Title Page

  • Client Name

  • Site

Energy Source and Control Point Inventory

    Equipment
  • Equipment Name

  • Photo of Equipment

  • Energy Source and Control Point
  • 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

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.