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

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

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

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

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

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

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

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

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

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.