Safety Forms
Lockout & Isolation List
A Lockout & Isolation List that tracks every personal lock applied to a job - who owns it, their phone number, when it went on, when it came off, and exactly where it's located - delivered as a real fillable PDF for jobs with multiple workers isolating the same equipment.
- Fillable PDF — type into it on any device, or print it blank
- Single page, 8.5" x 11" (Letter)
- Add your company logo at checkout — no extra charge
- Written by Canadian safety professionals to provincial OHS standards
- Instant download after purchase
Written by certified COR auditors · Trusted by Canadian contractors for 17+ years · Secure Stripe checkout · Instant delivery + re-download any time from your purchases page
Pairs with online training
Certificates issue instantly through our online training portal.
EVERY LOCK, EVERY OWNER, EVERY PHONE NUMBER, ON ONE TRACKED LIST PER JOB
What you get
- A fillable PDF - type directly into every row
- Header fields for Date, Client, Job Number, Facility, Supervisor, and Work Location
- A 12-row lock tracking table: Name & Lock Number, Phone No., Date On, Date Off, and Location of Lock
- A Comments area for job-specific isolation notes
- Your company logo added to the form, at no extra charge
How to fill it out and keep it. Open it in Adobe Acrobat Reader (free) or a desktop browser like Chrome or Edge, then use that program's own Save or Download button, not just closing the tab, so your entries are kept in the saved copy. On a phone, most PDF apps will let you view the form but not type into it - fill it out on a computer, or print it and use a pen.
Specifications
- Size
- 8.5" x 11" (Letter)
- Format
- Fillable PDF - type into it on any device, or print it blank
- Company logo
- Included - upload at checkout, or we print your company name instead
- Delivery
- Instant download after purchase
Why crews use it
- A phone number next to every lock owner means a supervisor can reach the right person immediately if a lock needs to come off and its owner isn't on site
- Date On and Date Off columns turn a lockout list into an audit trail of exactly how long each lock stayed applied, not just a snapshot of who's isolating equipment right now
- 12 rows cover a multi-person lockout job on one page instead of tracking locks across separate sticky notes or a whiteboard
- Naming the Facility and Work Location alongside the Job Number keeps the list unambiguous when a supervisor is managing lockouts across more than one site
Built for
- Supervisors managing group lockout/tagout on jobs with multiple workers isolating the same equipment
- Contractors and facilities requiring a documented, auditable lock list for energy-isolation procedures
- COR/SECOR audit programs needing evidence that lockout/isolation was tracked, not just performed
Why it matters
Group lockout only works if every applied lock is accounted for - a lock left on with nobody able to say whose it is, or one removed before its owner confirmed their work was done, is exactly how someone gets hurt reactivating equipment. A single tracked list with names, phone numbers, and on/off dates is what keeps a multi-worker isolation job under control from start to finish.
Try it right here
Click a box. Type a line. See how it feels before you buy.
This is the real form layout - what you type here isn't saved or sent anywhere, it's just so you can see the fields work before you pay.
Common questions
Before you buy
What people ask us about the Lockout & Isolation List.
What is the Lockout & Isolation List used for?
A Lockout & Isolation List that tracks every personal lock applied to a job - who owns it, their phone number, when it went on, when it came off, and exactly where it's located - delivered as a real fillable PDF for jobs with multiple workers isolating the same equipment. Who uses it: Supervisors managing group lockout/tagout on jobs with multiple workers isolating the same equipment; Contractors and facilities requiring a documented, auditable lock list for energy-isolation procedures; COR/SECOR audit programs needing evidence that lockout/isolation was tracked, not just performed.
Can we fill it in on a computer, or is it print-only?
Both. It is a fillable PDF, so every field can be typed into on a laptop or tablet and saved, or you can print it blank and fill it in by hand. Your company logo is added at no extra charge.
Does using this form make us compliant?
No single form makes a company compliant. A form is the evidence half of a safety program - it records that something was checked and by whom. It carries weight at audit time when the written program behind it says the check is required and how often. If that program does not exist yet, that is the part we write.
When do I get it?
Immediately after checkout as a download, and you can re-download it any time from your purchases page. Print or fill in as many copies as your own crews need.
From the team that wrote it
These forms come from a bigger program.
Inspection and competency forms are the evidence half of a safety program. If the program they belong to does not exist yet, or has not been updated in a few years, that is the part we write.