GoAuditsGoAudits
  • FEATURES
    • Mobile Auditing
    • Instant Reports
    • Tasks & Workflows
    • Smart Dashboards
    • Template Library
  • INDUSTRIES
    • Hospitality
    • Food & Beverage
    • Health & Safety
    • Retail
    • Healthcare
    • Manufacturing
    • Facility Management
    • Construction & Real Estate
    • Logistics
    • Other Use Cases
      • Care Home Audits
      • Cleaning Inspections
      • Property Inspections
      • Mystery Shopping
      • Sports Facility Inspections
      • Supplier Audits
      • Inspections for Local Government
      • Parking Inspections
      • Packaging Inspections
      • Playground Inspections
      • Airport Inspections
      • Digital Inspections App
  • PRICING
  • CUSTOMERS
  • ABOUT
    • Call us
      • 🇺🇸   +1 509-653-5051
      • 🇬🇧   +44 20 3966 7776
      • 🇦🇺   +61 2 7908 2658
      • 🇸🇬   +65 3174 6529
      • 🇦🇪   +971-48-718601
    • Schedule a Demo
    • News & Blog
    • Help Center
    • About Us
  • LOGIN
GET A DEMO

Lockout Tagout Procedures Templates

Template Library >  Safety Inspections > Lockout Tagout Inspections

Choose from lock out tag out procedures templates covering energy isolation, group lockout, periodic inspections, and out-of-service tags. Customize any of them for your equipment. Free in PDF or in-app.
SIGN UP TO USE TEMPLATE

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 standardized 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
SIGN UP TO USE
PREVIEW FULL TEMPLATE
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

PREVIEW FULL TEMPLATE

Save Time with Digital Inspections

  • Easily capture & attach photos, directly on your mobile device.
  • Instantly generate and share detailed reports after the inspection.
  • Track corrective actions, view historical trends, improve standards.
GET A DEMO
START FREE TRIAL
GoAudits care app

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

LOTO checklists are based on OSHA Standard 29 CFR 1910.147, which requires employers to establish procedures for the control of hazardous energy. The checklist is what turns that procedure into a record: which machine was isolated, on what date, by which named person, and whether the zero-energy state was verified before work started.

get started with inspection templates

Why Are LOTO Procedures So Important?

These incidents can result from unexpected machine startup, release of stored energy, or failure to properly isolate equipment. Implementing standardized LOTO procedures helps organizations:

  • Maintain detailed records for accountability and continuous improvement.
  • Force a recorded verification step before any work begins, rather than a reminder to do one
  • Show the correct sequence was followed if an incident is later investigated
  • Cover contractors and second-shift crews who did not apply the original lock
  • Give the annual periodic inspection something concrete to verify against

What Should a Lockout Tagout Checklist Include?

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 – Records that affected employees were told before the lockout was applied and again before it was removed, with times for both.
  • Shutdown Procedures – Sets out the stopping sequence for that specific machine and confirms it was brought to a complete stop using the normal controls, not an emergency stop.
  • 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.

What Sequence Should a LOTO Checklist Follow?

A LOTO checklist should follow the six-step sequence OSHA sets out for applying energy control, so the order on paper matches the order on the floor.

  1. Prepare for shutdown – Identify every energy source on the equipment and confirm who needs to be notified.
  2. Shut down the equipment – Use the normal stopping procedure, not an emergency stop.
  3. Isolate the energy sources – Operate each disconnect, valve, or breaker listed for that machine.
  4. Apply the locks and tags – Every authorized employee attaches their own lock, with a tag identifying who applied it.
  5. Release or restrain stored energy – Bleed hydraulic and pneumatic lines, discharge capacitors, and block parts that can move under gravity or spring tension.
  6. Verify the zero-energy state – Attempt to start the equipment and test that it stays de-energized before any work begins.

Step six is the one most often skipped and the one an auditor will ask you to evidence.

