Information

  • CCC Location

  • Conducted on

  • Audited by

  • Line Champion

  • Line Number

1.0 - Previous inspection

  • 1.1 - Are the red tags under 30 days since they were opened?

2.0 - Safety

  • In this section if a safety exposure/behavior is made determine the severity (safe or at risk condition). Then provide feedback to the person observed. Write a red tag if this is an equipment condition.

    - Sucess feedback should be given when you want to reinforce a positive behavior.
    - Guidance feedback should be given when you want to change, reduce or eliminate an undesirable behavior.

  • 2.1 - (SIF) Lockout - Are lockout devices being used, procedures being followed?

  • 2.2 - (SIF) Are powered industrial equipment operating safely?

  • 2.3 - (SIF) Is everyone working at heights below 4 feet?

  • 2.4 - (SIF) Are the electrical panels/cabinets safe and no risk is seen where Arc flash can occur?

  • 2.5 - (SIF) Are the entries into confined spaces clearly labeled and safe?

  • 2.6 - (SIF) Are personnel using hand lock devices and following the dock procedures?

  • 2.7 - (Ergo) Are personnel performing proper lifting, bending and twisting motions?

  • 2.8 - (Ergo) Are personnel minimizing repetitive motions

  • 2.9 - (Ergo) Personnel are observed not having to reach, pull or push for things

  • 2.10 - (Ergo) Personnel are not standing, sitting or kneeling for long periods of time

  • 2.11 - (Tools & Equipment) - Are the tools or equipment being used safe for use (guards on, interlocks working)?

  • 2.12 - (Tools & Equipment) - Are the tools or equipment being used in a safe manner?

  • 2.13 - (Procedures) - PPE is adequate for work performed?

  • 2.14 - (Procedures) - Are housekeeping procedures being followed?

  • 2.15 - (Procedures) - Are safety procedures being followed; no shortcuts?

  • 2.16 - (Procedures) - Are personnel rushing or running to maintain lines?

3.0 - Organization & Cleanliness (5s)

  • 3.1 - Blow Molder - All tools, grabbers, poles, bins, etc. are in their home locations. General cleanliness; all paperwork, books, manuals are stored neatly

  • 3.2 - Cooling Bed - Is the cooling bed operating normally?

  • 3.3 - Trimmer - Is the trimmer operating safely?

  • 3.4 - Leak Detector - Are the leak detectors working properly?

  • 3.5 - QC Station - Is it organized, labeled & clean?<br><br>Guide - All items on the table should be clearly labeled, in their place with table marked locations and there should not be a heavy layer of dust.

4.0 - Line Boards

  • 4.1 - Hr x Hr Charts - Production is recorded every hour

  • 4.2 - Shift Production (Red/Yellow/Gene) - Shift production is filled out every shift

  • 4.3 - Line Walk - Line walks are happening and documented

  • 4.4 - Action Registers - Entries are being made

  • 4.5 - Action Registers - Action items are being addressed in a timely manner

5.0 - Process Controls

  • 5.1 - Log Books - Entries are documented every shift & up to date?

  • 5.2 - Process Change Logs - Evidence of use

  • 5.3 - Process Change Logs - Spot check process parameters & compare Line walk, set-up sheet, process change log to actual machine setting

  • 5.4 - SOP's - Start-up, shut down & changeover - Posted at or near the machine

  • 5.5 - SOP's - Start-up, shut down & changeover - Evidence that they are being used

  • 5.6 - Troubleshooting - Posted at or near the machine

  • 5.7 - PM - Lube maps posted at the line

  • 5.8 - PM - Lube schedule & completion record posted at the line & up to date?

  • 5.9 - PM - Other PM tasks documented

Sign Off

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.