Lear Corp. - Layered Audit Checklist

• Shift

• Card #

• Inspection Area

• Conducted on

  Date

• Prepared by

• Location
  Address

General Disinfection Measures

• 1. Did the cleaning crew/employees receive training about the disinfection method and frequency?

  Yes

  No

• 2. Was hospital grade disinfectant or fresh 10% chlorine bleach solution (sodium hypochlorite solution) used as appropriate?

  Yes

  No

• 3. Did the team conduct a comprehensive cleaning in all work cell common surfaces (control buttons, tools, conveyors, trays, containers, forklifts, machines)?

  Yes

  No

• 4. Did the team conduct a comprehensive cleaning in all offices, desk and conference rooms (cabinets, desk, tables, chair surfaces)?

  Yes

  No

• 6. Did the team conduct a comprehensive cleaning in cafeteria/canteen (tables, chair surfaces, dispensers, vending machines)?

  Yes

  No

• 7. Did the team conduct a comprehensive cleaning in all common surfaces of personnel buses (seat surfaces, rails, belts, door, windows, floor)?

  Yes

  No

• 8. Did the team conduct a comprehensive cleaning of floors, walls and multiuse areas (tables, chair surfaces, dispensers, vending machines)?

  Yes

  No

2nd Layer Audit: Audit of the above performed

• 9. Were non-conformities raised?

  Yes

  No

• 10. If yes, were they actioned?

  Yes

  No

• 11. If no, please provide reasons:

3rd Layer Audit: Audit of Layer 2 by EHS or a higher-level manager

• 13. Were all non-conformities closed?

  Yes

  No

• 14. If no, please provide reasons:

Sign Off

• Inspected by (Name and Signature)

  Sign

• EHS /Manager (Name and Signature)

  Sign