Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Shift:

  • Exit Route: Map is posted and route is unobstructed.

  • MIN/MAX Adherence: No overflow condition exists. Supplies, components, WIP, FG, and emtpy packaging are within defined limits. No parts on the floor

  • Unused tools, parts or equipment: Area is free of unused tools, equipment or parts - and free of those used by other departments.

  • Elevators, Waterslides, beneath Staircases: Areas are free of un-needed SORT items and are clean.

  • Slip/Trip Hazards: Area free of slip/trip hazards

  • Shadowboards: Board is fully stocked and items are returned to board when not in use.

  • Coat racks/Cubbies/Lockers: Fixtures and area are clean and well organized.

  • Racks/Bins/Cabinets/Furniture: All are clean, in good appearance and being used for the intended purpose.

  • Computers/Printers/Scanners & Related Wiring: Equipment is clean and appears to be operating properly. Cables/wires are well organized and secure.

  • Fans: All fans in the area are clean, with no dust or debris on blades or grille.

  • Lighting: Lighting appears to be sufficient for the area. All bulbs are working and clean.

  • Electrical Panels: Verify that nothing is stored on top of panels, that they are in good condition, and that there is 3' clearance.

  • Please STOP and remedy the situation immediately.

  • Light Fixtures: Tops of light fixtures are clean.

  • Screws/Fasteners: No screws or fasteners are on the floor.

  • Floor: Floor appears clean and recently swept/mopped.

  • Under Conveyors: Areas under conveyor appear clean.

  • Mutilation Protection: Area mutilation protection is in place where appropriate and is in good condition.

  • Painted Surfaces: Painted surfaces are in good condition - in particular, yellow painted surfaces that are prone to damage.

  • Walls and Columns: Walls, including mesh and tarp walls, are clean.

  • Work cells and individual stations identified: Cell/Line and individual stations are identified with standard MAFACT signage.

  • Min/Max Inventory Levels defined: Min and Max inventory levels for stocked supplies, components, WIP and empty packaging are clearly communicated with signage, shadowboxing, or other visual signals.

  • Movable Items: Movable items have homes defined by shadowboxing/signage and items are properly located.

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.