Regulatory Standards and Compliance for Lock Out Tag Out Audit Checklists

Energy isolation is a legal requirement in most major markets, not just good practice. The regulations differ in wording but converge on the same four duties: a written procedure per machine, trained employees, verification before work, and a documented periodic review.

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

Lockout tagout is one of OSHA’s most frequently cited standards, and the agency estimates that compliance with 29 CFR 1910.147 prevents roughly 120 fatalities and 50,000 injuries a year.s

Most citations trace back to documentation rather than intent: no written procedure for a specific machine, no training records, or no certificate for the annual inspection.

👉 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 requires safe isolation of energy under PUWER and the Electricity at Work Regulations. A PUWER inspection checklist covers the equipment inspection side of the same duty.

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.

What Goes on a Lockout Tagout Tag?

A lockout tagout tag must warn that the equipment is unsafe to operate, identify who applied it, and state when it was applied. OSHA specifies the warning wording under 29 CFR 1910.147, using legends such as Do Not Start, Do Not Open, Do Not Close, Do Not Energize, and Do Not Operate.

A usable tag template captures five things:

  • The warning legend, legible from a distance
  • The name of the authorized employee who applied the lock
  • The date and time the lockout began
  • The equipment or asset ID the tag belongs to
  • A contact number or department for anyone who needs the equipment released

Tags are warning devices only. They do not physically hold anything shut, which is why a tag on its own is permitted only where an energy-isolating device cannot accept a lock. Where you do run tagout, OSHA expects employees to be trained on those limits: a tag must never be bypassed, ignored, or removed by anyone other than the person who applied it.

Out-of-service tags and equipment placards

An out-of-service tag marks equipment as unavailable for use, which is a different job from a LOTO tag isolating energy for maintenance. Faulty machinery awaiting repair, a ladder pulled from service, or a vehicle grounded after a defect check all need this second type of tag, and it does not require an accompanying lock.

Keeping the two types visually distinct stops the most common floor-level mix-up, where an out-of-service placard gets read as a lockout and someone assumes energy has been isolated when it has not. The tag on the machine only says the equipment is locked, so the detail sits in the record behind it. Capture the tag type, who applied it, and the asset ID as fields on the machine guarding checklist or preventive maintenance checklist your team already runs, and the tag and the record point to each other.

What to Watch Out For When Filling in a LOTO Checklist

Three gaps account for most LOTO checklist failures, and all three are fixable in how the checklist is written rather than how the audit is run.

Energy sources left off the equipment line

A checklist built around a generic energy list will miss sources that only exist on specific machines: a gravity-loaded ram, a pressurized accumulator, a capacitor bank, residual steam in a jacketed vessel. Build the energy source list per asset rather than per site, and require a recorded answer for each one instead of a single “all sources isolated” tick. Teams keeping equipment inspection records per asset usually already have the source data to do this.

Group lockout and shift handover

Group lockout breaks down when the checklist has one signature line. Every authorized employee needs their own lock and their own recorded entry, and the shift-change handover needs its own prompt covering who is taking custody of the lock box and who confirmed continuity. A checklist that cannot show a second shift verified isolation before starting work will not survive a periodic inspection.

One procedure reused across different machines

Reusing a single procedure across a line of similar machines is one of the most commonly cited LOTO failures. Isolation points differ even between two presses of the same model once one has been retrofitted. Version the checklist per asset and note the date of the last equipment change, so a modification triggers a procedure review rather than being discovered mid-lockout. Where the underlying written procedure needs rewriting rather than the checklist, our guide to safe operating procedures covers the document itself.

👉 Case Study: How Miniclipper Logistics raised audit responsiveness from 65% to 97%

Inspection Reporting Image CTA

How to Perform Lockout Tagout Checks Using a LOTO Audit Checklist

A LOTO audit checks whether the energy control procedure is being followed, which is a separate exercise from performing the lockout itself. The person auditing must be an authorized employee who is not one of the people using the procedure being inspected.

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.

Corrective Action Tracking: OSHA requires deficiencies found during a periodic inspection to be corrected, not just recorded. GoAudits assigns each finding to a named owner with a due date and keeps it open until someone closes it, so the correction is evidenced alongside the inspection.

