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Lockout Tagout Procedures Templates

Template Library >  Safety Inspections > Lockout Tagout Inspections

Ensure worker safety with our free Lock Out Tag Out (LOTO) checklists. Choose the right checklist for your needs by customizing LOTO requirements tailored to your workplace. Free to download in PDF and available in-app.
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Standardize Maintenance Safety With Lockout Tagout Checklists

Lockout Tagout procedures are critical for protecting workers during maintenance and repair of machinery. A LOTO checklist standardizes the process, helps prevent accidents, and ensures compliance with OSHA regulations.

With a comprehensive LOTO checklist, you can:

  • Ensure worker safety by controlling hazardous energy.
  • Standardize safety inspections for consistent compliance.
  • Document and track procedures for audits and training.
Goaudits checklist report example
Sample PDF Report

With the GoAudits Safety Inspection App, you can:

  • Eliminate paperwork: conduct efficient digital audits, add photos from mobile device
  • Customize this template or easily create your own
  • Save time with instant reports & assign corrective actions
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Equipment, Machinery, And Personnel

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

Energy Control Program

1. Has a written Energy Control Program been developed?


Photo Comment



Upload

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?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

6. Are lockout devices used only for energy control?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

10. Is energy isolation performed ONLY by authorized employees?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

6. Is training certified with names and dates?


Photo Comment



Upload

Equipment, Machinery, And Personnel

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

Energy Control Program

1. Has a written Energy Control Program been developed?


Photo Comment



Upload

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?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

6. Are lockout devices used only for energy control?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

10. Is energy isolation performed ONLY by authorized employees?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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?


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

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


Photo Comment



Upload

6. Is training certified with names and dates?


Photo Comment



Upload

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What is a Lock Out Tag Out (LOTO) Checklist?

A Lock Out Tag Out checklist is a step-by-step guide used by authorized personnel to safely de-energize and isolate machinery before maintenance or repair. It ensures that all hazardous energy sources are identified and controlled, preventing accidental startup or release of energy.

LOTO checklists are based on OSHA Standard 29 CFR 1910.147, which requires employers to establish procedures for the control of hazardous energy. Using a checklist helps organizations:

  • Reduce the risk of workplace injuries and fatalities.
  • Comply with legal and regulatory requirements.
  • Maintain detailed records of safety procedures.
  • Facilitate regular audits and continuous improvement.
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Why Are LOTO Procedures So Important?

Every year, thousands of workers suffer injuries due to uncontrolled hazardous energy. These incidents can result from unexpected machine startup, release of stored energy, or failure to properly isolate equipment. Implementing standardized LOTO procedures helps organizations:

  • Prevent workplace injuries and fatalities by ensuring machinery cannot be energized during maintenance.
  • Comply with legal and regulatory requirements, avoiding costly fines and shutdowns.
  • Standardize safety practices, making it easier to train employees and conduct audits.
  • Maintain detailed records for accountability and continuous improvement.

Essential Elements of a LOTO Checklist

A well-designed Lock Out Tag Out checklist usually includes the following sections:

  • Essential Information: Verifies the date and time of lockout tagout procedures, equipment types, ID, location, names of authorized personnel, and the purpose of lockout.
  • Energy Source Identification – Includes the list of all energy sources from electrical, mechanical, hydraulic, pneumatic, chemical, thermal, etc. to confirm energy isolation points.
  • Notification – Ensures that affected personnel are informed of the lockout and notification times are recorded for maximizing efficiency.
  • Shutdown Procedures – Gives a detailed description of instructions to follow during shutdown. Confirms that equipment is fully stopped in the event of a safety trigger.
  • Isolation Procedures – Ensures methods used to isolate energy consisting of circuit breakers, valves, disconnect switches, etc.
  • Stored Energy Control: Steps to release or restrain stored energy from bleed lines, discharge capacitors, block moving parts, etc.
  • Maintenance/Service Work: Specifies description of work performed and the names of personnel involved in LOTO inspections.

Regulatory Standards and Compliance for Lock Out Tag Out Audit Checklists

Lockout Tagout (LOTO) procedures ensure best practices at workplaces but they are also legal requirements in many countries. There are regulatory bodies that set clear standards to protect workers from the dangers of hazardous energy during servicing or maintenance of machinery.

OSHA LOTO Standard – 29 CFR 1910.147 (United States)

In the U.S., the Occupational Safety and Health Administration (OSHA) outlines the requirements for controlling hazardous energy under 29 CFR 1910.147. This regulation mandates that employers:

  • Develop and enforce an energy control program
  • Provide proper lockout/tagout devices
  • Train employees on LOTO procedures
  • Conduct periodic inspections to ensure ongoing compliance

Failure to comply with these requirements can result in serious injuries, legal penalties, and costly downtime.

👉 Discover free OSHA Checklist Templates in the GoAudits library.

International Equivalents

Outside the U.S., similar standards exist in many other countries:

United Kingdom: The Health and Safety Executive (HSE) provides guidance under the Provision and Use of Work Equipment Regulations (PUWER) and Electricity at Work Regulations, emphasizing safe isolation and control of energy.

