Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • 1 (5) - Operator work station in a state of order (5S)? (product on ESD mats, paperwork kept away from exposed product, area free from foreign objects)

  • Corrective Action:

  • Closed

  • 2 (5) - Evaluate FOD containers / handling of Scrap. Have actions been taken based on FOD found? List actions below.

  • Corrective Action:

  • Closed?

  • 3 (E) - Operator wearing proper PPE/ESD? (wrist / heel strap, smock, gloves / finger cots, eye protection, long hair tied back)

  • Corrective Action:

  • Closed?

  • 4 (P) - Has the employee verified ESD equipment at Elite Station? (record clock number and verify electronic log with lead)

  • Corrective Action:

  • Closed?

  • Clock number:

  • 5 (E) - Operators station properly grounded and mat labeled accordingly? (continuous monitor / wrist strap jack, ESD mat)

  • Corrective Action:

  • Closed?

  • 6 (P) - Are process instructions accessible at work station? (If printed, are they dated and initialed?)

  • Corrective Action:

  • Closed?

  • 7 (E) - Is paperwork kept in ESD protective doc holder? (product not present if completing paperwork?)

  • Corrective Action:

  • Closed?

  • 8 (P) - Is the area free of uncontrolled and or "for reference only" documents?

  • Corrective Action:

  • Closed?

  • 9 (P) - All assemblies placed in a fashion preventing damage? (no stacking, potential damage from rack / cart)

  • Corrective Action:

  • Closed?

  • 10 (P) - Are totes / reels properly identified? (P/N, Qty, WO)

  • Corrective Action:

  • Closed?

  • 11 (P) - Does engineering revision level match? (Assembly, Aegis, Router)

  • Corrective Action:

  • Closed?

  • 12 (P) - Are all previous steps completed on router? (Audit one router)

  • Corrective Action:

  • Closed?

  • 13 (P) - Setup Verification log current?

  • Corrective Action:

  • Closed?

  • 14 (P) - Inspect 5 assemblies for component / handling damage.

  • Corrective Action:

  • Closed?

  • PCB 1

  • PCB 2

  • PCB 3

  • PCB 4

  • PCB 5

  • 15 (E) - Are chemicals in station labeled properly and not expired? (Flux, solder resist, solder, etc...)

  • Corrective Action:

  • Closed?

  • 16 (E) - Calibration of gauges in area maintained? (verify one gauge, labeled and calibration hasn't expired)

  • Corrective Action:

  • Closed?

  • Note: Notify Supervisor to address immediate corrective action, record results in the "Corrective Action" column. This audit must have corrective actions documented to be considered complete.

  • Additional Comments:

  • Auditor signature:

  • Lead / Supervisor signature:

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