Factory Audit

• DQF 104a Rev 5 21 Jan 13

• Factory

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Is the area clean (housekeeping)

  Yes

  No

  N/A

• Are electrical leads not creating trip hazards

  Yes

  No

  N/A

• Walkways clear

  Yes

  No

  N/A

• Are all lights working

  Yes

  No

  N/A

• Is the shelving weight sign legible

  Yes

  No

  N/A

• Safety signage in place and legible

  Yes

  No

  N/A

• Are demarcation lines visible

  Yes

  No

  N/A

• First aid kit complete and in date

  Yes

  No

  N/A

• Access to emergency equipment clear (fire reel, extinguisher, first aid kit)

  Yes

  No

  N/A

• Lifting gear test and tag in date

  Yes

  No

  N/A

• Electrical test and tag in date

  Yes

  No

  N/A

• Are there no sharp edges of sheets protruding

  Yes

  No

  N/A

• Is the chain in place at roller door to reduce access

  Yes

  No

  N/A

• Ear protection available at entrances

  Yes

  No

  N/A

• PPE being worn

  Yes

  No

  N/A

• Shelfs stacked correctly (falling objects)

  Yes

  No

  N/A

• Dust collectors not overful

  Yes

  No

  N/A

• Waste bins not overful

  Yes

  No

  N/A

• Waste segregated

  Yes

  No

  N/A

• Water collected on compressor being emptied

  Yes

  No

  N/A

• Forklift tickets and competences current

  Yes

  No

  N/A

• Forklift pre-start complet

  Yes

  No

  N/A

• Forklift maintenance up to date

  Yes

  No

  N/A

• Are all personnel inducted

  Yes

  No

  N/A

• Product manufacture date being recorded

  Yes

  No

  N/A

• Delivery book being used

  Yes

  No

  N/A

• Auditor

  Sign

• Area Supervisor

  Sign