Knowella

Energy Isolation Permit Template

Verification is the step the standard requires and the one that gets replaced by an assumption. Isolating a source is visible and satisfying: the switch is off, the lock is on, the tag is filled in. Confirming that the equipment cannot now operate, and that stored energy has been relieved, produces no visible result and is skipped precisely because everything already looks correct.

KnowSafePermitSAF-050Pinned in navigation76 fields across 9 sectionsFull researchSee the form

Reviewed by Siddarth SinghCSPLast reviewed 16 August 2026

Basis
OSHA 1910.147, CSA Z460
Workspace
KnowSafe
Form type
Permit
Required step
Verify, not just isolate
Group lockout
Each person, individually protected

The short version

  • Verification is a required step, not a formality. Attempt to operate the equipment, confirm zero energy, and return controls to the off position.
  • All energy sources means all: electrical, hydraulic, pneumatic, mechanical, thermal, chemical, gravitational and stored energy in springs, capacitors and accumulators.
  • Stored and residual energy must be relieved, disconnected, restrained or otherwise rendered safe, and this is where isolation records most often stop short.
  • Group lockout must give each person protection equivalent to a personal lock. A single lead lock without a mechanism guaranteeing individual protection does not.
  • Shift change and personnel change need continuity of protection, which is the specific point at which group arrangements fail.
  • Machine-specific procedures are required where a machine has more than one energy source or where a generic procedure would not adequately control it.

What this is

What is an energy isolation permit?

What is an energy isolation permit?

Authorisation controlling the isolation of energy sources for servicing or maintenance, recording every source identified, the isolation applied and verified, how stored and residual energy was relieved, and who is working under the isolation.

Why is group lockout treated separately?

Because a single lock applied by a lead person protects the group only if the arrangement guarantees each individual's personal protection. Under 1910.147(f)(3), group lockout must afford each authorised employee a level of protection equivalent to a personal lockout device, which usually means a group lock box with each person's own lock on it.

Scope

When is an energy isolation permit required?

This authorises isolation for a specific job. Machine procedures and training sit separately.

Use this template when

  • Servicing or maintenance where unexpected energisation or release of stored energy could cause injury
  • Work requiring guard removal or bypass of a safety device
  • Group work where several people or trades work under one isolation
  • Work spanning shifts, where protection has to persist across handover
  • Contractor work performed under site isolation arrangements

Do not use it for

  • Machine-specific energy control procedures, which state how each machine is isolated
  • Line breaking, which verifies the condition at the point of opening
  • The electrical work permit, where work will be performed energized
  • Energy control training records under 1910.147(c)(7)
  • The periodic inspection under 1910.147(c)(6), which certifies the procedures are followed

Compliance mapping

Which OSHA 1910.147 requirements does this satisfy?

Energy control is prescriptively regulated with specific requirements for verification, stored energy and group work.

ClauseRequirementWhere it lands
1910.147(c)(4)Machine-specific procedures where more than one energy source exists or generic control is inadequateGate 1 Energy sources
1910.147(d)(2)Orderly shutdown to avoid additional hazard from the shutdown itselfGate 1 Energy sources
1910.147(d)(4)Lockout devices applied by authorised employees, holding the isolating device in the safe positionGate 2 Lock and verify
1910.147(d)(5)Stored or residual energy relieved, disconnected, restrained or otherwise rendered safeGate 2 Lock and verify
1910.147(d)(6)Verification that isolation and de-energisation have been accomplished before work beginsGate 2 Lock and verify
1910.147(f)(3)Group lockout affording each authorised employee protection equivalent to a personal lockout deviceGate 3 Group control
1910.147(f)(4)Shift or personnel changes with continuity of lockout protectionWorkers under this isolation
1910.147(e)Release sequence: equipment check, personnel clear, devices removed by those who applied themClosure

What it does not cover

  • Machine-specific energy control procedures, stating how each machine is isolated.
  • Line breaking, verifying the condition at the point of opening.
  • The electrical work permit, where work will be performed energized.
  • Energy control training records under 1910.147(c)(7).
  • The periodic inspection, certifying that procedures are followed.

How to complete it

How to complete an energy isolation permit, step by step

Find every source, verify rather than assume, and make group protection individual.

Identify every source, including stored energy

Electrical supplies including secondary feeds and control circuits, hydraulic and pneumatic pressure, mechanical motion, thermal, chemical, gravitational, and energy stored in springs, capacitors, accumulators and raised loads. The machine-specific procedure should list them, and where it does not, that is a finding rather than a reason to proceed from memory.

Verify by attempting to operate

Press start, operate the control, test for absence of voltage where electrical, confirm gauges read zero, and check that gravitational and spring energy is restrained. Then return controls to off. This is a required step and it is what finds the wrong isolator and the supply nobody documented.

