FMC-MAN-AUD -BU HSE/Q Checklist

• Auditor:

• Document No.

Safety and Quality board upto date

• Is audit board being used

  Yes

  No

• Describe what is wrong

  Media

Area

• Intercompany

  Blocks

  DNI

• Area name

Safety

• Is this week's audit complete

  Yes

  No

• Why not or when should it be completed by

  Media

• Were all action from last audit completed

  Yes

  No

• Describe what is wrong

  Media

Quality

• Is this week's audit complete

  Yes

  No

• Why not or when should it be completed by

  Media

• Were all actions from last audit completed

  Yes

  No

• Describe what is wrong

  Media

Sign

• Auditor signature

  Sign

• Verification signature

  Sign