• Are procedures developed and documented for safe and proper use of locks and tags? Reference 21.2.1.4

  • Has a training plan been developed for initial and recurring training on lockout and tagout procedures? Reference 21.2.1.6

  • Are LOTO devices (typically locks) used as a positive means of isolating energy sources and preventing unexpected start-up of machines and equipment? Reference 21.2.1.7

  • Is an inspection of the lockout and tagout program conducted annually? Reference 21.2.1.10

  • Is an adequate supply of safety tags and locks available for use, including the AF Form 983 and administrative locks? Reference 21.3.3

  • Are all workers responsible for recognizing when LOTO is used, the general reasons for LOTO and the importance of not tampering with or removing LOTO devices? Reference 21.3.4.1

  • Have equipment-specific, written procedures been developed for use when equipment or machinery undergoes servicing, modification or maintenance? Reference 21.3.8

  • Are affected personnel in the area notified before and after lockout or tagout controls are used? Reference 21.4

  • Does the supervisor, authorized worker and operator responsible for the equipment or machinery know the type, magnitude and hazards of the energy source(s)? Reference 21.4.2.1.1

  • Are lockout devices attached in a manner that will hold the energy isolating devices in a ―safe‖ or ―off‖ position? Reference 21.4.2.5.

  • Are service/administrative locks and tags replaced when maintenance on equipment and machinery starts? Reference 21.4.9.1.3

  • Are specific, written procedures utilized during shift or personnel changes to ensure the continuity of lockout or tagout protection? Reference 21.4.10

  • Is initial and recurring lockout and tagout program job training current and documented? Reference 21.5.5

  • Are periodic self-inspections conducted and documented by the unit? Reference 21.6.1

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.