Template

Personal Electrical Work Practice Audit

by Dennis Eduardo Elvir Pacheco, from the Community

This personal electrical work practice audit template helps supervisors assess technician competence and compliance with lockout tagout LOTO procedures. It covers qualification checks, approved LOTO instructions, boundary verification, PPE inspection and calibration status, removal of prohibited items, notification of affected persons, identification of hazardous energy sources, device application, arc flash labeling and shock boundaries, group lockouts, and verification of zero energy. It also guides safe re-energization, documentation with auditor and authorized employee signatures, and space for observations, supporting safer electrical maintenance in industrial and energy environments.

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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

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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
Personal Electrical Work Practice Audit Checklist
Use this audit checklist to assess electrical work practices and lockout tagout compliance. It guides auditors through verifying worker qualifications, approved instructions, PPE checks, calibration status, removal of prohibited items, notifications to affected persons, and verification of hazardous energy isolation. It covers identifying energy sources, correct use of locks, tags, and devices, understanding arc flash labels and shock protection boundaries, and ensuring each worker applies personal locks and tags. The checklist also reviews procedures for multi worker jobs, attempts to start equipment to test isolation, returning controls to the off position, and safe removal of LOTO for re energizing. It concludes with sign offs and space for observations.
by Dennis Eduardo Elvir Pacheco, from the Community
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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
Lockout/Tagout Periodic Inspection 403.1
Use this Lockout/Tagout periodic inspection checklist to verify compliance with OSHA 1910.147 and your site procedures. Assess employee knowledge of the full LOTO process, including notification, shutdown, energy isolation, lock and tag application, stored energy release, and verification of zero energy state. Review removal steps, confirm posting and accuracy of equipment-specific procedures, check labeling and arc flash information, and document findings and corrective actions with sign-offs from the observed employee and auditor.
by Brady Heck, from the Community
Downloads: 10+
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Template
Lockout Tagout LOTO Procedure Builder
Build a comprehensive lockout tagout procedure before servicing industrial equipment. This template guides teams to notify affected personnel, shut down machinery, isolate and label energy sources (electrical, mechanical, hydraulic, pneumatic, chemical, thermal, gravity), apply personal locks, and verify zero energy. It includes testing steps, photo capture of isolation points, device selection, training checks, and a safe removal and re-energization process with final notifications.
by Alanna Soukkala, from the Community
Downloads: 10+
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Personal Electrical Work Practice Audit

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