Information
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Area
- Mill & Active Storage
- SG1 Boardline
- SG1 Packaging
- SG2 Boardline
- SG2 Packaging
- Distribution & Riser Machine
- Maintenance, Store Room, & Fork Lift Shop
- Quality Laboratory
- Joint Compound & Receiving
- Admin Office
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Conducted on
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Prepared by
Safety
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1. Are emergency exits & fire extinguishers/hoses tagged for current inspection & clear of obstruction?
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All emergency exits and fire extinguishers/hoses tagged and identified for current inspection, clear of obstruction, and stored in prominent position.
3 = Some emergency exits and fire extinguishers/hoses tagged for current inspection and clear of obstruction.
1 = Emergency exits and fire extinguishers/hoses not tagged for current inspection and have obvious obstructions. -
Score
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2. No apparent trip hazards on floors or stairwells.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Floors and stairwells are clear of trip hazards
3 = Trip hazards are apparent in some areas
1 = Trip hazards apparent in many areas -
Score
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3. Hazardous materials, all containers, process tanks, & squeeze/spray bottles properly stored & labeled to contents.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All hazardous materials, all containers, process tanks, and squeeze/spray bottles properly stored and labeled to contents.
3 = Some hazardous materials, all containers, process tanks, and squeeze/spray bottles properly stored and labeled to contents.
1 = All hazardous materials, all containers, process tanks, and squeeze/spray bottles are not properly stored and labeled to contents. -
Score
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4. Machine guards, guardrails & safety switches properly in place & functioning.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All machine guards, guardrails and safety switches properly in place and functioning.
3 = Some machine guards, guardrails and safety switches properly in place and functioning.
1 = Machine guards, guardrails and safety switches are not properly in place and functioning. -
Score
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5. Field electrical panels, switches and MCC’s labeled & clear of obstruction.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All field electrical panels, switches and MCC’s are labeled, and clear of obstruction.
3 = Some local electrical panels, switches and MCC’s are not labeled and clear of obstruction.
1 = All field electrical panels, switches and MCC’s are not labeled and have obvious obstructions. -
Score
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6. Personal protective equipment being used and functioning?
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = PPE needs properly assessed and all individuals wearing designated PPE.
3 = PPE needs properly assessed but some individuals not wearing designated PPE.
1 = PPE needs not properly assessed and not in use. -
Score
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7. Mobile equipment operating safely, in good condition and pre-shift inspections complete.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All safety related equipment properly functioning and pre-shift complete.
3 = All safety related equipment properly function but pre-shift not complete.
1 = Safety related equipment not functioning and pre-shift not complete. -
Score
Sort
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8. Necessary materials & tools at work station or on benches.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Work stations and benches are neat, clean, and organized with only necessary materials and tools present.
3 = Work stations and benches are mostly neat and clean with few unnecessary materials and tools
1 = Work stations and benches are not neat or clean with many unnecessary materials and tools -
Score
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9. Materials, tools, & supplies in designated storage/staging areas.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = A designated area for materials, tools, and supplies which are labeled and neatly organized.
3 = A general area for materials, tools, and supplies with few labels and little organization.
1 = No designated area for materials, tools, and supplies with no labels or organization. -
Score
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10. Area corners & below stairwells clear of clutter.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All area corners and below stairwells are clean with no clutter.
3 = Area corners and below stairwells are generally clean with some clutter.
1 = All area corners and below stairwells are dirty with obvious clutter. -
Score
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11. Documents & work instructions are available, updated and properly controlled.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Work documents clean, available, updated and properly controlled.
3 = Work documents clean and available but not current.
1 = Work instructions not available. -
Score
Straighten
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12. Materials & tools organized, properly stored, identified, & point of use.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Materials and tools are completely organized, clean, identified, and point of use.
3 = Materials and tools have a general area designated, most are organized, clean, and identified.
1 = Materials and tools don’t have a designated area, few are in proper location, and few are organized, clean, and identified. -
Score
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13. Storage & staging areas clearly identified.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All storage and staging areas are properly used and identified.
3 = Storage and staging areas have inconsistent use and identification.
1 = Storage and staging areas not properly used and identified. -
Score
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14. Equipment free of unneeded materials & tools identified.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Equipment is clean, controls are labeled, no clutter,
3 = Some controls are labeled, and some clutter on or around equipment.
1 = Controls are not labeled, and apparent clutter around and on equipment. -
Score
Shine
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15. Floors are swept, DRY & free of clutter.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All floor surfaces are clean with no debris.
3 = All floor surfaces are generally clean with some debris.
1 = All floor surfaces are dirty with obvious debris and wetness. -
Score
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16. Aisleways are free of materials, garbage removed
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All aisleways are clear of materials; garbage cans emptied.
3 = Aisleways have some materials; garbage cans full
1 = Aisleways have obvious clutter of materials; garbage cans overflowing. -
Score
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17. Equipment cleaned & painted.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Paint is bright and equipment is clean
3 = Paint is in good condition, equipment has some dirt
1 = Paint is poor with chips and scrapes, equipment has obvious dirt -
Score
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18. Work stations & benches wiped down.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = All shelves, benches, and stations are clean, organized and labeled
3 = Most shelves, benches, and stations have some dirt and are mostly organized
1 = Shelves, benches, and stations are cluttered with obvious dirt -
Score
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19. Bulletin and Safety boards organized, have relevant & current information.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Bulletin boards organized with relevant and current information
3 = Bulletin boards organized, but have outdated information
1 = Bulletin boards disorganized and have outdated information -
Score
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20. Area owner conducts & posts safety and housekeeping audits.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Area owner conducts self audits and posts all audit results.
3 = Area owner conducts self audits, but does not post all audit results.
1 = Area owner does not conduct self audit and does not post any audit results. -
Score
Standardize & Sustain
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21. Identification of recurring problem areas.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Action item is highlighted on posted audit form and responsibilities assigned.
3 = Reoccurrence has been noted, little action taken to correct problem.
1 = No apparent action taken or planned to resolve problem area. -
Score
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22. Employees and management committed to maintaining and sustaining housekeeping program.
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Photos
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Corrective Actions
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Assigned To
- Maintenance
- Engineering
- Audited Department
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5 = Complete commitment toward maintaining high scoring levels.
3 = Achieve average score but lack positive trends.
1 = Low scoring and show no trend toward improvements. -
Score
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General Audit Comments:
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Signature