Title Page

  • Plant / Factory / Area / Department

  • Conducted on (Date and Time)

  • Inspected by


  • Use these score criteria for your inspection:
    Excellent - Maintained and no improvement possibility.
    Good - There is an ability to maintain it in line with our standard.
    Sufficient - This is being complied as our standard but not fully maintained.
    Poor - Does not comply with our standard in several areas inspected.
    Very poor - No area inspected complies with our standard.
    N/A - Not Applicable


  • MACHINES (i.e.: equipment and annexes, cases, motors, etc.). All items not necessary for performing tasks are removed from the area and discarded. Only items needed are present at the work area. Nothing is placed on top of machines, cabinets, equipment, etc. Nothing is leaning against walls, columns, fences or deflectors, etc.

  • MATERIALS (i.e.: couplings, protectors, scrap, etc.) only materials needed are present at the work area. There is no obsolete scrap, excess raw materials.

  • FACILITIES (i.e.: boards, desks, windows, work tables, etc.). Facilities are properly identified and painted. Installations are sufficient and in good condition.

  • TOOLS (i.e.: grinding, hydro washing machines, pumps, plugs, mandrels, rolls, saw, hand tools and others). Tools are moved to a separate storage based on clear rules (i.e.: tools used only once a week must be stored at area XYZ)


  • MATERIALS (i.e.: couplings, protectors, scrap, etc.). Work in process and finished goods are not left to sit directly on the floor. Large items are positioned on the floor or on a rack in clearly marked areas. Storage boxes, containers and material are always neat, at right angles and in good condition to be used.

  • CONSUMABLES (oil, greases, lubricants, paints, slings, etc.). There is a dedicated clearly marked location for consumables. These products have to be in the right quantity and classified by product and risk criteria. Recipients of oil or other flammable liquids have adequate spill-proof equipment.

  • TOOLS (i.e.: grinding, hydro washing machines, pumps, plugs, mandrels, rolls, saw, hand tools and others). Tools, jigs and fixtures are arranged so they can be easily accessed when setups are made. The same for gauges, measuring equipment used to monitor. Tools, jigs and fixtures are in good condition and clearly labelled at a visible storage area.

  • EMERGENCY ACCESS. Fire hoses and emergency equipment are unobstructed and stored in a prominent easy locate manner. Emergency stop switches and breakers are marked and color-coded for easy visibility. Emergency equipment (extinguishers, eye wash stations) are checked as required.

  • SIGNS. Are signs referred to HSE maintained clean and legible i.e. (flammable storage, fire extinguishers, emergency exits, etc.)

  • PPEs. Are PPEs are in good condition for their use. All hard hats are identified with name and last name and have emergency numbers.


  • MACHINES (i.e.: equipment and annexes, cases, motors, etc.). All machines are clean and free of debris, oil and dirt. All machines and equipment are painted, identified in the moving parts, kept clean and free of debris, oil and dirt by daily routine care. There are no places in the area less than two meters high that require painting.

  • SHOP FLOOR. All floors are clean and free of debris, oil and dirt.

  • OPERATIVE PATHWAYS (i.e. equipment and products access, etc.). Pathways are clearly marked and free of obstacles. Aisles, walkways and vehicles ways are clearly identified. Aisles are free of material and obstructions. Nothing is ever placed on the lines and objects are always placed at right angles to the aisle lines.

  • CLEANING EQUIPMENT. All cleaning equipment is stored in a neat manner. Handy and easily available when needed.

  • WASTE MANAGEMENT. All waste containers are properly labeled marking contents, generating area and classification. They are stored on a specific and demarcated area.

  • STAFF FACILITIES (workstation, bathrooms, changing rooms, etc.). All facilities are clean across care of daily routine. Floors, furniture, glass, lightening, equipment comfort (cold/hot) are adequate and are in perfect conditions.


  • Recommendation

  • Full Name and Signature of the Inspector

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