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Free LOTO procedure template

Free lockout tagout (LOTO) procedure template as PDF or Excel (XLSX). Covers isolation types, roles, group lockout, try-out and removal.

Updated 10 Aug 2026

LOTO Procedure Template

Standard operating procedure for lockout tagout energy isolation covering all energy types and group lockout

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Scope and Roles

1Scope of plant and equipment covered
2Purpose and legislative references (WHS Regulations and AS 4024.1603)
3Authorised person role and responsibilities
4Competent person role and responsibilities
5Affected person role and responsibilities
6Training and competency requirements

Energy Types and Isolation Points

7Electrical isolation points
8Hydraulic isolation points
9Pneumatic isolation points
10Mechanical isolation points
11Gravitational energy controls
12Thermal energy controls
13Chemical energy controls
14Isolation point register or diagram reference

Lock and Tag Requirements

15Personal danger lock specification
16Personal danger tag specification
17One person one lock rule
18Lock and tag supply and storage
19Out-of-service tags vs personal danger tags

Isolation and Verification Steps

20Shutdown sequence
21Notification of affected persons
22Isolation of all energy sources
23Application of personal locks and tags
24Dissipation of stored or residual energy
25Try-out and zero energy verification
26Testing with appropriate instruments

Group Lockout and Removal

27Group lockout box or hasp procedure
28Each worker applies their own personal lock
29Shift changeover lock transfer process
30Lock removal sequence
31Verification before re-energisation
32Re-energisation and return to service notification

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These templates are free general guides provided as-is. They do not constitute legal, safety or compliance advice. You are responsible for ensuring any form meets your specific workplace obligations, industry standards and applicable regulations.

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Jarrod Milford

Jarrod Milford

Commercial Director

Updated 10 August 2026

Key takeaways

  • The MapTrack LOTO procedure template contains 32 checks across 5 sections. Sections covered: Scope and Roles, Energy Types and Isolation Points, Lock and Tag Requirements, Isolation and Verification Steps, Group Lockout and Removal.

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Used by construction, mining and field service teams

Saunders InternationalMineral ResourcesSupagasHacer GroupMetro TunnelUltrabuilt

What is a LOTO procedure template?

A lockout tagout (LOTO) procedure is a standard operating procedure that defines how energy sources are isolated and secured before maintenance or servicing work begins on plant and equipment. MapTrack helps operations teams manage LOTO procedures digitally so every isolation is recorded against the asset with full traceability. This overarching SOP is distinct from a per-job LOTO isolation checklist which is the field checklist completed for each specific isolation event. The procedure template defines the organisation-wide rules covering scope roles and responsibilities isolation types lock and tag requirements group isolation try-out verification and lock removal.

LOTO procedures are essential for preventing uncontrolled release of energy during maintenance. In Australia AS 4024.1603 (Control of hazardous energy - Lockout tagout and alternative methods) and the WHS Regulations set out requirements for isolation of plant. Failure to follow proper LOTO procedures is a leading cause of serious workplace injuries and fatalities in Australian industry. A well-documented LOTO procedure also addresses complex isolation scenarios such as multi-trade shutdowns where several work groups require simultaneous protection and long-duration isolations that span shift changes. The procedure should define how locks are transferred between shifts, how temporary de-isolation for testing is managed, and how the final re-energisation is authorised. Organisations that digitise their LOTO procedures can link each isolation event directly to the asset record, giving maintenance planners full visibility of isolation history, outstanding lock counts, and overdue removals.

Learn more about compliance and inspections in MapTrack.

Benefits of using this LOTO procedure template

  • Injury prevention: a documented LOTO procedure ensures all energy sources are identified and isolated before any maintenance work begins
  • Legal compliance: a written LOTO procedure demonstrates the PCBU has met their WHS Regulations and AS 4024.1603 obligations for energy isolation
  • Consistency: every worker follows the same isolation process regardless of the type of energy source or complexity of the task
  • Accountability: defined roles and responsibilities ensure everyone knows who authorises isolation who applies locks and who verifies zero energy
  • Group lockout coverage: the procedure addresses multi-person and multi-trade isolation scenarios where several workers need protection simultaneously
  • Audit trail: documented LOTO procedures with referenced checklists provide evidence for regulator enquiries and insurer audits

Benefits of digitising forms in MapTrack

When you move your procedures from paper to MapTrack, you get:

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  • Build conditional logic (show or hide questions based on answers).
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  • Electronic signatures.
  • Edit forms later without reprinting.
  • Restrict permissions (who can view, complete or approve).
  • Build forms with AI (describe what you need and MapTrack suggests the form).
  • Escalate critical hazards instantly to safety managers via push notification.
  • Maintain an auditable safety register that satisfies WHS regulator requests.
  • Correlate incident trends across sites with built-in safety analytics.

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What to include in a LOTO procedure template

This LOTO procedure template covers 8 key areas:

  • Scope and purpose: define which plant equipment and energy types the procedure covers and state its purpose in preventing uncontrolled energy release
  • Roles and responsibilities: define the roles of the authorised person (who authorises isolation) the competent person (who performs isolation) and the affected person (who works on the isolated plant)
  • Energy types: list all energy types covered including electrical hydraulic pneumatic mechanical gravitational thermal and chemical
  • Lock and tag requirements: specify the types of locks and tags to be used personal lock requirements and the rule that each worker applies their own lock
  • Isolation steps: describe the step-by-step process for isolating each energy type including shutdown sequence isolation point identification and lock application
  • Try-out and verification: define the process for verifying zero energy after isolation is applied including try-start and testing with appropriate instruments
  • Group isolation: describe the procedure for multi-person lockout including the use of a group lockout box or hasp and the requirement for each worker to apply their personal lock
  • Lock removal and re-energisation: define the process for removing locks restoring energy and confirming the plant is safe to return to service

