Title Page

  • LOTO Date

  • LOTO by

  • Location

Register

  • Machine Name

  • LINE

  • LINE

  • LINE

  • LINE

  • LINE

  • LOTO Open Time

  • Reason for LOTO

  • Maintenance Person Name

  • Cleaning Person Name?

  • LOTO Closing Time

  • Line Started photo

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  • LOTO Person

  • Before Sign Please Ensure Line and employees in Safe Zone

  • Approver Sign

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.