Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety

  • Are associates familiar with the emergency plan (Evacuation and Take Shelter)?

  • Comment(s)

  • Are associates free of any safety/ergonomic concerns?

  • Comment(s)

  • Are fire extinguishers available/accessible and within expiration date?

  • Comment(s)

  • Is the eyewash station available/accessible and in working order?

  • Comment(s)

  • Is the MSDS file available/accessible?

  • Comment(s)

General Area

  • Does the area have a 6S action plan with no discrepancies?

  • Comment(s)

  • Is the process flow identifiable?

  • Comment(s)

  • Is product appropriately identified and segregated as needed?

  • Non-conforming product is segregated in designated area.

  • Non-conforming product has an NCR attached.

  • NCR is completed correctly.

  • Are all applicable equipment within calibration/PM dates?

  • Comment(s)

  • Do all documents/records required for the area follow GDP standards?

  • Comment(s)

  • Are expense materials (Loctite, batteries, solder, etc.) within expiration dates?

  • Comment(s)

  • Are Kanban cards available for use and accurate, where applicable?

  • Comment(s)

General - Personnel

  • Are associates trained to the job that they are performing?

  • Comment(s)

  • Are associates following standard operating procedures (MAPs, QIPs, MATs, etc.) for the task they are performing?

  • Comment(s)

  • Are ESD smocks being worn and within the 2 year usage requirement?

  • Comment(s)

  • Are heel/wrists straps worn appropriately, where applicable?

  • Comment(s)

  • Can associates identify and define all phases of 6S in order?

  • Safety - Maintaining a safe work environment.

  • Sort - "Have what you need and need what you have."

  • Set-in-order - "A place for everything and everything in its place."

  • Shine - "Clean and maintain."

  • Standardize - "Creating guidelines and schedules to maintain the previous phases."

  • Sustain - "Make it a habit."

  • Are associates familiar with the 7 forms of waste?

  • T - Transportation

  • I - Inventory

  • M - Motion

  • W - Wait

  • O - Overproduction

  • O - Overprocessing

  • D - Defects

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.