What's Included in the Template

This lockout tagout procedure template includes every field required by OSHA 1910.147(c)(4) for a compliant energy control procedure:

  • Equipment identification: name, location, and purpose
  • Energy source inventory: type, magnitude, and location for each source
  • Isolation point details: device location, isolation method, and required hardware
  • Shutdown sequence: ordered steps for safe deenergization
  • Verification steps: how to confirm zero energy state
  • Reenergization sequence: ordered steps for safe restart
  • Authorized and affected employee roles

How to Use This Template

  1. Download the template and make copies for each piece of equipment
  2. Walk the shop floor with maintenance personnel to identify all energy sources
  3. Document each isolation point with specific locations and methods
  4. Define the shutdown and reenergization sequences in order
  5. Have an authorized employee review the completed procedure
  6. Train all affected employees on the new procedure

Limitations of Paper Templates

Paper templates work for small programs with a few procedures. For a detailed comparison, see Digital vs Paper LOTO Procedures. As your program grows, you'll run into version control issues, inconsistent formatting, and difficulty tracking inspections across dozens or hundreds of procedures.

LOTOBuilder replaces paper templates with a digital procedure builder that generates professional, OSHA-compliant PDFs in minutes. See all features or start your free trial.