TOOLS

LOTO Permit Generator

OSHA 1910.147 — fillable, print-ready lockout/tagout permit

Lockout / Tagout Permit

Per OSHA 29 CFR 1910.147: Control of Hazardous Energy. Required before ANY servicing, maintenance, or setup work where unexpected energization could injure an employee.

0/7 isolation steps

1Equipment & Work Details

Permit #

Date

Start Time

Anticipated End Time

Equipment Name

Equipment ID / Tag

Location / Area

Building

ECP Reference #

Description of Work

2Personnel

Authorized Employee (Primary Lock Owner)

Employee ID / Badge

Group lockout — multiple authorized employees servicing equipment together (§1910.147(f)(3))

Affected Employees (operators, adjacent workers)

Other Personnel Notified

3Energy Source Inventory — §1910.147(c)(4)

Check each energy type present. Specify disconnect location, valve number, or block location for each.

ElectricalBreaker / disconnect / fuse removal

MechanicalBlock, pin, chain, or chock

HydraulicValve closure + bleed-down

PneumaticValve closure + pressure release

ChemicalLine break / double-block-and-bleed

ThermalCool-down / heat source isolation

Gravity / PotentialBlock, crib, or physical restraint

Stored (springs, capacitors)Discharge or restrain

Stored / Residual Energy Notes (capacitors, springs, hydraulic pressure, gravity loads, thermal, steam)

4Isolation Sequence — §1910.147(d)

Each step must be completed in order before work may begin.

1.Notify all affected employees that LOTO is about to occur and why

2.Review machine-specific energy control procedure (ECP) for this equipment

3.If operating, shut down the equipment using its normal stopping procedure

4.Isolate the machine from ALL energy sources (open disconnects, close valves, block lines)

5.Apply lockout devices AND tag with the authorized employee's name

6.Release/restrain stored or residual energy (capacitors, springs, hydraulic pressure, gravity, steam, thermal, air)

7.Verify isolation: attempt to start the equipment using normal controls (then return to OFF), test with multimeter at zero energy

Zero-Energy Verification — §1910.147(d)(6)

Verified By (Authorized Employee)

Verification Method

5Release Procedure — §1910.147(e)

Complete each step before removing locks and returning equipment to service.

1.All tools have been removed from the equipment

2.All employees are clear of the equipment and notified

3.Guards and safety devices have been reinstalled

4.Each lock/tag is removed ONLY by the authorized employee who applied it

5.Equipment is re-energized and tested before turning over to production

6Notes / Special Conditions

7Signatures

Authorized Employee Signature (typed)

Supervisor Signature (typed)

Supervisor Title

Released to Service — Signature

Release Time

Read: LOTO guide