How to use this LOTO procedure template

  1. Identify all energy sources: conduct an energy source audit for each item of plant and document every electrical hydraulic pneumatic mechanical gravitational thermal and chemical energy source
  2. Define isolation points: for each energy source identify the specific isolation point (breaker valve bleed point block) and document it on an isolation point diagram or register
  3. Assign roles and responsibilities: define who is authorised to approve isolations who is competent to perform them and how affected persons are informed and protected
  4. Document the step-by-step procedure: write out the shutdown isolation lock application try-out and verification steps in sequence for the organisation
  5. Establish lock and tag standards: specify the types of personal danger locks tags and group lockout devices (hasps boxes) to be used and ensure adequate supply is available
  6. Train all affected personnel: ensure every worker who performs isolation supervises isolation or works on isolated plant is trained in the procedure and assessed as competent
  7. Review and update regularly: review the LOTO procedure at least annually after any incident involving isolation failure and whenever new plant or energy sources are introduced

In MapTrack, you can digitise safety inspections and compliance forms. Each submission is stored as a timestamped PDF against the asset record.

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How often should you complete this procedure?

The LOTO procedure should be reviewed at least annually as part of the organisation's safety management system review cycle. It should also be reviewed immediately after any incident or near miss involving an isolation failure after the introduction of new plant or equipment and whenever there is a change in legislation or standards.

AS 4024.1603 requires that procedures for the control of hazardous energy are documented maintained and reviewed. The WHS Regulations require the PCBU to ensure that risks associated with plant are managed and that isolation procedures are followed. Regular review ensures the LOTO procedure remains current and effective as the workplace evolves.

Frequently asked questions

A LOTO procedure is the overarching standard operating procedure that defines the organisation-wide rules for energy isolation including roles, responsibilities, isolation types, lock requirements and removal process. A LOTO checklist is the per-job field form completed for each specific isolation event to confirm each step has been followed.

A comprehensive LOTO procedure should cover electrical, hydraulic, pneumatic, mechanical, gravitational, thermal and chemical energy sources. Each energy type requires specific isolation methods. For example, electrical energy requires breaker lockoff while hydraulic energy requires valve closure and pressure bleed-down.

AS 4024.1603 sets out requirements for the control of hazardous energy including documented isolation procedures, use of personal locks and tags, try-out verification of zero energy, group lockout arrangements and training for all affected personnel. It applies to all plant where uncontrolled energy release could cause injury.

Yes. Download and use the LOTO procedure template for free. Open the file and use your browser Print to Save as PDF. No MapTrack account required.

Yes, this LOTO procedure template is completely free to download as a PDF. No account or signup is required. For teams wanting to move beyond paper forms, MapTrack offers a digital version that automates scheduling, sends overdue alerts, and stores completed records in the cloud for instant retrieval during audits.

Applicable regulatory standards

This template aligns with the following regulations and standards:

  • AS/NZS 4024.1603 - Control of hazardous energy (Lockout/tagout)
  • WHS Regulations - Chapter 5 Plant and structures
  • OSHA 29 CFR 1910.147 - Control of hazardous energy

LOTO procedure template preview

LOTO procedure template template preview showing fields and layout

The numbers behind this LOTO procedure template

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  <p style="font-size:12px;font-weight:700;letter-spacing:0.05em;text-transform:uppercase;color:#071D49;margin:0;">Free template</p>
  <p style="font-size:18px;font-weight:700;color:#071D49;margin:6px 0 0;">LOTO procedure template</p>
  <ul style="margin:12px 0 0;padding-left:18px;color:#374151;font-size:14px;line-height:1.6;">
    <li style="margin:4px 0;">Scope and purpose: define which plant equipment and energy types the procedure covers and state its purpose in preventing uncontrolled energy release</li>
    <li style="margin:4px 0;">Roles and responsibilities: define the roles of the authorised person (who authorises isolation) the competent person (who performs isolation) and the affected person (who works on the isolated plant)</li>
    <li style="margin:4px 0;">Energy types: list all energy types covered including electrical hydraulic pneumatic mechanical gravitational thermal and chemical</li>
    <li style="margin:4px 0;">Lock and tag requirements: specify the types of locks and tags to be used personal lock requirements and the rule that each worker applies their own lock</li>
    <li style="margin:4px 0;">Isolation steps: describe the step-by-step process for isolating each energy type including shutdown sequence isolation point identification and lock application</li>
    <li style="margin:4px 0;">Try-out and verification: define the process for verifying zero energy after isolation is applied including try-start and testing with appropriate instruments</li>
  </ul>
  <p style="font-size:13px;color:#6B7280;margin:14px 0 0;padding-top:12px;border-top:1px solid #E5E7EB;">Free <a href="https://www.maptrack.com/templates/loto-procedure-template" style="color:#071D49;font-weight:600;text-decoration:none;">LOTO procedure template</a> by MapTrack</p>
</div>

Free to reuse, including commercially. This template is published under a Creative Commons Attribution 4.0 licence. Copy it, adapt it, put it on your own site or in your own docs. All we ask is that you credit MapTrack with a link back to this page. The snippet above already includes that credit, so if you use it as-is you’re covered.

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The MapTrack LOTO procedure template contains 32 checks across 5 sections.

Short attribution
MapTrack LOTO procedure template, https://www.maptrack.com/templates/loto-procedure-template
Reference list
MapTrack. (2026). LOTO procedure template [Checklist template]. Retrieved from https://www.maptrack.com/templates/loto-procedure-template

Free to reuse with credit under a Creative Commons Attribution 4.0 licence. If you’d rather link straight to it, the page is https://www.maptrack.com/templates/loto-procedure-template.

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