Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

1.0 Sort - Unnecessary parts, equipment, pipes, etc.

  • Work area has only the necessary materials and equipment to perform the job

  • Outdoor garbage/plastic/cardboard bins are not overflowing

  • Hallways and transit areas are free of obstacles

  • Photos:

2.0 Set - A place for everything

  • GMP Zone is clear of RM and tools.

  • Explain:

  • Materials/products are at least 18 inches from the wall

  • Photo:

  • All tools, including cleaning tools, are placed on corresponding shadow boards or accounted for (in use)

  • Photo:

  • Required PPE is fully stocked and readily available

  • what is not avalible?

3.0 Shine - Clean workplace and equipment

  • Workspaces are clean and organized

  • What spaces need improvement?

  • All cabinets, lockers and areas not in plain site and organized

  • Photos:

  • Floor demarcations are in good condition and identified

  • What areas need floor demarcations to be re-done or added?

  • Floors are clean?

  • Explain:

  • No visible leakage from any product pallets

  • Photo and location:

  • Racks in warehouse are not leaning and in good standing.

  • Photos and location:

4.0 Standardize - Compliance to standards

  • Hallways and transit area are free of obstacles (i.e. equipment, pails, liquid)

  • Explain:

  • Waste is properly sorted into corresponding bins (garbage, plastic, metal, wood, paper) with no cross contamination

  • Explain:

  • All employees and visitors are wearing appropriate PPE

  • Who and where?

  • FIFO regulations are followed for finished product and industrial material

  • Explain:

5.0 Sustain - Maintain standards

  • Monthly GMP Audits are conducted and recorded.

  • Why?

6.0 Safety - Safety First!

  • Fire pull stations and fire extinguishers are free from obstruction

  • What is in the way?

  • Emergency exits are labelled and free from obstruction

  • What exit and where?

  • First aid kits and emergency showers are clearly labelled and accessible

  • Which one and what does it need?

Details

Audit Details

  • Interviewee(s):

  • Documents reviewed:

  • Evaluation Summary:

Findings

  • Minor

  • Minor Finding
  • Description of Finding

  • Major Finding
  • Description of Finding

  • Critical

  • Critical Finding
  • Description of Finding

  • Corrective actions from findings:

Follow-up

  • Short term corrective actions completed?

  • Date short term corrective actions completed

  • Long term corrective actions completed?

  • Date long term corrective actions completed

Results

  • Did the system being audited pass or fail?<br>Pass = <10 minor findings and no major or critical findings<br>Fail = >9 minor findings or any major or critical findings

  • Results communicated to auditee?

Signatures

Auditor

  • Auditor Signature

  • Date of Signature

Management or SQF Practitioner

  • Management or SQF Practitioner Signature

  • Management or SQF Practitioner Title

  • Date of Signature

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.