Skip to content
SafetyCulture
Template

Lockout Tagout Compliance Checksheet

by Shane Nance, from the Community

Downloads: 20+
Get this template

This lockout tagout compliance checksheet helps verify a comprehensive energy control program for machines and equipment. It covers written procedures, required devices and hardware, periodic inspections and documentation, training and retraining, safe shutdown and isolation steps, verification of zero energy, restoration protocols, and removal procedures. The checklist also addresses contractor communication, group lockout responsibilities, shift changes, workspace clearance around electrical equipment, and guidance aligned with ANSI Z244 for managing stored and residual energy.

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

About author

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.