Control of Hazardous Energy Checklist

1. Is all machinery or equipment capable of movement, required to be de-energized or disengaged and locked out during cleaning, servicing, adjusting or setting up operations, whenever required?

2. Does the organization have a written Control of Hazardous Energy (LOTO) Program?

3. Do Authorized Workers who perform lockout-tagout have appropriate training?

4. Do Authorized Workers who perform lockout-tagout have appropriate locks, tags and lockout devices?

5. Do Lockout procedures include energy from suspended loads or potential energy (such as compressed springs, hydraulics, or jacks) to control hazards?

6. Is the locking-out of control circuits in lieu of locking-out main power disconnects prohibited?

7. Is it prohibited to use lockout/tagout devices for any purpose other than for hazardous energy control during maintenance or repair?

8. Is there a means provided to identify employees who are working on locked-out equipment by their locks or accompanying tags?

9. Are appropriate employees provided with individually keyed personal safety locks?

10. Are correct lockout/tagout procedures available and in use for each piece of eauipment with multiple sources of hazardous energy?

11. Do authorized employees confirm by voltage test (or equivalent means) that isolation and de-energizing have been accomplished before starting work on machines or equipment?

12. Does the organization have Group Lockout procedures available and in use?

13. Are appropriate employees provided with individually keyed personal safety locks?

14. Is there a program to assess and update as necessary machine-specific lockout procedures annually?

15. Is there a program in place to assess Authorized Workers' performance of lockout procedures annually?

16. Is there a program in place to manage outside Contractors who must perform lockout tagout at the facility?

17. Are facility affected employees notified of the application and removal of lockout-tagout devices by either a contractor or an authorized employee?

18. Write Comments or Remarks here: