Templates / LOTO Procedure Sheet
LOTO Procedure Sheet
A lockout-tagout procedure sheet documenting isolation points and verification for a specific machine.
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Every template is a starting point, not a finished document. Replace the headings and fields with your own project detail before you issue it.
A lockout/tagout procedure sheet for isolating hazardous energy sources.
About this template
The LOTO Procedure Sheet is designed to be quick to complete and easy to adapt to your own workplace. Start from the template rather than a blank page, tailor the hazards, controls and responsibilities to your site, and keep a completed copy on file as evidence that the right checks were made.
How it links to the standards
The equipment and controls this template asks you to record are governed by published standards that define what each item must withstand and how it is tested. These are the ones that apply most directly:
- ISO 13849 — safety-related parts of control systems
- EN 60903 — insulating gloves for electrical work
The full EN standards library covers every standard referenced across SafetyOrbit.
Related guidance
Filling the template in is easier when you know the reasoning behind each control. These notes cover the practical detail:
- Energy and Networks — the full technique-note library for this kind of work
- Lockout-Tagout for Electrical Isolation: Proving Dead Before Work Begins
- Maintenance and Permit Work Inside Hazardous Areas
Lock, tag, then test to prove dead before work begins.
Frequently asked questions
What does the LOTO Procedure Sheet cover?
A lockout-tagout procedure sheet documenting the isolation points and verification steps for a specific machine, so the same safe isolation sequence can be repeated consistently.
Why does a procedure need to be written for each specific machine?
Isolation points, energy sources and verification methods differ between machines, so a generic instruction cannot reliably capture what a specific piece of equipment actually needs isolated and how to confirm it.
What are the core steps a LOTO procedure sheet should capture?
Every isolation point, the lock and tag applied to each, and the specific test used to prove the machine is actually de-energised before work begins.
Who should be able to use a completed LOTO procedure sheet?
Anyone authorised to isolate that machine, so the procedure needs to be clear enough that isolation is performed the same way regardless of who is carrying it out.