Lock-out Tag-out Lock Removal Authorisation Form
by David Lucioni, from the Community
This Lock-out Tag-out (LOTO) Lock Removal Authorisation Form is used when a lock remains on an energy isolating device and the lock owner cannot be located or has left the site. The form guides supervisors to verify equipment safety, attempt contact with the lock owner, and secure approvals from Plant/Maintenance and EHS Managers. It records reasons for removal, investigation details, and captures required signatures, providing evidence that lock removal was performed lawfully for safety and compliance.
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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.