European Union: The EU Machinery Directive and national health & safety laws support similar LOTO principles.

Canada: Provincial agencies enforce LOTO through regulations like CSA Z460 (Control of Hazardous Energy).

Australia: Safe Work Australia mandates energy isolation procedures under the WHS Model Regulations.

Common Challenges in Lock Out Tag Out (LOTO) — And How to Overcome Them

Lock Out Tag Out (LOTO) procedures are essential for workplace safety, but organizations often face challenges that can make these applications difficult. It is important to recognize these hurdles and knowing how to address them is crucial for building a resilient and effective LOTO system.

 

Insufficient or Ineffective Training

Many incidents stem from employees not fully understanding LOTO procedures, failing to identify all energy sources, or not applying locks and tags correctly.

Solution: 

  • Invest in comprehensive, hands-on training for all authorized and affected employees.
  • Use engaging methods such as simulations, props, or even virtual reality to reinforce learning.
  • Schedule regular refresher sessions and competency checks to ensure knowledge retention.

 

Lack of Specific Procedures

Generic or outdated procedures can leave critical steps out, especially for complex or unique equipment.

Solution:

  • Develop equipment-specific LOTO procedures that clearly identify all energy sources and isolation points.
  • Regularly review and update procedures to reflect equipment modifications or new hazards.

 

Organizational Resistance and Safety Culture

Employees may resist new or unfamiliar procedures, viewing them as disruptive or unnecessary. This resistance can be compounded by a lack of management support or inconsistent enforcement.

Solution:

  • Foster a safety-first culture by involving employees in the development and review of LOTO procedures.
  • Communicate the importance of LOTO through real-world examples and leadership commitment.
  • Recognize and reward safe behaviors to reinforce positive attitudes.

 

Technological and Integration Barriers

Introducing digital LOTO systems or automated controls can be daunting, especially if they don’t integrate smoothly with existing processes.

Solution:

  • Collaborate with technology providers and subject matter experts to ensure compatibility and ease of use.
  • Provide targeted training on new systems and involve employees early in the transition process.
  • Pilot new technologies in select areas before organization-wide rollout.

 

Incomplete Identification of Energy Sources

Failing to identify and isolate all potential energy sources is a frequent cause of accidents and regulatory violations.

Solution:

  • Conduct thorough energy source assessments for all equipment.
  • Use standardized checklists and involve cross-functional teams to ensure nothing is overlooked.

 

Managing Shift Changes and Group LOTO

LOTO procedures can break down during shift changes or when multiple teams are involved, leading to gaps in protection.

Solution:

  • Establish clear protocols for shift handovers, including communication and verification steps.
  • Use group lockout devices and ensure every worker can apply their personal lock.
  • Train workers specifically on group and shift change LOTO procedures.

 

Inconsistent Application Across Departments

Variations in work practices, communication gaps, or lack of accountability can result in inconsistent LOTO application, increasing risk.

Solution:

  • Standardize procedures organization-wide and conduct regular audits to ensure compliance.
  • Implement cross-department training and establish clear lines of accountability.
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How to Perform Lockout Tagout Checks Using a LOTO Audit Checklist

Performing Lockout Tagout (LOTO) checks effectively starts with a structured, easy-to-follow checklist. Verify that staff are trained to use the checklist so they can ensure equipment safety and comply with safety regulations.

Prepare and Customize Your LOTO Checklist

Begin by customizing the checklist to match your equipment, facility layout, and specific energy sources. A good digital tool, like GoAudits, lets you define checklist items for:

  • Identifying all hazardous energy sources
  • Verifying proper shutdown of equipment
  • Applying lockout/tagout devices correctly
  • Communicating with affected employees
  • Performing verification steps before starting work

Conduct the LOTO Audit On-Site

Use a mobile device or tablet to perform the audit directly on the floor. Walk through each step with the checklist in hand, inspecting for:

  • Proper use of locks and tags
  • Visibility and accuracy of warning labels
  • Compliance with company-specific procedures
  • Employee adherence to safety protocols

If you spot any non-compliance, note it immediately in the checklist, assign corrective actions, and document any follow-up steps.

Review and Share the Audit Report

Once the checklist is complete, generate a digital report instantly. This report should include inspection results, photos (if applicable), corrective actions, and timestamps. Share it with your safety team or supervisors to ensure accountability and quick resolution of issues.

Using a structured LOTO audit checklist not only helps prevent injuries caused by uncontrolled energy but also keeps your facility prepared for inspections and audits while reinforcing a strong safety culture.

Other Popular Lockout Tagout Inspection Templates:

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OSHA Lockout Tagout (LOTO ) Inspection Checklist

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Pre-Startup Safety Review(PSSR) Checklist

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Electrical Safety Inspection Checklist

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Confined Space Risk Assessment Form

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Machine Preventive Maintenance Checklist

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Equipment Commissioning Checklist

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Chemical Handling Checklist

More Lockout Tagout Checklists

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