Template

Hazardous Energy Isolation Checklist

by Jared Swenson, from the Community

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.

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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
LOTO Monthly Audit Checklist
This Lockout Tagout (LOTO) monthly audit checklist helps EHS, maintenance, and operations teams verify that energy isolation procedures are correctly followed. Assess training currency, availability and identification of personal locks and tags, access to written procedures, shutdown steps, isolation of all energy sources, control of stored energy, verification testing, and proper removal and notification. Capture issues, corrective actions, and signatures to strengthen compliance and worker safety across industrial facilities.
by Dan Da Costa, from the Community
Downloads: 20+
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Template
Isolation of Hazardous Energy Procedure Checklist
Use this isolation of hazardous energy procedure checklist to standardise lockout tagout across high-risk worksites. It covers planning and risk assessment, permits to work, single and multi-point isolation, mobile plant isolation, de-energisation of stored energy, and test for dead. It details personal danger locks and tags, lockboxes, shift handover, emergency planning, and lost key or missing person scenarios. It sets competency, training, consultation, and monitoring requirements to ensure safe re-energisation and compliance with standards.
by Saul Chambers, from the Community
Downloads: 0
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Template
Lockout Tagout LOTO Procedure Checklist
This Lockout Tagout LOTO procedure checklist helps teams verify isolation of hazardous energy before servicing equipment. It covers confirming recent LOTO activity, alignment with permit to work, authorization and sign off, availability of locks, tags, and isolation devices, and correct tag legends. It validates manager and crew understanding, posting of LOTO activities, contractor compliance, and training on energy sources. Capture photos, notes, and corrective actions, then sign off audits to improve safety and reduce downtime.
by Marc Fintz, from the Community
Downloads: 10+
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Template
LOTO Energy Source and Control Point Inventory
This LOTO energy source and control point inventory template helps EHS and maintenance teams catalog equipment energy sources, locate isolation points, and capture key details like voltage, pressure, and required lockout devices. Record photos of equipment and isolation points, describe de-energization steps, and count required LOTO devices to build accurate, compliant lockout tagout procedures. Ideal for manufacturing and industrial operations seeking to standardize energy control and improve workplace safety.
by Alanna Soukkala, from the Community
Downloads: 10+
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LOTO Monthly Audit Checklist

This Lockout Tagout (LOTO) monthly audit checklist helps EHS, maintenance, and operations teams verify that energy isolation procedures are correctly followed. Assess training currency, availability and identification of personal locks and tags, access to written procedures, shutdown steps, isolation of all energy sources, control of stored energy, verification testing, and proper removal and notification. Capture issues, corrective actions, and signatures to strengthen compliance and worker safety across industrial facilities.

by Dan Da Costa, from the Community

20+

Get

Template

Isolation of Hazardous Energy Procedure Checklist

Use this isolation of hazardous energy procedure checklist to standardise lockout tagout across high-risk worksites. It covers planning and risk assessment, permits to work, single and multi-point isolation, mobile plant isolation, de-energisation of stored energy, and test for dead. It details personal danger locks and tags, lockboxes, shift handover, emergency planning, and lost key or missing person scenarios. It sets competency, training, consultation, and monitoring requirements to ensure safe re-energisation and compliance with standards.

by Saul Chambers, from the Community

Get

Template

Lockout Tagout LOTO Procedure Checklist

This Lockout Tagout LOTO procedure checklist helps teams verify isolation of hazardous energy before servicing equipment. It covers confirming recent LOTO activity, alignment with permit to work, authorization and sign off, availability of locks, tags, and isolation devices, and correct tag legends. It validates manager and crew understanding, posting of LOTO activities, contractor compliance, and training on energy sources. Capture photos, notes, and corrective actions, then sign off audits to improve safety and reduce downtime.

by Marc Fintz, from the Community

10+

Get

Template

LOTO Energy Source and Control Point Inventory

This LOTO energy source and control point inventory template helps EHS and maintenance teams catalog equipment energy sources, locate isolation points, and capture key details like voltage, pressure, and required lockout devices. Record photos of equipment and isolation points, describe de-energization steps, and count required LOTO devices to build accurate, compliant lockout tagout procedures. Ideal for manufacturing and industrial operations seeking to standardize energy control and improve workplace safety.

by Alanna Soukkala, from the Community

10+

Get

Hazardous Energy Isolation Checklist

About author

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