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Contractor Lockout Permit Template

by Regan McCarthy, from the Community

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Use this contractor lockout permit template to document LOTO steps before servicing equipment. Capture equipment details, energy sources, isolation points, and required lockout devices. Record stored energy hazards and dissipation methods, attach photos, and list personnel and authorizations. Set permit start and expiry, confirm PPE, and collect signatures to verify isolation and re-energization. Adapt the form to your site and applicable regulations.

With SafetyCulture you can

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

With SafetyCulture you can

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.