This is an audit for LOTO form completion, procedure content, and hands-on performance.
Lockout and Tagout Audit
Lockout and Tagout Audit
Use this checklist to check your logout tagout procedure for feasibility and error-proneness.
Lockout and Tagout Audit
Use this checklist to check your logout tagout procedure for feasibility and error-proneness.
About the Lockout and Tagout Audit
Categories
- Templates for manufacturing processes
- Workplace safety templates
Preview of the template
Audit
Program
Has the employer established a LOTO program?
Definitions
Does the procedure define the following items?1910.147(b)
1. Affected employees
2. Authorized employees
3. Energized
4. Capable of being locked out
5. Energy isolating device
6. Energy source
7. Lockout
8. Lockout device
9. Tagout
10. Tagout device
Content
Does the program contain energy control procedures or methods to determine energy control periods? 1910.147(c)(1)
Does the program contain employee training requirements for authorized and affected individuals? 1910.147(c)(1)
Does the program contain periodic inspection requirements? 1910.147(c)(1)
Does the procedure identify methods to be used when an energy isolating device cannot be used? 1910.147(c)(2)(i)
Does the program identify pracatuions and limitiations of using tagout only? 1910.147(c)(2)(ii)
Does the program identify LOTO design criteria for new equipment? 1910.147(c)(2)(iii)
Does the program contain the following sections? 1910.147(c)(4)(ii)
1. Scope of the program
2. Purpose of the program
3. Authorization
4. Rules and techniques for LOTO
5. A specific statement for the use of the procedure
6. Specific procedural steps for shutting down, isolating, blocking and securing machines or equipment to control hazardous energy
7. Specific procedural steps for the placement, removal and transfer of lockout devices or tagout devices and the responsibility for them
8. Specific requirements for verifying the effectiveness of lockout devices, tagout devices, and other energy controlling measures
Are materials provided by the employer for use as LOTO devices? 1910.147(c)(5)(i)
Equipment
Do LOTO devices meet the following criteria? 1910.147(c)(5)(ii)
Do LOTO devices meet the following criteria? 1910.147(c)(5)(ii)
1. Singularly identified
2. Used on on LOTO
3. Durable
4. Capable of withstanding the environment
5. Capable of becoming wet without deterioration
6. Capable of withstanding acidic or basic environments where acids or bases are stored
7. Standardized - Same color, design, shape, etc. Must meet one criteria
8. Substantial/Heavy Duty
9. Identifiable
10. Provide a warning to employees
Inspections
Does the employer conduct a periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of this standard are being followed? 1910.147(c)(6)(i)(A)
Does the employer conduct a periodic inspection that includes a review of each authorized employee's responsibilities under the program? 1910.147(c)(6)(i)(C)
Does the employer conduct a periodic inspection that includes the identification of the machine, the date of the inspection, the employees included in the inspection, and the person performing the inspection? 1910.147(c)(6)(ii)
Training
Does the employer provide training to authorized and affected employees? 1910.147(c)(7)(i)
Does the employer provide training that includes the understanding of the knowledge and skills required for safe use of LOTO? 1910.147(c)(7)(i)
Does the employer provide training that includes recognition of hazardous energy sources, types and magnitude of energy available in the workplace, and the methods of isolation? 1910.147(c)(7)(i)(A)
Does the employer provide training to affected individuals that includes the purpose and use of energy control procedures? 1910.147(c)(7)(i)(b)
Where tagout systems are used, does the employer provide training to the limitations of tagout only? 1910.147(c)(7)(ii)
Does the employer address address LOTO retraining and the conditions that retraining is required? 1910.147(c)(7)(iii)(A)
Does the employer track LOTO training including employees name and dates of training? 1910.147(c)(7)(iv)
LOTO Steps
Is lockout or tagout performed only by the authorized employee who is performing the maintenance? 1910.147(c)(8)
Do authorized employees follow the step-by-step process for LOTO? 1910.147(d)
1. Application of control
2. Preparation for shutdown
3. Machine shutdown
4. Machine isolation
5. LOTO application
6. Release of stored energy
7. Verification of isolation
8. Completion of maintenance
9. Release from LOTO
10. LOTO device removal
Does the program provide guidance for the testing or repositioning of machinery during LOTO? 1910.147(f)(1)
Does the program provide instructions for interactions with contractors? 1910.147(f)(2)
Does the program provide guidance for group LOTO? 1910.147(f)(3)
Does the program provide devices for group LOTO? 1910.147(f)(3)
Does the program provide instructions for shift change? 1910.147(f)(4)
Audit Score
90 - 100 Excellent: 1 or 2 minor deficiencies only
80 - 90 Average: No major, more than 2 minor deficiencies
70 - 80 Poor: Any major deficiency
Audit Score
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.