Title Page

  • Document No.

  • Audit Title

  • Team Leader/Supervisor

  • Conducted on

  • Prepared by


  • Team Leader conducted start-up check

  • Area is free of trip hazards

  • Floor is dry and not slippery

  • Walkways are clear

  • Machine Guarding is functional

  • Electric cords are in good shape

  • Team using good lifting method

  • Electrical panels and extinguishers are clear

  • All PPEs are being used appropriately

  • Flammable liquids and chemicals stored and labeled properly

  • Seat belt and blue lights (forklift) are being used

  • No unsafe act or conditions found

  • Describe:

  • Take the evidences:


  • In-Progress checks conducted

  • No quality issues found

  • Describe:

  • Take the evidences:


  • 5S are being performed properly

  • KIOSK board updated

  • Describe:

  • Take the evidences:


  • There's NO "DOWNTIME" (wastes) observed

  • Describe:

  • Take the evidences:


  • Change control board reflects actual condition

  • Status of current engineering projects:

Improvements and suggestions

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