Template

LOTO Machine Assessment Checklist

by Danny Belknap, from the Community

30+

Use this LOTO machine assessment to verify that lockout tagout procedures are posted, current, and signed, with devices available for each machine. Check the number of LOTO points, identify energy sources such as electrical, hydraulic, pneumatic, kinetic, and potential, and confirm points are marked at the source with clear instructions and photos. Review team member assignments, training classifications, last training dates, and hands on performance. Verify training is supported by documented records to strengthen compliance and reduce risk.

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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
LOTO Work Order Inspection Checklist
This LOTO Work Order Inspection template helps verify lockout tagout readiness and compliance before maintenance work begins. Inspect LOTO device condition, confirm each team member has a personal red lock, and ensure procedures are posted, current, and signed. Record the work order number, listed LOTO points, and energy sources such as electrical, hydraulic, pneumatic, potential, and kinetic. Capture photos of isolation points, check labeling at the source, and confirm clear instructions are available. Document assigned team members, verify training classification and hands-on competence, and add verification notes and comments to prevent unsafe start-ups.
by Lawrence Welsch, from the Community
Downloads: 10+
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Template
LOTO Periodic Equipment Audit
This LOTO periodic equipment audit template supports unannounced checks to confirm proper lockout tagout procedures on machinery. It guides auditors to review posted LOTO instructions, identify and verify energy isolation points with photos and markings, and check availability of devices and required signatures. The audit evaluates team training status, understanding of the 7 LOTO steps, and hands on competency. It also verifies training records and documents any issues, ensuring safe shutdown, isolation, and compliance with OSHA requirements.
by Danny Belknap, from the Community
Downloads: 10+
Get
Template
LOTO Machine Audit
LOTO Machine Audit
by Jan Barnewall, from the Community
Downloads: 60+
Get
Template
Machine Assessment LOTO Checklist
Use this machine assessment LOTO template to quickly record hazards and isolation requirements during maintenance. Capture energy sources including electrical, mechanical, hydraulic, pneumatic, chemical, and thermal. Note type of current, voltage and amperage, hazard magnitude, and required isolation devices. Add photos and comments to document risks and controls, and support safer lockout tagout procedures across industrial equipment.
by Cory Edwards, from the Community
Downloads: 30+
Get

LOTO Work Order Inspection Checklist

This LOTO Work Order Inspection template helps verify lockout tagout readiness and compliance before maintenance work begins. Inspect LOTO device condition, confirm each team member has a personal red lock, and ensure procedures are posted, current, and signed. Record the work order number, listed LOTO points, and energy sources such as electrical, hydraulic, pneumatic, potential, and kinetic. Capture photos of isolation points, check labeling at the source, and confirm clear instructions are available. Document assigned team members, verify training classification and hands-on competence, and add verification notes and comments to prevent unsafe start-ups.

by Lawrence Welsch, from the Community

10+

Get

Template

LOTO Periodic Equipment Audit

This LOTO periodic equipment audit template supports unannounced checks to confirm proper lockout tagout procedures on machinery. It guides auditors to review posted LOTO instructions, identify and verify energy isolation points with photos and markings, and check availability of devices and required signatures. The audit evaluates team training status, understanding of the 7 LOTO steps, and hands on competency. It also verifies training records and documents any issues, ensuring safe shutdown, isolation, and compliance with OSHA requirements.

by Danny Belknap, from the Community

10+

Get

Template

LOTO Machine Audit

by Jan Barnewall, from the Community

60+

Get

Template

Machine Assessment LOTO Checklist

Use this machine assessment LOTO template to quickly record hazards and isolation requirements during maintenance. Capture energy sources including electrical, mechanical, hydraulic, pneumatic, chemical, and thermal. Note type of current, voltage and amperage, hazard magnitude, and required isolation devices. Add photos and comments to document risks and controls, and support safer lockout tagout procedures across industrial equipment.

by Cory Edwards, from the Community

30+

Get

LOTO Machine Assessment Checklist

About author

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LOTO Work Order Inspection Checklist

LOTO Periodic Equipment Audit

LOTO Machine Audit

Machine Assessment LOTO Checklist

You might also like

LOTO Work Order Inspection Checklist

LOTO Periodic Equipment Audit

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Machine Assessment LOTO Checklist