procedures across your site.

by Jason Graham, from the Community

Get

Template

LOTO Monthly Audit Checklist

This Lockout Tagout (LOTO) monthly audit checklist helps EHS, maintenance, and operations teams verify that energy isolation procedures are correctly followed. Assess training currency, availability and identification of personal locks and tags, access to written procedures, shutdown steps, isolation of all energy sources, control of stored energy, verification testing, and proper removal and notification. Capture issues, corrective actions, and signatures to strengthen compliance and worker safety across industrial facilities.

by Dan Da Costa, from the Community

20+

Get

Template

Metering Test and Commissioning Service Record

Use this metering test and commissioning service record to document energy meter installation and commissioning. Log meter identification, location, cabling, labeling, electrical and communication terminations, CT ratios, Modbus addresses, operational checks, and comments. Capture commissioning dates, site details, preparer information, and customer signature for sign off. Helpful for electrical contractors, commissioning engineers, and facility teams to verify installation quality and maintain records.

by Bilal Dabboucy, from the Community

20+

Get

Template

Switchboard Energization Checklist Test ITC-001

This switchboard energization checklist guides electrical teams through safe, step by step commissioning. It covers initial site assessment and permits, test equipment verification, detailed visual inspections, and pre energization tests including earthing continuity, insulation resistance, and polarity. It then directs final checks, neutral identification, post energization verification such as 10 point voltage and phase rotation tests, remote earth voltage checks, and optional load testing, aligned to AS 3000 practices and LOTO procedures.

by Jacquie Fisher, from the Community

Get

CRCP 4 De Energization Safety Audit Checklist

About author

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Hazardous Energy LOTO Compliance Check

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Hazardous Energy LOTO Compliance Check

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