Information

Facility / Audit Information

  • Facility Name:

  • General Manager:

  • Auditor Name:

  • Date / Time of Audit started:

Audit Criteria

  • Grade audit elements using the following standard:
    Green - Excellent condition during inspection
    Yellow - Minor discrepancies exist
    Red - Significant issues observed

    Auditor is encouraged to take pictures in support of RED assessment grades.

  • 1. Dock floor clean and free of debris.

  • Enter reason for grade.

  • 2. Freezer floor clean and free of debris.

  • Enter reason for grade.

  • 3. Damage / Exposed cases removed from storage bays.

  • Enter reason for grade.

  • 4. No cases or pallets stored in aisle.

  • Enter reason for grade.

  • 5. No cases directly on the warehouse floor.

  • Enter reason for grade.

  • 6. Pallets and cases stacked and stored in neat and orderly manner.

  • Enter reason for grade.

  • 7. Public areas are presentable (Driver's Lounge, Break Rooms and Truck Yard).

  • Enter reason for grade.

  • 8. Trash cans dumped when full.

  • Enter reason for grade.

  • 9. Equipment appears clean and in good condition.

  • Enter reason for grade.

  • 10. ConAgra R&R (Review and Respond) Metric Board is utilized and up to date.

  • Enter reason for grade.

  • 11. ConAgra R&R Metric Board can be explained by a non-manager.

  • Enter reason for grade.

  • 12. Random paperwork inspection of 3 Outbound Loads. HAZMAT document(s) and Load Inspection Form(s) complete and on-file.

  • Outbound Load Audit #1

  • Enter reason for grade.

  • Outbound Load Audit #2

  • Enter reason for grade.

  • Outbound Load Audit #3

  • Enter reason for grade.

  • 13. Random inspection of 3 employee training records to ensure HAZMAT training is documented and on-file.

  • Training Record Audit #1

  • Enter reason for grade.

  • Training Record Audit #2

  • Enter reason for grade.

  • Training Record Audit #3

  • Enter reason for grade.

  • 14. Review of Cycle Count Logs for completion and segregation of duties confirmed.

  • Enter reason for grade.

  • Date / Time Compliance Assessment completed:

  • Take note of the number of points scored, before proceeding to next section.

Acknowledgement

Overall Assessment of Facility Compliance

  • Select points achieved during Assessment (Minimum - 0 / Maximum - 30)

  • Grading Overall Assessment (Maximum points attainable from Audit Section - 30)
    Overall GREEN - 27 to 30 points (90-100%)
    Overall YELLOW - 21 to 26 points (70-87%)
    Overall RED - 20 points or less (< 70%)

  • Overall Assessment based on Compliance Element grades:

  • Justification for RED assessment.

  • Signature of Auditor:

Acknowledgement

  • Reviewed and concur with assessment.

  • Reviewed and do not concur with assessment.

  • Reason for not concurring:

  • Signature of General Manager:

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.