Information
-
Site conducted
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Area to be inspected:- D3 Process Areas
Sweeps Check
-
1.1 All Sweeps Completed (14 audits sheets)
-
1.2 All Actions Completed
1.0 Level 9
-
1.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
1.2 Any evidence of water/condensate leaking.
-
1.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
1.4 Tools and Equipment - in good condition and stored correctly
-
1.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
1.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
1.7 Pest station - Does the insect trap on this level have more than 15 flies? If yes photo is to be taken and reported to Rentokil.
-
1.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
1.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
1.10 Doors - Ensure inside door frames are inspected and cleaned
-
Comments/ actions required....
-
Insert relevant photos
2.0 Level 8
-
2.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
2.2 Any evidence of water/condensate leaking.
-
2.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
2.4 Tools and Equipment - in good condition and stored correctly
-
2.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
2.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
2.7 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
2.8 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
2.9 Doors - Ensure inside door frames are inspected and cleaned
-
Comments/ actions required....
-
Insert relevant photos
3.0 Level 7
-
3.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
3.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
3.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
3.4 Tools and Equipment - in good condition and stored correctly
-
3.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
3.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
3.7 Pest station - Does the insect trap on this level have more than 15 flies? If yes photo is to be taken and reported to Rentokil.
-
3.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
3.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
3.10 Doors - Ensure inside door frames are inspected and cleaned
-
Comments/ actions required....
-
Insert relevant photos
4.0 Level 6
-
4.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
4.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
4.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
4.4 Tools and Equipment - in good condition and stored correctly
-
4.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
4.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
4.7 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
4.8 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
4.9 Doors - Ensure inside door frames are inspected and cleaned
-
Comments/ actions required....
-
Insert relevant photos
5.0 Level 5
-
5.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
5.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
5.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
5.4 Tools and Equipment - in good condition and stored correctly
-
5.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
5.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
5.7 Pest station - Does the insect trap on this level have more than 15 flies? If yes photo is to be taken and reported to Rentokil.
-
5.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
5.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
5.10 Doors - Ensure inside door frames are inspected and cleaned
-
Comments/ actions required....
-
Insert relevant photos
6.0 Level 4
-
6.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
6.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
6.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
6.4 Tools and Equipment - in good condition and stored correctly
-
6.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
6.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
6.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
6.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
6.10 Doors - Ensure inside door frames are inspected and cleaned
7.0 Level 3
-
7.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
7.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
7.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
7.4 Tools and Equipment - in good condition and stored correctly
-
7.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
7.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
7.7 Pest station - Does the insect trap on this level have more than 15 flies? If yes photo is to be taken and reported to Rentokil.
-
7.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
7.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
7.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
7.10 Doors - Ensure inside door frames are inspected and cleaned
8.0 Homogeniser deck to Evaps Top Deck
-
8.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
8.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
8.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
8.4 Tools and Equipment - in good condition and stored correctly
-
8.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
8.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
8.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
8.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
8.10 Doors - Ensure inside door frames are inspected and cleaned
9.0 Level 2
-
9.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
9.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
9.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
9.4 Tools and Equipment - in good condition and stored correctly
-
9.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
9.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
9.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
9.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
9.10 Doors - Ensure inside door frames are inspected and cleaned
10.0 Level 1
-
10.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
10.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
10.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
10.4 Tools and Equipment - in good condition and stored correctly
-
10.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
10.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
10.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
10.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
10.10 Doors - Ensure inside door frames are inspected and cleaned
11.0 Ground Floor/Airlock
-
11.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
11.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
11.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
11.4 Tools and Equipment - in good condition and stored correctly
-
11.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
11.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
11.7 Pest station - Does the insect trap on this level have more than 15 flies? If yes photo is to be taken and reported to Rentokil.
-
11.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
11.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
11.10 Doors - Ensure inside door frames are inspected and cleaned
12.0 Evaps Mid/Ground Decks
-
12.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
12.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
12.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
12.4 Tools and Equipment - in good condition and stored correctly
-
12.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
12.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
12.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
12.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
12.10 Doors - Ensure inside door frames are inspected and cleaned
13.0 Standardising Room
-
13.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
13.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
13.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
13.4 Tools and Equipment - in good condition and stored correctly
-
13.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
13.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
13.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
13.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
13.10 Doors - Ensure inside door frames are inspected and cleaned
14.0 Concentrate Room
-
14.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
14.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
14.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
14.4 Tools and Equipment - in good condition and stored correctly
-
14.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
14.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
14.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
14.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
14.10 Doors - Ensure inside door frames are inspected and cleaned
15.0 Storeroom
-
15.1 Hoses and Drain Covers - are all hoses off the floor and stored correctly (and padlocked for those areas that have padlocks)
-
15.2 Any evidence of water/condensate pooling, leaking in relevant areas
-
15.3 Any FM risks -i.e Lighting, signage, powder, rubber, metal, cardboard, wood
-
15.4 Tools and Equipment - in good condition and stored correctly
-
15.5 Building Intergrity for Floors, Walls, Ceilings - cracks, shore sheilding,step trends etc
-
15.6 Pests - any evidence of pest/insect activity and controls that are in place are working i.e Fly Traps
-
15.8 Brushes and Brooms - stored correctly and in good condition according to photo standard
-
15.9 General cleanliness and tidiness - i.e staining from water, powder, cleaning, rust - on floors, walls, and plant
-
16.10 Doors - Ensure inside door frames are inspected and cleaned
16.0 Summary of Inspection
-
Any additional items not covered in the 5S Inspection:
-
Insert relevant photos
-
The findings of this 5S Inspection were presented to, and discussed with the Process manager on this date:
-
Name and Signature of Team Leader
-
Name and Signature of Process Manager
