Audit template in the LeanSuite app
Last reviewed
Machine lockout procedure verification
Verification that a lockout procedure works as written.
The full question list
The 7 questions in the audit
Every question is answered Yes, No or N/A. Each No is flagged and asks for a photo and a comment, so the finding arrives with its evidence.
Procedure
- 1Machine-specific procedure is posted
- 2All energy sources are listed
- 3Lockout points are labelled
- 4Locks and tags are available
Verification
- 5Procedure was walked through with the operator
- 6Zero energy was verified
- 7Result recorded and signed
When to use it
- Once a month.
- An auditor or leader answers each question from what they see, hear and read in the area.
- Each record starts with: Machine ID.
How it is scored
The template is built with points per answer and a pass mark of 80. In this library every audit is set to pass at 80 and every inspection at 90. Each submitted audit shows its score and pass or fail, and every No is flagged with its photo and comment.
Change the points or the pass mark after you clone it. How rules and scoring work.
Read and print
More in safety inspections and audits
- Lockout/tagout audit checklist19 questions
- Machine changeover safety checklist6 questions
- Machine emergency shower weekly test6 questions
- Machine guarding inspection checklist21 questions
- Machine guarding program audit checklist6 questions
- Machine safety fence and barrier inspection checklist6 questions
Use this template in LeanSuite
It is ready in the Template Marketplace inside Lean Creator as “Machine Lockout Procedure Verification”. Clone it into your plant, change any question, then schedule it to a person, role or asset with reminders. Auditors complete it on a phone or tablet, with photo evidence where required.
Not on LeanSuite yet? On a 90-day pilot our team sets up your account and digitizes the forms and checklists you use today, this one included.