Skip to content
SafetyCulture
Template

Lockout Tagout (LOTO) Checklist Template

by Nick S, from the Community

Downloads: 10+
Get this template

This Lockout Tagout (LOTO) checklist guides safe isolation of equipment during maintenance. It includes fields for asset details, number of locks, required PPE, isolation point locations, energy types (electric, steam, water, gas, air, hydraulic, gravity), and the tools and devices needed. It prompts step by step directions for locking out, verification methods, and safe return to service, helping teams prevent accidental energization and injuries while meeting workplace safety standards.

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.