← Back to Portal
🔒 OSHA 29 CFR 1910.147
Energy Isolation / LOTO Permit
SLP Alaska Safety Management System
📝 New Permit
👷 Worker Sign In/Out
✅ Close Out
📋 Permit Information
Permit Initiator
*
Date
*
Lockout Type
*
Select...
Simple Lockout (Single Source)
Complex Lockout (Multiple Sources)
Group Lockout/Tagout
Shift Change Lockout
Client/Company
*
Select...
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location
*
Select...
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Phone/Radio
Work Area/Module
Equipment ID
*
Work Description
*
Authorized Person
*
Lock Number
⚡ Energy Sources Present
Check all energy sources present and specify details:
Electrical
Hydraulic
Pneumatic
Mechanical
Thermal
Chemical
Gravity
Stored
Radiation
Other
🔧 Isolation Points Summary
Enter the number of each type of isolation device being used.
Total Points
Electrical
Valves
Blinds
Other
📦 Lockbox & Control Locks
Lockbox Used?
Select...
Yes
No
Lockbox Location
Control Lock Color
Select...
Red
Blue
Green
Yellow
Orange
Black
White
Other
Control Lock Number
Device Lock Set 1
Device Lock Set 2
Device Lock Set 3
✓ Verification & Zero Energy
Zero Energy State Verified?
Select...
Yes
No
Verification Method
Select...
Voltage Test (Meter)
Pressure Gauge Reading
Try Start Test
Visual Inspection
Capacitor Discharge Test
Temperature Check
Multiple Methods
Try Test Performed?
Select...
Yes
No
Stored Energy Released?
Select...
Yes
No
N/A
All Devices Tagged?
Select...
Yes
No
Tag Stubs in Lockbox?
Select...
Yes
No
N/A
📋 Pre-Work Requirements
Pre-Job Briefing Conducted?
Select...
Yes
No
Hazards Communicated to Workers?
Select...
Yes
No
Emergency Procedures Reviewed?
Select...
Yes
No
Affected Personnel Notified?
Select...
Yes
No
✍️ Authorization
Authorized Person Signature
*
Supervisor Approval
*
Permit Start Time
*
Permit Expiration Time
*
Issue Energy Isolation Permit
AnthroSafe™ Field Driven Safety
|
© 2026 SLP Alaska, LLC