A structured LOTO audit checklist prevents injuries from uncontrolled energy and keeps your records ready when an inspector asks for them. Teams running scheduled servicing on the same assets usually pair it with an electrical maintenance checklist , so isolation and maintenance evidence live in one place.

How GoAudits Helps With Lockout Tagout Inspections

GoAudits gives EHS and maintenance teams one mobile workflow for isolation checks, periodic inspections, and the records that prove both.

  • Run isolation checks offline anywhere on the plant floor, attaching a photo to each energy source as you confirm it
  • Schedule the annual periodic inspection for every energy control procedure, with reminders so no machine lapses past its certification date
  • Assign each deficiency to a named owner with a due date and track it to closure instead of chasing it by email
  • Keep a timestamped, e-signed record of who inspected which machine and when, ready to produce on request
  • Compare LOTO compliance across plants on the dashboard to see which sites keep failing the verification step

Lockout Tagout Template FAQs

When can a tag be used instead of a lock?

A tag alone is permitted only where the energy-isolating device cannot physically accept a lock. In that case OSHA requires the tagout program to provide protection equal to lockout, which usually means additional measures such as removing an isolating circuit element, blocking a control switch, or opening an extra disconnect. Everywhere a device can be locked, a lock is required.

Can I download these lock out tag out procedures templates in Excel or PDF?

Yes. Every template on this page downloads as a PDF, and a free account also lets you export to Excel. Most teams end up running the checklist in the app rather than working from the file, because the app records who completed each step and when, attaches photos to each energy source as it is verified, and turns any failed item into a corrective action with an owner and a due date. The finished record then generates itself, with nothing to rekey before it goes in your inspection file.

How often does a LOTO periodic inspection need to be completed

At least once a year for every energy control procedure, under OSHA 29 CFR 1910.147(c)(6). It must be carried out by an authorized employee who is not one of the people using the procedure being inspected. The employer then has to certify it, recording the machine, the date, the employees included, and who performed the inspection. Our LOTO periodic inspection form captures those certification fields.

Do I need a separate LOTO log or register?

A log is not required by OSHA, but most multi-site operators keep one because it answers what a periodic inspection cannot: which machines were locked out this month, by whom, and for how long. If your lockouts are recorded digitally, the log builds itself from completed checklists, so there is nothing separate to maintain.

Other Popular Safety Checklists:

Goaudits logo

OSHA Lockout Tagout (LOTO ) Inspection Checklist

Goaudits logo

Pre-Startup Safety Review(PSSR) Checklist

Goaudits logo

Electrical Safety Inspection Checklist

Goaudits logo

Confined Space Risk Assessment Template

Goaudits logo

Machine Preventive Maintenance Checklist

Goaudits logo

Equipment Commissioning Checklist

Goaudits logo

Chemical Handling Checklist

More Safety Audit Checklists

Digitize your Safety Inspections

  • Easily perform audits anywhere on the site using a mobile device, even offline
  • Attach photos to document issues or prove compliance
  • Assign tasks, set deadlines and track progress - all within a single app
  • Analyze data from audits to identify trends, pinpoint recurring issues, and assess compliance levels.
GET A DEMO
START FREE TRIAL
GoAudits care app
goaudits inspection app

US Office
2810 N Church St, DE 19802
+1 509-653-5051

UK & Europe Office
1 Brunel Way, London, SL1 1FQ
+44 20 3966 7776

Australia Office
+61 2 7908 2658

Singapore Office
+65 3174 6529

Middle East Office
+971-48-718601

USE CASES

  • Inspection Checklists
  • Safety Inspections
  • Quality Inspections
  • Cleaning Inspections
  • Other Inspections

  • GDPR Compliant

RESOURCES

  • Pricing
  • FAQ & Help Center
  • Blog & News
  • Book your demo

GET STARTED

download on app store
download on google play
Sign up from computer
Sign up from computer
© GoAudits. All Rights Reserved.