21.9 Hazardous Energy Control (Lockout and Tagout) Checklist.

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

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

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

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

21.9.5. Is an adequate supply of safety tags and locks available for use? Reference 21.3.3

21.9.6. 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

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

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

21.9.9. 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

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

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

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

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

21.9.14. 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.