• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Previous Audit

  • 1.1 Are the 1S and 2S still valid? Have remarks made during the 2S audit been addressed and resolved?

2.0 Parts and Consumables

  • 2.1 Are the parts and lubricants kept clean without contaminant? (e.g. no chips in grease, oil, etc.)

3.0 Workstation/Working Area

  • 3.1 Is the work area clean and clear?

  • 3.2 Are machines clean and in good condition?

  • 3.3 Are all conveyors/pipes/belts/cables/barriers clean and in good condition?

  • 3.4 Do all tools/machines comply with regulation audits (e.g. calibration control labels up to date?)

  • 3.5 Is the work area cleaned up after each shift?

  • 3.6 Is the storage area clean? (e.g. shelves, plastic tubs?)

  • 3.7 Are there any leaks (e.g. air, water, oil, etc.)

  • 3.8 Have root causes of contamination/fouling been found? Have they been tagged? Have they been solved?

  • 3.9 Are parts/raw materials/lubricants kept clean? Are they changed regularly?

  • 3.10 Are cleaning tools available? Accessible? In good condition?

4.0 Handling Area

  • 4.1 Is the handling area clean? (e.g. driveways, parking carts, lines, etc)

  • 4.2 Is the part handling equipment adequate and in good working condition?

  • 4.3 Are the floors clean and free of oil? (e.g. dirt, chips, dust, debris, paper, ect.)

  • 4.4 Does each tool have an identified place? (e.g. shadow boards, pictures, etc.)

  • 4.5 Do lamps/neon/air conditioning work? Are they clean?

  • General Notes/Observations

  • Signature of Lead Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.