Housekeeping & General Rev 13

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

1.0 - Housekeeping and General

• 1.1 - Are areas free of tripping hazards?

  Yes

  No

  N/A

• 1.2 - Are aisles free from obstructions such as skids, equipment, shelves?

  Yes

  No

  N/A

• 1.3 - Are floors clean and free from slippery substances such as water, oil, etc?

  Yes

  No

  N/A

• 1.4 - Are scrap metal, glass, knife blades deposited in the proper containers?

  Yes

  No

  N/A

• 1.5 - Are overhead hazards secured properly?<br>

  Yes

  No

  N/A

• 1.6 - Are exits clearly marked?

  Yes

  No

  N/A

• 1.7 - Do employees promptly secure first aid for all injuries?

  Yes

  No

  N/A

• 1.8 - Are heavy items stored on lower shelves?

  Yes

  No

  N/A

• 1.9 - Have items been properly secured to prevent tipping/falling?

  Yes

  No

  N/A

• 1.10 - Are materials stored or stacked in a safe manner?

  Yes

  No

  N/A

• 1.11 - Are there any hand written stickers / sticky notations on the equipment or test devices?

  Yes

  No

  N/A

• 1.12 - Are safety glasses being worn?

  Yes

  No

  N/A

• 1.13 - Are smocks being worn?

  Yes

  No

  N/A

• 1.14 - Is appropriate safety equipment being worn at the wave solder and in the coating room?

  Yes

  No

  N/A

• 1.15 - Is the hair policy being followed?

  Yes

  No

  N/A

• 1.16 - Are there drinks or candy in the production area?

  Yes

  No

  N/A

• 1.17 - Are chairs, benches, shelves in safe condition?

  Yes

  No

  N/A

• 1.18 - Are air hoses secured to prevent tripping?

  Yes

  No

  N/A

2.0 - Outside (B Shift Only)

• 2.1 - Are all outside lights working properly?

  Yes

  No

  N/A

• 2.2 - Are all exits clear for Building 1 & Building 2?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign