OSHA-required annual periodic inspection form for lockout/tagout energy control procedures per 29 CFR 1910.147(c)(6). Documents the procedure reviewed, employees covered, inspector name, and any deficiencies found. Keeps your LOTO program audit-ready.
Included formats:
PDF — print-ready, ready to use immediately
Excel (XLSX) — yellow cells accept user input. Duplicate the blank worksheet or save a fresh copy for each annual inspection cycle. Print areas and repeating headings are pre-set — use print preview before printing completed records.
This template uses a US federal general industry baseline. Employers must determine applicable state-plan, industry, and site requirements. A completed form does not by itself certify compliance. Machine-specific LOTO procedures must be validated on actual equipment before use.