Make group protection individual

A group lock box with each person's personal lock on it means no one source can be re-energised while any individual's lock remains. A single lead lock, without an equivalent mechanism, protects the lead person and gives everybody else a procedure. The requirement is protection equivalent to a personal lockout device for each authorised employee.

Plan continuity across shift change

Handover is where group arrangements fail: the outgoing lead removes their lock, the incoming lead applies theirs, and there is a moment between. The procedure needs to specify how protection persists without interruption, and it needs to work at three in the morning with a different set of people.

What auditors find

Most common energy isolation permit findings

Isolation findings concentrate on verification and on group arrangements.

FindingClauseWhat fixes it
Isolation applied but not verified before work began.1910.147(d)(6)Attempt to operate; verification is the step that finds the wrong isolator.
Stored and residual energy not relieved or restrained.1910.147(d)(5)Springs, accumulators, capacitors and raised loads all retain energy after isolation.
Group lockout by a single lead lock with no individual protection.1910.147(f)(3)Each person requires protection equivalent to a personal lockout device.
Secondary supplies or control circuits not identified.1910.147(c)(4)Machine-specific procedures should list every source; memory is not a source list.
No continuity of protection across shift change.1910.147(f)(4)Handover is where group arrangements break; specify how protection persists.
Controls not returned to the off position after verification.1910.147(d)(6)Otherwise the equipment starts when isolation is removed.
Lockout device removed by someone other than the person who applied it.1910.147(e)(3)Removal by the applier, with a specific documented exception procedure only.
Contractors working under site isolation without information exchange.1910.147(f)(2)Exchange in both directions before work begins.
Tagout used where lockout is achievable.1910.147(c)(3)Tagout requires full employee protection and additional measures; lockout is preferred.
Periodic inspection reviewing paperwork rather than observing an isolation.1910.147(c)(6)Watch it performed; that is what the inspection is for.

Case in point

Case in point: the second supply

A conveyor drive was isolated at its local isolator, locked and tagged, and work began on the gearbox. The machine had a secondary supply feeding a small auxiliary drive on the same shaft assembly, installed during a modification some years earlier and fed from a different panel.

The machine-specific procedure listed one energy source, because it had been written before the modification and never revised. The technician followed it correctly.

Verification would have found this. Attempting to operate the equipment after isolation would have shown that part of the assembly still moved, which is precisely what that step exists to reveal. It was not performed, because the isolator was locked and everything looked right.

The template

The template, field by field

The form exactly as it installs. Every field, option, score and conditional rule is editable, and the links to other templates come with it.

76fields
9 sections
Reference
SAF-050
Archetype
Permit
Record ID
PTW-2026-000
Scoring
Go or no go
Direction
n/a
Singleton
No
Basis
OSHA 1910.147, CSA Z460
Links
Links Asset, Energy Control Procedure
Tags
Permit, LOTO, Energy
Sections
9
Fields
76
Follow up fields
15
Repeating sections
1
Links out
11
Field typesOwn ID, generated on saveCase thread and parentPick list from a registryLinked to another templateFollow up, dashed outlineScored

Permit

9 fields
Text

Permit ID*

Generated on save

Auto sequence. Format PTW-2026-00000.

The record's own ID. Other templates point at this value.

Single Choice

Status*

Scored

Drives who this goes to next.

  • Planned2 pts
  • In progress2 pts
  • Complete3 pts
  • Deferred0 pts
  • Open0 pts
  • Closed3 pts
  • Overdue0 pts
Date & Time

Valid From*

Date & Time

Valid To*

One shift maximum. A new permit is raised for the next shift.

Info

Before You Start

Verification is the step people skip. Try to start the machine. If it starts, the isolation failed and you have just learned that safely.

Pick List

Site*

From FDN-001 Site NameFilter: Status is Active
Text

Site ID*

Linked

Format SITE-000.

Links to FDN-001 Site ID

Single Choice

Area*

The area within the site.

Cutting roomBoning hallPackingChill storeFreezerPasteurisingFillingCulture roomDespatchYardWorkshopPlant roomOffices
Location

Exact Location

Optional

Drop a pin for anything hard to find.

The work

12 fields
Text

Work Description*

Text

Work Order ID

OptionalLinked

Links to MNT-002 Work Order ID

Numeric Answer

Number Of Workers*

Pick List

Asset

OptionalFrom FDN-002 Asset NameFilter: Site matches
Text

Asset ID

OptionalLinked

Format AST-0000.

