Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Team Members

Sensor Building Inspection

  • Process

  • Operator

  • Employment

  • How long have you worked here?

  • Who was your trainer?

  • Did your training cover the hazards related to this machine or area?

  • On a scale 1-10 (10 safest), how safe would you rate this process?

  • Do you have any safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

Warehouse Inspection

  • Process

  • Operator

  • Employment

  • How long have you worked here?

  • Who was your trainer?

  • On a scale 1-10 (10 safest), how safe would you rate this process?

  • Do you have any safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

Spark Plug Building Inspection

  • Process

  • Operator

  • Employment

  • How long have you worked here?

  • Who was your trainer?

  • On a scale 1-10 (10 safest), how safe would you rate this process?

  • Do you have any safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

  • Do you have any additional safety concerns at his process?

  • Concern

  • Type

  • Type

  • Type

  • Type

  • Type

  • Type

  • Training Issue

  • Other type of safety concern

  • Corrective Action Recommendation

  • Status of the corrective actions will be discussed at the Safety Core Group meetings

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