Template

Hazardous Energy Control Lockout Tagout Checklist

by 167th Wing Safety Office, from the Community

20+

This Hazardous Energy Control (Lockout and Tagout) checklist aligns with AFI 91-203 and helps teams control hazardous energy during service and maintenance. It covers documented LOTO procedures, initial and recurring training plans, use of locks and tags to isolate energy, annual program inspections, availability of safety tags and locks, equipment-specific written procedures, personnel notifications before and after LOTO, knowledge of energy types and magnitudes, proper attachment of devices, shift-change continuity, current training records, and periodic self-inspections. Ideal for defense and industrial operations seeking safer work practices.

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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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Template
Hazardous Energy Control Lockout and Tagout Checklist
This Lockout Tagout checklist supports hazardous energy control for machinery and equipment. It guides teams to confirm documented LOTO procedures, training plans, availability and correct use of locks and tags, and annual program inspections. It covers equipment specific procedures during servicing and maintenance, worker notifications before and after LOTO, supervisor and operator knowledge of energy types and hazards, proper attachment of isolating devices in safe positions, replacement of service locks when maintenance begins, shift change continuity, recurring training documentation, and periodic self inspections. Use it to prevent unexpected start up and protect workers.
by Trevor McMartin, from the Community
Downloads: 60+
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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
Hazardous Energy Control Annual Report Checklist
Ensure compliance with hazardous energy control requirements using this annual report checklist. Built around OSHA 29 CFR 1910.147 and DAFMAN 91-203, it guides authorized personnel through self-inspections and outside inspections, verification of LOTO procedures, training currency, group and complex lockout planning, shift-change procedures, and documentation. Capture equipment IDs, confirm availability of energy-isolating devices, and document out-briefs and follow-up actions to maintain a robust lockout tagout program and continuous safety improvement.
by Safety Office, 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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Hazardous Energy Control Lockout Tagout Checklist

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