LOTO box

  • Are padlocks applied to the correct isolation points (refer to padlock stamp and isolation map)

  • Are all the padlocks removed and only their keys remain in the box

  • Does the number of isolation points on isolation map align with the number of isolation padlocks available in the LOTO box

  • Is the shift manager green padlock fitted to the LOTO box

  • Are all persons working on the tasks under LOTO locked onto the box

Isolation and lock off sheet

  • Are all padlocks correctly identified in the "Key ID number" on the isolation and lock off sheet

  • Are all verification boxes tick to confirm padlocks are applied

  • Is the reason for isolation detailed on the sheet

  • Have the shift manager and competent person signed to authorise the isolations

  • Has the reinstatement section been fully completed

Isolation maps

  • Does the isolation map detail stored energy sources

  • Do all LOTO boxes have an isolation map

LOTO board

  • Are all departmental locks available on their pegs. If not, are they signed out on the "Departmental lock sign out/in" form

  • Are all engineering padlocks present on their pegs if they are not in use

  • Are all hasps in place on their pegs if they are not in use

  • Is there a LOTO specific risk prediction tool available for use

LOTO RPT

  • Has a LOTO RPT been used by all people working on the equipment

  • Have the hazards been correctly identified

  • Has the individual printed and signed their name

  • Have all other sections been correctly completed

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