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Energy Isolation Lifesaving Rule Audit

LOTO Compliance Audit per 8 CCR 3314

🔒 LIFESAVING RULE: Verify isolation before work begins. Use personal locks and tags. Never remove another person's lock.
📋 Audit Information
⚡ Work Information
✅ Audit Checklist

Mark each item as Compliant, Non-Compliant, or N/A

Pre-Work Planning
LOTO procedure identified and reviewed
✓
✗
N/A
All energy sources identified
✓
✗
N/A
Isolation points identified on equipment
✓
✗
N/A
Required locks and tags available
✓
✗
N/A
Affected personnel notified
✓
✗
N/A
Lockout/Tagout Devices
Personal lock applied by authorized worker
✓
✗
N/A
Lock is individually keyed (one key per lock)
✓
✗
N/A
Tag properly completed with name, date, reason
✓
✗
N/A
Tag attached with lock (not separately)
✓
✗
N/A
Multi-lock hasp used when required
✓
✗
N/A
Energy Isolation Verification
Equipment de-energized before lockout
✓
✗
N/A
Stored/residual energy released/blocked
✓
✗
N/A
Zero energy state verified (try start)
✓
✗
N/A
Verification documented
✓
✗
N/A
All isolation points secured
✓
✗
N/A
Work Execution
Lock remains in place during entire job
✓
✗
N/A
Worker maintains control of their lock/key
✓
✗
N/A
No unauthorized lock removal
✓
✗
N/A
Work boundaries respected
✓
✗
N/A
Changes in scope trigger re-evaluation
✓
✗
N/A
Communication & Coordination
Shift change handover documented
✓
✗
N/A
Group lockout coordinated properly
✓
✗
N/A
All workers applied individual locks
✓
✗
N/A
Communication with control room/operations
✓
✗
N/A
Restoration
Work area inspected before re-energization
✓
✗
N/A
All tools and materials removed
✓
✗
N/A
Guards and safety devices reinstalled
✓
✗
N/A
All workers accounted for and clear
✓
✗
N/A
Locks removed by authorized worker only
✓
✗
N/A
Equipment tested before return to service
✓
✗
N/A
📊 Overall Audit Result
✓ Compliant
Coaching Provided
✗ Non-Compliant
📝 Observations & Coaching
Photos (take a picture or pick from your library, as many as you need)
Photos and PDFs, 15MB max each. Attachments lock when the form is submitted.
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