JCC-WI

• SOP # and Title:

• Conducted on

  Date

• Conducted by

• Other Personnel involved:

A. Review of Activity

• 1. Performed the task steps in the same order as listed in the SOP?

  Yes

  No

  N/A

• 2. Performed each step, did not miss or omit any steps?

  Yes

  No

  N/A

• 3. Used specified PPE/tools during the required steps as listed in the SOP?

  Yes

  No

  N/A

• 4. Followed any precautions that were listed for a specific step.

  Yes

  No

  N/A

• 5. Allowed adequate time to monitor the reaction of the process for each step taken, if needed.

  Yes

  No

  N/A

• 6. Communicated with others, if required.

  Yes

  No

  N/A

B. Adequacy of Procedure

• 1. Procedure sequence is logical (efficient, necessary, safe).

  Yes

  No

  N/A

• 2. PPE/tools used by the operator was listed in the SOP.

  Yes

  No

  N/A

• 3. The SOP language, terminology, jargon, and descriptions are common and understood by the person(s) performing the work.

  Yes

  No

  N/A

• 4. Precautions for common hazards (i.e. Line of fire, pinch points, hot materials) are spelled out in the SOP, if needed.

  Yes

  No

  N/A

• 5. The scope of this SOP is appropriate (it does not need to be subdivided or combined with another SOP).

  Yes

  No

  N/A

• 6. Variations in conditions have been considered in the SOP.

  Yes

  No

  N/A

• 7. The level of detail in the SOP is sufficient for training a new operator or performing refresher training.

  Yes

  No

  N/A

C. Familiarity with Other Matters

• 1. The equipment/machinery/tools used in this task are maintained and functioning as designed (I.e. Not broken or using a work around).

  Yes

  No

  N/A

• 2. Access and lighting are adequate to perform routine tasks.

  Yes

  No

  N/A