Electrical Isolation (LOTO) Permit
A permit to work authorising electrical isolation and lock-out / tag-out — records the isolation points, locks and tags applied, the verify-dead test and the restoration steps, to keep workers safe during de-energised work.
Frequently asked questions
What does the Electrical Isolation (LOTO) Permit cover?
A permit to work authorising electrical isolation and lock-out / tag-out — records the isolation points, locks and tags applied, the verify-dead test and the restoration steps, to keep workers safe during de-energised work.
When should a lockout / tagout be used?
Use lockout / tagout whenever equipment must be isolated and de-energised for work, to protect people from unexpected energisation or stored energy. Complete a permit for each isolation and only restore power through the documented verify-dead and restoration steps.
Who should issue and sign this record?
A competent, authorised person (the permit issuer) should authorise and sign a permit to work, and the workers carrying out the task must read and sign on. For a toolbox talk, the supervisor or safety representative delivers it and records attendance. Record all names and authorisations on the form.
Is this permit free to use?
Yes — it's free to download and use. It's a practical record template you can adapt to your job and your client's requirements; it does not replace any official certificate or document your state or territory may require, or the manufacturer's instructions.
This is a general template aligned to the requirements of Work Health & Safety. It is provided as a guide only and is not a substitute for the published standard or manufacturer instructions. Always work to the current edition of the relevant standard and your jurisdiction's requirements, and have routine service carried out by a competent, appropriately licensed person.
Do this inspection on your phone
traqR auto-schedules recurring electrical isolation / loto service, captures photos and defects on site, and stores every record for audit. Try it free for 14 days.