Template

Lock Out Tag Out Inspection Checklist

by Steve Johnson, from the Community

Use this lock out tag out inspection checklist to assess compliance during maintenance and servicing activities. Confirm all energy sources are identified and isolated, locks and tags are applied to the correct lock boxes, affected personnel are notified, workers have proper training, and equipment remains secured until work is complete. Record observations by equipment and energy type such as electrical, pneumatic, hydraulic, mechanical, and stored potential energy. Verify correct removal order and safe restart procedures. This resource is a starting point and should be adapted to your site requirements and local regulations.

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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

Community

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
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Lock Out Tag Out (LOTO) Checklist
Use this Lock Out Tag Out checklist to implement safe energy isolation and re-energization procedures. It guides authorized and affected employees through planning, notification, applying locks and tags, verifying zero energy, performing work, and removing LOTO in compliance with NEC and safety standards. Includes communication methods and logging to help standardize LOTO across sites.
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Lock Out Tag Out LOTO Safety Audit Checklist
Comprehensive Lock Out Tag Out safety audit checklist covering 21 essential compliance points. Ensure workplace safety with proper LOTO procedures and equipment verification.
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Downloads: 90+
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Lock Out Tag Out Inspection Checklist

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