Template

QAL Hazardous Energy Critical Control Checklist

by Kel Peterson, from the Community

Use this QAL Hazardous Energy Critical Control Checklist to verify critical controls around energised equipment and fixed plant. Confirm exclusion zones, physical barriers and signage, and isolation processes such as locks, tags, cables, and blanking plates. Check that competent, licensed personnel perform electrical isolations, that Test for Dead is documented and effective, and that valve positions are clearly indicated. Validate emergency readiness with accessible, functional e-stops, scheduled drills, first aid facilities, and reliable communications. This template supports safer operations, compliance, and consistent records during maintenance and production tasks.

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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

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
QAL Critical Control Checklist for Plant and Equipment
This QAL critical control checklist helps teams manage the safe operation of mobile plant and equipment. It covers maintenance and suitability of plant, use of safety devices and guarding, roadside work controls with barriers and traffic management, exclusion zones and slew radius safeguards, spotter requirements and positive communication, delineated walkways and crossings, and operating within manufacturer specifications and site requirements. Use it to verify dynamic conditions, ensure compliance, and reduce interactions between people and plant.
by Kel Peterson, from the Community
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Template
QAL Critical Control Checklist - Confined Space
This checklist supports safe confined space work by verifying critical controls before and during entry. It covers gas monitoring and calibration, ventilation, isolation of energy and substances, access security and signage, personnel verification, and emergency readiness. Use it to confirm equipment condition, permits, locks and tags, and that rescue plans, communications, and retrieval gear are in place and maintained. If any control is not met, work must stop until verified. Templates are illustrative and should be adapted to your site requirements and local regulations.
by Kel Peterson, from the Community
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Template
QAL HSE Observation Template
Use this HSE observation template to capture health, safety, and environmental observations, interactions, inspections, and meeting notes. Fields include site, contractor or QAL department, location, date, preparer, type of inspection, inspection details, and additional information. Designed for use at QAL and adaptable to similar industrial sites, the template helps standardize reporting and promote a strong safety culture. Templates from the Public Library are examples only—review and tailor to your workplace and jurisdiction.
by Kel Peterson, from the Community
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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
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QAL Hazardous Energy Critical Control Checklist

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QAL Critical Control Checklist for Plant and Equipment

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