Energy Control
Lockout Tagout Safety Checklist
Confirm energy isolation, lock application and zero-energy verification.
0/52
0%
Live safety status
WARNING
Complete all applicable items.
Progress
0%
Compliance
0%
Total questions
52
Answered
0
Findings
0
Critical findings
0
Authorization and Planning
1
2
A current equipment-specific lockout/tagout procedure is available at the work location.
Critical3
The equipment, work scope, isolation boundaries and affected systems are clearly defined.
Critical4
A task-specific risk assessment or JSA has been completed and communicated to the work team.
Critical5
An authorized and competent person is responsible for coordinating the isolation.
CriticalCommunication and Personnel
6
Affected employees have been informed that the equipment will be shut down and isolated.
Critical7
All workers involved understand the isolation scope, hazards, responsibilities and restoration process.
Critical8
Only trained and authorized employees are applying, changing or removing locks and tags.
Critical9
Simultaneous operations and nearby work activities have been reviewed and coordinated.
Energy Source Identification
10
All hazardous energy sources connected to the equipment have been identified.
Critical11
Electrical supplies, circuits, control power and possible backfeeds have been identified.
Critical12
Mechanical energy from moving, rotating, suspended or tensioned components has been identified.
Critical13
Hydraulic, pneumatic, vacuum and pressurized-system energy sources have been identified.
Critical14
Thermal, chemical, steam, gas, liquid and process energy sources have been identified.
Critical15
Stored or residual energy such as pressure, springs, capacitors, gravity and heat has been identified.
CriticalEquipment Shutdown
16
The equipment has been shut down using the normal operating controls.
Critical17
The approved shutdown sequence has been followed to prevent additional hazards.
Critical18
Operating controls have been placed in the off, neutral or safe position.
Critical19
The process and connected equipment have been stabilized before isolation begins.
CriticalIsolation Application
20
All required disconnecting devices, breakers, valves and isolation points are in the safe position.
Critical21
Physical separation, blanking, blinding or disconnection is used where required.
Critical22
Push buttons, selector switches, software commands or control circuits are not used as the sole means of isolation.
Critical23
Isolation valves are closed, secured and protected against unintended movement.
Critical24
Moving, suspended or elevated components are blocked, lowered or mechanically secured.
CriticalLock and Tag Application
25
Each authorized worker has applied their personal lock to the approved isolation device or group lock system.
Critical26
Locks are uniquely keyed and clearly identifiable to the person who applied them.
Critical27
Tags include the worker's name, date, department and reason for isolation.
Critical28
Locks and tags are securely attached and cannot be removed without deliberate action.
Critical29
Lockout devices are suitable for the equipment and environmental conditions.
Stored Energy Control
30
Stored pressure, trapped fluids, gases, steam and vacuum have been safely released or restrained.
Critical31
Electrical capacitors and other energy-storage devices have been discharged and verified.
Critical32
Springs, counterweights and tensioned components have been released or securely restrained.
Critical33
Gravity hazards are controlled by lowering, blocking, pinning or otherwise securing components.
Critical34
Potential reaccumulation of hazardous energy is continuously monitored and controlled.
CriticalZero-Energy Verification
35
A start attempt or operational test has been performed to verify that the equipment cannot operate.
Critical36
Absence of electrical voltage has been verified with a suitable and proven test instrument.
Critical37
The electrical test instrument was proved before and after the absence-of-voltage test.
Critical38
Pressure gauges, drains, vents or other methods confirm that pressure has been removed.
Critical39
Operating controls have been returned to the off or neutral position after the verification test.
Critical40
The authorized person has confirmed and documented a zero-energy state before work begins.
CriticalGroup LOTO and Shift Control
41
A controlled group lock box or equivalent system is used when multiple workers are involved.
Critical42
Every worker is individually accounted for and protected by a personal lock.
Critical43
A documented lock-transfer or shift-handover process maintains continuous protection.
Critical44
Contractor and site lockout/tagout responsibilities are coordinated and understood.
CriticalRestoration and Re-Energization
45
The work area has been inspected and tools, temporary grounds, blocks and loose materials have been removed.
Critical46
Guards, covers, safety devices and equipment components have been correctly reinstalled.
Critical47
All personnel are clear of the equipment and safely positioned before energy is restored.
Critical48
Each personal lock is removed only by the employee who applied it, except under an approved exceptional-removal procedure.
Critical49
Affected employees have been notified before locks are removed and equipment is re-energized.
Critical50
Energy is restored in a controlled sequence by an authorized person.
Critical51
The equipment is function-tested safely and abnormal conditions are immediately controlled.
Final Authorization
52
The isolation record, permit and associated documentation have been completed and formally closed.
CriticalInspection result
Calculated live from the inspection responses.
Inspection incomplete
Yes: 0No: 0N/A: 0