Lockout Tagout Program

Establish a consistent process for controlling hazardous energy during equipment servicing and maintenance with this editable Lockout/Tagout (LOTO) Program from Team Libertas.

Unexpected equipment startup or the release of stored energy can cause serious injuries. This written program provides a framework for identifying hazardous energy sources, isolating equipment, applying lockout/tagout devices, and verifying that equipment is safe before work begins.

Developed with reference to OSHA's Control of Hazardous Energy standard (29 CFR 1910.147), the program is designed for employers seeking to establish or improve their hazardous energy control procedures.

The program covers:

• Employee roles, responsibilities, and authorization
• Electrical, mechanical, hydraulic, pneumatic, thermal, and other hazardous energy sources
• Equipment-specific energy control procedures
• Lockout/tagout device requirements and management
• Equipment shutdown, energy isolation, and control of stored energy
• Verification of isolation before servicing or maintenance
• Safe removal of devices and return to service
• Group lockout and shift changes
• Contractor coordination and temporary equipment energization
• Employee training and retraining
• Periodic inspections, documentation, and program review

What's included:

An editable Microsoft Word (.docx) program with six supporting forms and templates:

• Authorized Employee Authorization Log
• Energy Control Procedure Template
• Lockout/Tagout Inspection Form
• Lockout/Tagout Training Record
• Group Lockout Participation Log
• Annual Program Review Form

Designed for customization

Adapt the program to your organization's equipment, energy sources, operations, and employee responsibilities. The included Energy Control Procedure Template provides a starting point for developing machine-specific procedures.

Format: Editable Microsoft Word (.docx), delivered as a digital download.

Important: This template requires review, customization, and implementation by the purchasing organization. Equipment-specific procedures, training, and other applicable requirements must be addressed separately. Purchase does not guarantee regulatory compliance.

License: For internal use by the purchasing organization. Editing, customization, reproduction, and internal distribution are permitted. Resale, external redistribution, public posting, or commercial inclusion are prohibited.

Need assistance? Team Libertas can help with program customization, equipment-specific procedures, training, and implementation. Learn more about our services.