Links to FDN-002 Asset ID

Pick List

Risk Assessment

OptionalFrom FDN-012 Risk Title
Text

Risk ID

OptionalLinked

Format RSK-2026-00000.

Links to FDN-012 Risk ID

Single Choice

Contractor Involved*

NoYes
Pick List

Contractor

OptionalFrom FDN-005 Vendor NameShows if Contractor Involved equals YesFilter: Status is Approved
Text

Vendor ID

OptionalLinkedShows if Contractor Involved equals Yes

Format VEN-0000.

Links to FDN-005 Vendor ID

Single Choice

Induction Verified

OptionalScoredShows if Contractor Involved equals Yes
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Method Statement Received

OptionalScoredShows if Contractor Involved equals Yes
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator

Gate 1 Energy sources

10 fields
Pick List

Energy Control Procedure

OptionalFrom FDN-008 Document TitleFilter: Status is Current
Text

Document ID

OptionalLinked

Format DOC-0000.

Links to FDN-008 Document ID

Single Choice

Machine Specific Procedure Exists*

Scored

Generic procedures do not satisfy the regulation and inspectors check for this.

  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

All Energy Sources Identified*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Electrical Isolated*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Pneumatic Isolated*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Hydraulic Isolated*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Steam Or Thermal Isolated*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Ammonia Or Refrigerant Isolated*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Gravity Or Stored Energy Blocked*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator

Gate 2 Lock and verify

6 fields
Single Choice

Locks Applied At Every Isolation Point*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Tags Applied And Legible*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Stored Energy Released Or Restrained*

Scored
  • Yes3 pts
  • Not applicable3 pts
  • No0 pts
Single Choice

Try Test Performed*

Scored

Attempt a normal start. It must not run.

  • Yes3 pts
  • No0 pts
Single Choice

Zero Energy Verified By Measurement*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Text

Verification Record ID

OptionalLinked

Links to MNT-057 Verification ID

Gate 3 Group control

4 fields
Single Choice

Group Lockout Required*

More than one person working under one isolation.

NoYes
Users

Lockout Coordinator

OptionalShows if Group Lockout Required equals Yes
Text

Group Lockout Record ID

OptionalLinkedShows if Group Lockout Required equals Yes

Links to MNT-058 Record ID

Single Choice

Lock Box In Use

OptionalScoredShows if Group Lockout Required equals Yes
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator

Workers under this isolation

Repeats5 fields
Pick List

Worker*

From FDN-003 Worker NameFilter: Site matches, Status is Active
Text

Person ID*

Linked

Format PER-0000.

Links to FDN-003 Person ID

Single Choice

Personal Lock Applied*

Scored
  • Yes3 pts
  • No0 pts
Text

Lock Number

Optional
Single Choice

Lock Removed

Optional
YesNo, still applied

Food safety controls

7 fields
Single Choice

Work In Or Above A Food Area*

Meat and dairy areas need protection before, during and after the work.

NoYes
Single Choice

Product Removed Or Covered

OptionalScoredShows if Work In Or Above A Food Area equals Yes
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Area Screened Off

OptionalScoredShows if Work In Or Above A Food Area equals Yes
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Tool And Part Accountability Agreed

OptionalScoredShows if Work In Or Above A Food Area equals Yes

Every tool and fastener taken in must be accounted for before release.

  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Food Grade Materials Only

OptionalScoredShows if Work In Or Above A Food Area equals Yes
  • Yes3 pts
  • No0 pts
Single Choice

Post Work Sanitation Required

OptionalShows if Work In Or Above A Food Area equals Yes
YesNo
Text

Sanitation Record ID

OptionalLinkedShows if Post Work Sanitation Required equals Yes

Links to QUA-030 Inspection ID

Authorisation

11 fields
Info

No Gate, No Start

Every gate above must pass before work begins. There is no partial permit. If anything is unresolved, the permit is not issued.

Single Choice

All Gates Passed*

Scored
  • Yes2 pts
  • No, entry refused0 pts
Text

Reason Not Issued

OptionalShows if All Gates Passed not equals Yes
Users

Issued By*

Single Choice

Issuer Authorised For This Permit*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Signature

Issuer Signature*

Date & Time

Issue Time*

Users

Accepted By*

Signature

Acceptor Signature*

Single Choice

Toolbox Talk Held With Crew*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Text

Talk Record ID

OptionalLinked

Links to TRN-009 Talk ID

Closure

12 fields
Single Choice

Work Complete*

Scored
  • Yes3 pts
  • No0 pts
Single Choice

Work Suspended

OptionalShows if Work Complete equals No
YesNo
Single Choice

All Persons Accounted For*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Tools And Equipment Removed*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Area Left Safe*

Scored
  • Pass2 pts
  • Partial1 pt
  • Fail0 pts
  • N/Aexcluded from denominator
Single Choice

Guards And Controls Restored*

Scored
  • Yes3 pts
  • No0 pts
Single Choice

Every Personal Lock Removed By Its Owner*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Machine Restarted And Confirmed Normal*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Date & Time

Permit Cancelled Time*

Users

Cancelled By*

Signature

Closure Signature*

Signature

Area Owner Signature*

SAF-050 · record IDs look like PTW-2026-000 · Links Asset, Energy Control Procedure

Open in Knowella

Run it with agents

From a document you fill in to a programme that runs itself

The permit controls isolation for a job. What fails is verification nobody performed and a group lock protecting one person.

