Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Sort

  • 1) Is there a system for removal of red tag items?<br>

  • 0 = unwanted items in area
    1 = unwanted items are tagged
    2 = unwanted items are tagged and in red tag area
    3 = all unwanted items are removed from the area and disposed of within 2 weeks

  • 2) Are all tools/ equipment stored correctly within your area?<br>

  • 0 = tools lying around / equipment not put away
    1 = some tools / equipment put away
    2 = most tools / equipment put away
    3 = no tools left out/ equipment put away after use

  • 3) We all unwanted materials removed from the area?<br>

  • 0 = materials lying around after use by other shifts
    1 = materials removed by end of shift
    2 = materials removed within 4 hours from being complete
    3 = materials returned & put away once run complete

  • 4) Are cupboards / work surfaces clear of clutter?<br>

  • 0 = cupboards untidy / paperwork left lying around
    1 = cupboards tidied / some cleaning being done
    2 = cupboards tidy and some work surfaces are sorted
    3 = cupboard tidy / work surfaces clear

  • 5) Are there clear standards for storage?<br>

  • 0 = no lines or markings defined for items on floor
    1 = some line markings are done on floor
    2 = most line markings are defined and on floor
    3 = all items have positions marked on floor

  • 6) Are bins correct, markings and colour?<br>

  • 0 = no definition for bins i.e. tea waste, carton waste
    1 = some bins are marked and the correct colours
    2 = most bins are marked and correctly coloured
    3 = all bins are marked and correctly coloured

  • Total for Sort maximum 18

Straighten

  • 1) Are all materials stored correctly?<br>

  • 0 = materials not located within defined areas
    1 = some materials within defined locations
    2 = most materials within defined locations
    3 = all materials within defined locations

  • 2) Are tools / equipment identified and stored correctly?<br>

  • 0 = tools and equipment unmarked and left
    1 = some tools / equipment marked and located
    2 = most tools / equipment marked and located
    3 = all tools / equipment marked and located

  • 3) Are cleaning materials / utensils located and labelled correctly?<br>

  • 0 = brooms lying around, no cleaning station specified
    1 = cleaning station in place but not used
    2 = cleaning station in place and most tools / utensils in place
    3 = cleaning station in place and all tools / utensils in place

  • 4) Is all necessary P.P.E. stocked and in covered dispensers?<br>

  • 0 = no P.P.E. available and no places for storing it
    1 = storage identified but not implemented. P.P.E. not covered
    2 = storage in place but no P.P.E. available
    3 = storage in place and stock available

  • 5) Are ladders / P.A.V.'s / pallet trucks stored correctly?<br>

  • 0 = left out and no decision for storage
    1 = storage areas defined but not being adhered to
    2 = storage areas defined and labelled, 1 or 2 items left out
    3 = all items stored and labelled, nothing left out of place

  • 6) Have visual control standards been identified?<br>

  • 0 = no line markings or labels
    1 = line markings defined, and started
    2 = line markings and labels being placed in area but not everywhere
    3 = line markings and labels in all areas

  • Total for Straighten maximum 18

Shine

  • 1) Is the floor clean and free from debris / labels?<br>

  • 0 = floor messy and labels stuck down in numerous places
    1 = floor been swept by last shift, labels stuck to floor
    2 = floor mostly clear and labels have been removed
    3 = floor clean and no labels stuck to floor

  • 2) Is there a cleaning schedule in place and being adhered to?<br>

  • 0 = No cleaning schedule
    1 = Cleaning schedule in place but not followed
    2 = Cleaning schedule in place and has some signatures
    3 = Cleaning schedule in place and being followed

  • 3) Are machines / guards / conveyors and surrounding areas kept clean?<br>

  • 0 = Machines / guards / conveyors are dirty and surrounding area messy
    1 = Machines / guards / conveyors and surrounding areas have signs of cleaning
    2 = Machines / guards / conveyors clean surrounding areas need more cleaning
    3 = Machines / guards / conveyors and surrounding areas clean

  • 4) Are tool boxes, work surfaces and benches free from clutter (tools, equipment, tape and debris)?<br>

  • 0 = no sign of cleaning and messy
    1 = signs of minor cleaning
    2 = cleaned occasionally
    3 = cleaned regularly

  • 5) Is underneath and inside machines kept clean and free from oil?<br>

  • 0 = underneath and inside machines dirty
    1 = some cleaning evident but not regular
    2 = cleaning occurring occasionally
    3 = cleaned regularly

  • 6) Are hoovers / filters / central vac system emptied and regularly cleaned?<br>

  • 0 = hoovers / filters / central vac system not empty or clean
    1 = hoovers / filters / central vac system clean but not empty
    2 = hoovers / filters / central vac system clean and emptied occasionally
    3 = hoovers / filters / central vac system clean and emptied regularly

  • Total for Shine maximum 18

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.