Template

Multiple Lockout Job Audit Checklist

by Roger Gabbert, from the Community

This Multiple Lockout Job Audit checklist helps verify compliance with lockout tagout procedures for maintenance work. It guides auditors to identify the employee and machine, confirm access to the correct specification sheet, determine the number of locks required, and ensure safe shutdown and dissipation of energy. Steps include applying serial locks and hasps, validating lockout with a start test, signing the specification sheet, securing keys and documents in the lockbox, and applying departmental and personal locks. The unlocking process covers inspections, key retrieval, removing locks in reverse order, reenergizing equipment, and returning the completed specification sheet. Optional photo prompts support documentation and sign off.

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Confirm accountability and compliance with a digital log

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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 .

Template
Simplified Lockout Job Audit
This simplified lockout job audit checklist guides auditors through key LOTO steps for machine maintenance. Verify workers locate the correct specification sheet, shut down and dissipate energy, apply personal locks and hasps, validate isolation with the operator, and sign the specification sheet. Includes checks for safe reenergizing: inspect the area, remove locks, restore power, and return documentation to the LOTO register. Use this template to support compliance and safer maintenance operations.
by Roger Gabbert, from the Community
Downloads: 10+
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Template
Operational Lockout and Secured Work Zone Audit
Use this operational lockout and secured work zone audit checklist to assess safe shutdown, isolation, and restart procedures for machinery. Confirm correct use of locks and hasps, validate placards, capture photos, record reasons when steps are missed, and verify start up tests and safe reenergizing before returning equipment to service. Ideal for plant operations and EHS teams seeking consistent LOTO compliance and safer work zones.
by Roger Gabbert, from the Community
Downloads: 10+
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Template
Hazardous Energy Control Lockout and Tagout Checklist
This Lockout Tagout checklist supports hazardous energy control for machinery and equipment. It guides teams to confirm documented LOTO procedures, training plans, availability and correct use of locks and tags, and annual program inspections. It covers equipment specific procedures during servicing and maintenance, worker notifications before and after LOTO, supervisor and operator knowledge of energy types and hazards, proper attachment of isolating devices in safe positions, replacement of service locks when maintenance begins, shift change continuity, recurring training documentation, and periodic self inspections. Use it to prevent unexpected start up and protect workers.
by Trevor McMartin, from the Community
Downloads: 60+
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Template
Energy Control (LOTO) Inspection
Use this Energy Control (LOTO) inspection checklist to verify proper lockout tagout practices during maintenance. Inspect the work area for barriers and signage, confirm equipment-specific LOTO procedures, and observe verification steps. Check that red locks, hasps, and ID tags are applied to each hazardous energy source, and that keys remain with the authorized person. Document findings, photos, and any deficiencies, and assign corrective actions. Before returning equipment to service, ensure guards and safety devices are reinstalled and tested, and that personnel are clear of the machine. Capture signatures of the maintenance personnel, inspector, and supervisor.
by David Lucioni, from the Community
Downloads: 10+
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Multiple Lockout Job Audit Checklist

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