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LOTO Checklist

MaintainX
10/24/2021

LOTO Checklist

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

    • Pass
    • Flag
    • Fail

    If the power disconnect for equipment does not also disconnect the electrical control circuit, are the appropriate electrical enclosures identified and is a means provided to ensure the control circuit can also be disconnected and locked out?

    • Pass
    • Flag
    • Fail

    Is the locking out of control circuits, instead of locking out main power disconnects, prohibited?

    • Pass
    • Flag
    • Fail

    Are all equipment control valve handles provided with a means for locking out?

    • Pass
    • Flag
    • Fail

    Does the lockout procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked out for repairs?

    • Pass
    • Flag
    • Fail

    Are appropriate employees provided with individually keyed personal safety locks?

    • Pass
    • Flag
    • Fail

    Are employees required to keep personal control of their key(s) while they have safety locks in use?

    • Pass
    • Flag
    • Fail

    Is it required that only the employee exposed to the hazard can place or remove the safety lock?

    • Pass
    • Flag
    • Fail

    Is it required that employees check the safety of the lockout by attempting a startup after making sure no one is exposed?

    • Pass
    • Flag
    • Fail

    Are employees instructed to always push the control circuit stop button prior to reenergizing the main power switch?

    • Pass
    • Flag
    • Fail

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

    • Pass
    • Flag
    • Fail

    Are a sufficient number of incident prevention signs or tags and safety padlocks provided for any reasonably forseeable repair emergency?

    • Pass
    • Flag
    • Fail

    When machine operations, configuration or size require an operator to leave the control station and part of the machine could move if accidentally activated, is the part required to be separately locked out or blocked?

    • Pass
    • Flag
    • Fail

    If equipment or lines cannot be shut down, locked out and tagged, is a safe job procedure established and rigidly followed?

    • Pass
    • Flag
    • Fail

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