FMC Factory Maintenance Team Weekly Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Agility Records

• Yes

  No

  N/A

General Housekeeping

• Are areas free of trip hazards and obstructions?

  Safe

  At Risk

  N/A

• Are scrap/waste items segregated and disposed of correctly?

  Yes

  No

  N/A

• Are fire exits and evacuation routes clear?

  Safe

  At Risk

  N/A

• Is the 5S principal being followed?

  Yes

  No

  N/A

• Are floor surfaces clean and free from oils/residue?

  Yes

  No

  N/A

Risk Assessments

• Has the R.A. for the current task been reviewed? An example should be documented

  Yes

  No

  N/A

• Is the R.A. suitable and sufficient for the current task?

  Yes

  No

  N/A

Personal Protective Equipment (P.P.E.)

• Is job specific mandatory PPE in use?

  Yes

  No

  N/A

• Is all P.P.E. at a satisfactory standard? No exessive signs of wear and tear.

  Safe

  At Risk

  N/A

• Additional Comments

Fire Prevention and Emergency

• Are fire extinguishers and first aid kit accessible?

  Yes

  No

  N/A

• Are materials stored to allow safe manual handling practices?

  Yes

  No

  N/A

• Only approved fuel/chemical containers in use?

  Safe

  At Risk

  N/A

• Is there evidence of general clutter?

  No

  Yes

• Gas bottles are safe and secure in proper storage area(s)?

  Yes

  No

  N/A

• Gas storage area displays no smoking, flammable gasses and appropriate class?

  Yes

  No

  N/A

• Any additional findings:

Sign Off

• On Site Representative Signature

  Sign

• Auditor's Signature

  Sign