• Client / Site

  • Conducted on

  • Prepared by


  • Clean and tidy environment ?

  • Individual protection respected ?

  • Process protection (electrical cabinets locked, process protection in place, extinguisher etc...)


  • Autonomous maintenance realized as per standard ?

  • OK start respected?

  • Parts out of standard process are identified ?

  • There is no other findings ? (Respect of products, boomerangs...)


  • Scraps identified? (issue? Qty? Shift? Date?)

  • Process / Production events recorded on an hourly basis: gaps are commented

  • auditor

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.