KnowSafe

Requires verification as a gate before work begins, and holds group lock box arrangements so each worker's protection is individual.

KnowMaintain

Keeps machine-specific source lists current through modification, which is where secondary supplies enter unrecorded.

KnowTrain

Records authorised, affected and other employee training, and fires retraining on procedure and machine changes.

Ella
Ella

Tracks isolations spanning shifts and flags handover points where continuity of protection is at risk.

This template lives in KnowSafe — safety and compliance. Incidents, hazards, permits, inspections and the critical controls behind them.

Meet KnowSafe→

Glossary

Energy Isolation Permit definitions and key terms

Energy isolating device
A mechanical device that physically prevents transmission or release of energy, such as a breaker, valve or disconnect.
Verification
Confirming that isolation and de-energisation have been accomplished, typically by attempting to operate the equipment.
Stored energy
Energy remaining after isolation, in springs, capacitors, accumulators, raised loads, pressure or heat.
Group lockout
An arrangement for multiple workers, requiring each to have protection equivalent to a personal lockout device.
Group lock box
A box holding the keys to the isolation locks, secured by each worker's personal lock.
Authorised employee
A person who locks out or tags out equipment to perform servicing or maintenance.
Continuity of protection
Maintaining lockout across shift and personnel changes without any interval of unprotected exposure.
Machine-specific procedure
Documented energy control steps for a particular machine, required where multiple sources exist.

FAQ

Frequently asked questions about energy isolation permit

Why is verification so important?+

Because it is the only step that tests the actual state rather than the documented one. Every other control depends on the source list being complete, and source lists go out of date whenever a machine is modified. Attempting to operate the equipment finds the wrong isolator, the second supply nobody documented, the valve that has not seated and the capacitor still holding charge.

What does group lockout require?+

That each authorised employee has protection equivalent to a personal lockout device. In practice that means a group lock box: the isolation keys go inside, and every person working applies their own lock to the box. A single lead lock, without such a mechanism, protects the lead person and gives everyone else a procedure to rely on.

What about shift changes?+

Continuity of protection is required, and handover is where group arrangements typically fail. The outgoing lead removes their lock and the incoming lead applies theirs, leaving a moment where protection depends on nobody starting anything. The procedure has to specify how protection persists without interruption, and it has to work with a different set of people at night.

What is most often missed in the source list?+

Stored energy and secondary supplies. Springs, accumulators, capacitors, raised loads, thermal energy and residual pressure all persist after the main isolation. Secondary supplies and control circuits added during modifications are frequently absent from procedures written before the modification, and the person isolating cannot isolate a source the procedure does not mention.

Is tagout acceptable instead of lockout?+

Only where an energy isolating device is not capable of being locked out, or where the tagout programme provides full employee protection with additional measures. Lockout is the default because a tag is a warning device with no physical restraint, and where tagout is used the training must cover that limitation explicitly.

Keep going

Related templates and programmes

Siddarth Singh

Written and reviewed by

Siddarth Singh

Founder & Chief Executive Officer, Knowella

Certified Safety Professional and industrial and systems engineer with more than a decade inside food supply chain, freight and manufacturing operations. This page was written against the current text of the standards it cites, not against secondary summaries of them.

  • Certified Safety Professional (CSP), Board of Certified Safety Professionals
  • MBA, University of Chicago Booth School of Business
  • MS and BS, The Ohio State University, Industrial and Systems Engineering
  • Six Sigma Black Belt
Verify with BCSP →

Sources and last review. Reviewed 16 August 2026 against:

  • 29 CFR 1910.147, control of hazardous energy, OSHA
  • 29 CFR 1910.147(f)(3) and (f)(4), group lockout and shift changes, OSHA
  • CSA Z460, control of hazardous energy (Canada)
  • 29 CFR 1910.147(c)(6), periodic inspection, OSHA
  • ISO 14118, prevention of unexpected start-up

This page is general guidance, not legal advice. Confirm requirements with your jurisdiction’s regulator.

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