Template

CRM Energy Isolation Checklist

by Heike Martin, from the Community

Use this CRM energy isolation checklist to verify controls for live testing and work on pressure and pressurized systems in mining operations. Sections cover verification, training adequacy, inspections, procedures, communications, signage and barricades, LOTOTO and valve isolation, draining pressure, lock box use, PM versus corrective work, work release, and job hazard analysis. Capture locations, departments, equipment, and controls to standardize safe maintenance and startup.

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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

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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
High Pressure Energy Release Checklist
Use this fatal risk critical control checklist to prevent uncontrolled high pressure energy release from pressure vessels and systems in mining. It guides teams through identifying energy sources, isolating and de-energizing equipment, verifying isolation points, checking gauges and fittings, inspecting for leaks, tagging stored energy, and managing transport. The template also covers high pressure injection response steps, first aid and escalation, and documentation including isolation confirmation certificates. Apply it to hydraulic, pneumatic, nitrogen, water and other pressurized systems to protect workers and ensure compliance with standards.
by Samantha Fellows, from the Community
Downloads: 20+
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Template
Hazardous Energy Isolation Checklist
Use this hazardous energy isolation checklist to plan and verify lockout, tagout, and isolation steps before maintenance or repair. Capture site, auditor, and location details; verify risk assessments; complete LOTO sheets; confirm trade and personal locks; place tags and signage; establish exclusion zones; and verify systems are de-energized at the power source. Record live work controls, stop-work actions, and final sign-offs to keep teams compliant and safe.
by Jared Swenson, from the Community
Downloads: 0
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Template
Energy Isolation Process Verification Checklist
Energy Isolation Process Verification Checklist
by Sherideen Brenner, from the Community
Downloads: 70+
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Template
High Risk Isolation Audit Checklist
This high risk isolation audit checklist helps teams verify hazardous energy controls and validate isolation effectiveness on complex worksites. It covers identifying energy sources, selecting proper isolation methods, testing single and multiple isolation points, and documenting TRA and permit requirements. The template supports assigning an isolation coordinator, communicating activities to nearby workers, and ensuring all tools are cleared and personnel are safe before re energising equipment. Use it to improve compliance and reduce risk during electrical, mechanical, and commissioning tasks.
by JUSTINE YOUL, from the Community
Downloads: 10+
Get

High Pressure Energy Release Checklist

Use this fatal risk critical control checklist to prevent uncontrolled high pressure energy release from pressure vessels and systems in mining. It guides teams through identifying energy sources, isolating and de-energizing equipment, verifying isolation points, checking gauges and fittings, inspecting for leaks, tagging stored energy, and managing transport. The template also covers high pressure injection response steps, first aid and escalation, and documentation including isolation confirmation certificates. Apply it to hydraulic, pneumatic, nitrogen, water and other pressurized systems to protect workers and ensure compliance with standards.

by Samantha Fellows, from the Community

20+

Get

Template

Hazardous Energy Isolation Checklist

Use this hazardous energy isolation checklist to plan and verify lockout, tagout, and isolation steps before maintenance or repair. Capture site, auditor, and location details; verify risk assessments; complete LOTO sheets; confirm trade and personal locks; place tags and signage; establish exclusion zones; and verify systems are de-energized at the power source. Record live work controls, stop-work actions, and final sign-offs to keep teams compliant and safe.

by Jared Swenson, from the Community

Get

Template

Energy Isolation Process Verification Checklist

by Sherideen Brenner, from the Community

70+

Get

Template

High Risk Isolation Audit Checklist

This high risk isolation audit checklist helps teams verify hazardous energy controls and validate isolation effectiveness on complex worksites. It covers identifying energy sources, selecting proper isolation methods, testing single and multiple isolation points, and documenting TRA and permit requirements. The template supports assigning an isolation coordinator, communicating activities to nearby workers, and ensuring all tools are cleared and personnel are safe before re energising equipment. Use it to improve compliance and reduce risk during electrical, mechanical, and commissioning tasks.

by JUSTINE YOUL, from the Community

10+

Get

CRM Energy Isolation Checklist

About author

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High Pressure Energy Release Checklist

Hazardous Energy Isolation Checklist

Energy Isolation Process Verification Checklist

High Risk Isolation Audit Checklist

You might also like

High Pressure Energy Release Checklist

Hazardous Energy Isolation Checklist

Energy Isolation Process Verification Checklist

High Risk Isolation Audit Checklist