Alanna Soukkala

MMA - LOTO Energy Source and Control Point Inventory

Use this audit to inventory energy sources and control points to build LOTO procedures.

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Use this Template

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Title Page

Client Name
Site

Energy Source and Control Point Inventory

Equipment Name
Photo of Equipment
Include psi, voltage rating, or other pertinent information
Hazardous energy source?
Photo of where energy isolation point is located
Describe how to disconnect (de-energize) this energy source
Type and count of LOTO devices

Alanna Soukkala

MMA - LOTO Energy Source and Control Point Inventory

Use this audit to inventory energy sources and control points to build LOTO procedures.

Use this Template

Print as PDF

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