We describe the local conformal geometry of a Lorentzian spin manifold $(M,g)$ admitting a twistor spinor $φ$ with zero. Moreover, we describe the shape of the zero set of $φ$. If $φ$ has isolated zeros then the metric $g$ is locally conformally equivalent to a static monopole. In the other case the zero set consists of null geodesic(s) and $g$ is locally conformally equivalent to a Brinkmann metric. Our arguments utilise tractor calculus in an essential way. The Dirac current of $φ$, which is a conformal Killing vector field, plays an important role for our discussion as well.