GLASS/PERSPEX

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CLEANROOM

• Current glass/Perspex for this area as follows:-
  4 x high bay lights-glass bulb-plastic cover
  1 x Perspex clock
  1 x fluorescent light with plastic cover
  1 x Perspex exit sign

  

• How many high bay lights

• Review glass/Perspex register.

  Non Compliant

• Clocks

• Review glass/Perspex register.

  Non Compliant

• Fluorescent lights

• Review glass/Perspex register.

  Non Compliant

• Exit sign

• Review glass/Perspex register.

  Non Compliant

CLEANROOM FORK

• Current glass/Perspex for this area as follows:-
  2 x glass and plastic driving
  1 x glass and plastic rear light
  1 x glass and plastic flashing orange light
  1 x plastic dash
  1 x plastic seat adjuster
  

  

• Glass and plastic driving lights

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic rear lights

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic flashing orange light

• Review glass/Perspex register.

  Non Compliant

• Plastic dash

• Review glass/Perspex register.

  Non Compliant

• Plastic seat adjuster

• Review glass/Perspex register.

  Non Compliant

PRODUCTION AREA

• Current glass/Perspex for this area as follows:-
  14 x high bay lights-glass bulbs-plastic covers
  1 x Perspex clock
  3 x fluorescent lights with plastic covers
  4 x Perspex exit signs
  6 x glass touch screens
  6 x Perspex scale display
  2 x flashing lights-glass bulbs-plastic covers
  1 x glass pressure gauge
  1 x plastic soap dispenser
  1 x Perspex door on key cabinet
  7 x dual emergency lighting- glass bulbs- plastic covers
  9 x plastic pheromone traps

  

• How many high bay lights

• Review glass/Perspex register.

  Non Compliant

• Clocks

• Review glass/Perspex register.

  Non Compliant

• Fluorescent lights

• Review glass/Perspex register.

  Non Compliant

• Exit signs

• Review glass/Perspex register.

  Non Compliant

• Perspex scale display

• Review glass/Perspex register.

  Non Compliant

• Glass touch screens

• Review glass/Perspex register.

  Non Compliant

• Flashing lights

• Review glass/Perspex register.

  Non Compliant

• Glass pressure gauge

• Review glass/Perspex register.

  Non Compliant

• Plastic soap dispenser

• Review glass/Perspex register.

  Non Compliant

• Perspex door key cabinet

• Review glass/Perspex register.

  Non Compliant

• Dual emergency lighting

• Review glass/Perspex register.

  Non Compliant

• Pheromone traps

• Review glass/Perspex register.

  Non Compliant

PRODUCTION ELECTRIC FORK X 2

• Current glass/Perspex for this area as follows:-
  2 x glass and plastic driving light
  2 x glass mirrors
  2 x glass and plastic front signal lights
  1 x glass and plastic rear light
  1 x glass and plastic flashing orange light
  1 x plastic dash
  1 x hard plastic remote controller
  1 x plastic seat adjuster
  

  

• Glass and plastic driving lights

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic front signal lights

• Review glass/Perspex register.

  Non Compliant

• Glass mirrors

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic rear light

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic flashing orange light

• Review glass/Perspex register.

  Non Compliant

• Plastic dash

• Review glass/Perspex register.

  Non Compliant

• Plastic seat adjuster

• Review glass/Perspex register.

  Non Compliant

• Hard plastic remote controller

• Review glass/Perspex register.

  Non Compliant

• Electric fork # 464

• Electric fork # 426

PRODUCTION GAS FORK X 7 ( only two with remotes controllers)

• Current glass/Perspex for this area as follows:-
  2 x glass and plastic driving light
  2 x glass and plastic rear tail light sets
  2 x glass mirrors
  2 x glass and plastic front signal lights
  1 x glass and plastic flashing orange light
  1 x plastic dash
  1 x hard plastic remote controller
  
  

  

• Glass and plastic driving lights

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic rear tail light sets

• Review glass/Perspex register.

  Non Compliant

• Glass mirrors

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic front signal lights

• Review glass/Perspex register.

  Non Compliant

• Glass and plastic flashing orange light

• Review glass/Perspex register.

  Non Compliant

• Plastic dash

• Review glass/Perspex register.

  Non Compliant

• Hard plastic remote controller

• Review glass/Perspex register.

  Non Compliant

• Gas Fork # 2 remote

• Gas Fork # 3

• Gas Fork # 4 remote

• Gas Fork # 5

• Gas Fork # 6

• Gas Fork # 7

• Gas Fork # 9

BULKS SHED

• Current glass/Perspex for this area as follows:-
  7 x high bay lights-glass bulb- plastic covers
  8 x distribution boards( # 7,8,9,10,11,12,13 and 14) with various glass and plastic fittings.
  4 x glass windows
  1 x hydraulic tank level indicator plastic
  2 x flashing red light - glass bulb - plastic cover
  1 x Perspex clock
  1 x fluorescent light glass/plastic
  3 x glass gauges

  

• How many high bay lights

• Review glass/Perspex register.

  Non Compliant

• Is distribution board 7 intact ?

  Yes

  No

  N/A

• Is distribution board 8 intact ?

  Yes

  No

  N/A

• Is distribution board 9 intact ?

  Yes

  No

  N/A

• Is distribution board 10 intact ?

  Yes

  No

  N/A

• Is distribution board 11 intact ?

  Yes

  No

  N/A

• Is distribution board 12 intact ?

  Yes

  No

  N/A

• Is distribution board 13 intact ?

  Yes

  No

  N/A

• Is distribution board 14 intact ?

  Yes

  No

  N/A

• Glass windows

• Review glass/Perspex register.

  Non Compliant

• Hydraulic tank level indicator

• Review glass/Perspex register.

  Non Compliant

• Flashing red lights

• Review glass/Perspex register.

  Non Compliant

• Perspex clocks

• Review glass/Perspex register.

  Non Compliant

• Fluorescent lights

• Review glass/Perspex register.

  Non Compliant

• Glass gauges

• Review glass/Perspex register.

  Non Compliant

Summary

• Non conformance/Notes

• Non conformance to be completed by

  Date

• General Manager

  Sign