Free LOTO template · Word

    Lockout tagout
    procedure template

    A free, OSHA-aligned, equipment-specific procedure. An editable Word document for customising procedure text, headers and approvals.

    • OSHA-aligned to 29 CFR 1910.147
    • Equipment-specific. One per machine
    • Energy isolation, verification & release
    • Free editable Word document
    Free download

    Download the lockout tagout procedure template

    Get the OSHA-aligned procedure emailed to you as an editable Word document. PDF and Excel versions are also available.

    What's inside

    Everything the procedure needs, in one document.

    Use the Word version when you need to adapt the procedure wording for a specific machine or system. Build one per machine, equipment item or defined system.

    Cover page · 1 / 6
    What's inside

    Everything the procedure needs, in one editable document.

    Use Word when the value is in editable wording: procedure text, role definitions, headers and approvals for a specific machine.

    • Instructions for use, with a table of which part is completed when, and by whom
    • Document control: equipment & asset ID, owner, approver, review frequency, revision
    • Roles & responsibilities across before, during and after the lockout
    • Energy isolation table: one step per source, with device, action, stored energy and verification
    • Verification checklist to confirm zero energy before work begins
    • Field execution record, group LOTO sign-on, periodic review and a glossary
    Background

    What is a lockout/tagout procedure?

    A lockout/tagout (LOTO) procedure is a documented, equipment-specific method for isolating hazardous energy before service or maintenance. It identifies every energy source on a machine, the device used to isolate each one, and the steps to verify the machine is at zero energy before anyone starts work.

    Under OSHA 29 CFR 1910.147, procedures are expected to be specific to the equipment. A generic, one-size-fits-all document is a common audit finding. The Word version gives you an editable structure to build one procedure per machine, adapt the wording to your site, and keep it in your document control system.

    Get it right

    LOTO procedure best practices

    A template is a starting point, not a finished energy-control program. To keep it effective:

    • Make it equipment-specific

      Generic procedures fail audits. Edit the wording to list the actual energy sources and isolation points for the machine.

    • Keep procedures current

      Update the document whenever the equipment, energy sources or process change, not just at the annual review, and bump the revision number.

    • Verify zero energy every time

      Test the start controls and check for stored or residual energy before work begins, not just once.

    • Train and inspect

      Authorized-employee training and a periodic inspection at least annually are required for compliance.

    When to use it

    When to use this template

    1

    One per machine

    Build a procedure for each machine, equipment item or defined system with its own energy sources.

    2

    Planned shutdowns

    Coordinate the many isolations of a scheduled shutdown, turnaround or major maintenance event.

    3

    Group LOTO

    Coordinate multiple authorized employees working under one isolation with a sign-on record.

    4

    Periodic review

    Re-verify procedures at least annually or whenever the equipment or process changes.

    FAQs

    Questions about this template

    This template is provided as general guidance. Site-specific procedures and the requirements of the authority having jurisdiction, insurer and other applicable authorities take precedence. Have a competent person review and adapt the template before use. Confirm citations against the standard editions your site holds. This is safety information, not legal advice.

    When paper stops being enough

    See your lockout tagout process in Zentri.

    We'll show you how Zentri handles procedures, isolations, roles and approvals. Then we'll talk through how it would run at your facility.