Housekeeping

• Conducted on

  Date

• Prepared by

• Location
  Address

Reviewed Department

• Which department are you reviewing?

  Select Frame Floor Wall Top Electrical Exterior Front Door Moulding Final Finish Shipping/Receiving Cabinet

  • Frame
  • Floor
  • Wall
  • Top
  • Electrical
  • Exterior
  • Front Door
  • Moulding
  • Final Finish
  • Shipping/Receiving
  • Cabinet

Housekeeping

• Is there clutter and trash on plant floor, mezzanine, or scaffolds?

  Safe

  At Risk

  N/A

• Is there clutter/trash under tables, jigs, or racks?

  Safe

  At Risk

  N/A

• Do you see excessive amounts of dust on top of surfaces (example: electrical outlets, machine cabinets, ...)?

  Safe

  At Risk

  N/A

• Have dust collecting systems being emptied daily?

  Safe

  At Risk

  N/A

• Are storage racks disorganized?

  Safe

  At Risk

  N/A

• Have spills have been cleaned immediately?

  Safe

  At Risk

  N/A

• Is there any evidence of eating/drinking in facility outside designed area (except water)?

  Safe

  At Risk

  N/A

• Are aisles clear for forklift traffic?

  Safe

  At Risk

  N/A

• Are materials/pallets leaning on other materials or walls?

  Safe

  At Risk

  N/A

• Are water fountains and eyewash stations clean?

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign