Farm Safety & Emergency Preparedness
Lockout/Tagout Procedure Template
A lockout and tagout procedure template for farm shops and equipment, outlining who may service machines, which energy sources to isolate, and how to verify a safe state.
Download free PDF1 page, US Letter, prints clean in black and white
TemplateFarm Safety & Emergency PreparednessFree PDF
Sections on this template
- Machine or equipment name
- Authorized workers
- Energy sources to isolate
- Shutdown steps
- Lock and tag placement
- Stored energy release steps
- Test to confirm zero energy
- Restart steps and notifications
- Procedure review date
How to use this template
Work through the sections one at a time. Anything with legal, tax or insurance effect should be reviewed by the right professional before you rely on it.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with OSHA and eXtension.
For more in this area, see the printable farm safety sheets. Between chores, farm.FM has farm humor, including Aliens at the Rodeo, and farming farm stories.