Lock Out Tag Out Procedure Checklist

Use this Lock Out Tag Out Procedure Checklist to prevent machine & equipment accidents due to unexpected energizing, starting, or releasing stored energy.

Lock Out Tag Out Procedure Checklist



Energy Control Program

1. Has a written Energy Control Program been developed?


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2. Does the written program state the following methods of compliance: •Intended use of procedures •Steps for shutdown, isolating, blocking, and securing energy? •Steps for placement, removal, and transfer of lockout/tagout devices? •Requirements for testing to verify the effectiveness of lockout/tagout?


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3. Is compliance with energy control procedures verified at least annually, with the results of the inspection certified and kept on file?


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4. Are lockout/tagout devices provided (locks, hasps, tags, etc.)?


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5. Are lockout devices singularly identified, durable, standardized, substantial, and employee-identifiable?


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6. Are lockout devices used only for energy control?


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7. Is a tagout system used only if an isolating device cannot be locked out?


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8. Are tagout devices located at the same location as lockout devices?


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9. Do tagout devices warn against hazardous conditions such as "Do Not Start" or "Do Not Open"?


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10. Is energy isolation performed ONLY by authorized employees?


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11. Are affected employees notified before and after lockout/tagout?


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12. Are group lockout/tagout procedures used when needed?


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13. Is information about each other's lockout program exchanged with contractors?


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14. Is continuity of lockout/tagout provided during shift change and personnel changes?


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Training Requirements

1. Do authorized employees have recognition of energy sources, type, and magnitude of energy, and methods and procedures necessary for isolation and control?


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2. Do affected employees understand the purpose and use of energy control procedures?


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3. Are other employees instructed on the procedures that are locked or tagged out?


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4. For the tagout system, are the limitations of tags explained?


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5. Is retraining conducted when there is a change in job, assignment, equipment, process, procedure, or the result of an inspection?


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6. Is training certified with names and dates?


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Equipment, Machinery, And Personnel

1. Has a list of equipment and machines that need to be locked out been developed?


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2. Do all new machinery (after Jan. 1990) have the ability to accept a lockout device?


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3. Are specific written Energy Control Procedures developed and used for each piece of equipment?


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4. Has a list of all authorized employees been developed?


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5. Has a list of all affected employees been developed?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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