Dylan McLellan

LOTO Audit

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Use this Template

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Title Page

Site conducted
Conducted on
Prepared by
Location

Machine
Full LOTO posted?
LOTO hardware available (Correct number or locks, Group tags, LOTO devices, no extra items)
LOTO tracking log posted?
Alternative LOTO posted (Task inventory and Alternative Procedures for each task approved)?
Tracking log reflects Full LOTO and Approved Alternatives?

Dylan McLellan

LOTO Audit

Use this Template

Print as PDF

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. You should independently determine whether the template is suitable for your circumstances.