#  Lockout-Tagout Periodic Inspection Form 

 



 

##  Lockout-Tagout Periodic Inspection Form 

**Summary**

Use this form to conduct a periodic lockout-tagout (LOTO) inspection.

Keep completed forms on file for one calendar year.

**Who is this for?**

- Lab and research staff in limited scenarios.
- Supervisors, managers, and authorized staff who may oversee LOTO activities.

 

 [ LOTO Periodic Inspection Form (HarvardKey Required) arrow\_circle\_right ](https://hu.sharepoint.com/:b:/s/EHSResources/EeHCnC9CfPhInJx5xdGOu28B_ugZkY_exl_Xr3miPIGQpw?e=RamVxg) 

 



 

 

 

 

 

 See also:- [ Building and Operations Managers ](/audience/building-and-operations-managers)
- [ Labs and Research ](/audience/labs-and-research)
- [ Lockout-Tagout ](/topic-areas/lockout-tagout)