Information

  • Location: Ripon Plant

  • Document No.

  • Add Area of Audit

  • Prepared by

  • Conducted on

Area Maintenance, Parts Cage, Tooling Repair, Engineering, Compressor Rm

  • Exterior walls (18" white line) kept clean and free of obstruction<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • 5S followed; everything stored in appropriate locations, lines not cluttered<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All aprons, gloves, etc are kept in designated area when not in use<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All cardboard is clean and dated <br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All chemicals and compounds completely segregated from raw materials and product<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All chemicals and secondary containers must be labeled<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All chemicals are put in the correct locations<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All cleaning supply cabinets are locked and labeled<br><br><br>

  • All cleaning supply cabinets are locked and labeled<br><br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All entry into plant secured - check doors<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • All necessary holes in walls, open-ended conduit, piping, etc., sealed to prevent pest or rodent nesting<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date completed

  • All supply cabinets are locked and/or labeled<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Chemical inventories are correct and updated<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Control of dust, condensation on overhead structures and pipes<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Fan filters are on and clean<br><br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Hoses do not contact floor<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Labels are marked out on re-used gaylords, new labels applied<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Light traps operational and reasonably clean<br><br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Machinery free of grease, dirt, and chipped paint that could come in contact with product<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Make shift devices such as tape, cardboard, wire, etc., not used on equipment as a permanent fix<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Materials stored or elevated off of floor<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No articles in pockets above the waist<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No broken or damaged pallets<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No burned out lights or damaged covers<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No food or food containers placed in trash containers in manufacturing areas<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No Personal articles allowed<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No tape anywhere; not used as marker or labeling<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No use of finished product in area<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • No use of finished product in segregated area and identified properly<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Proper PPE being used.<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Rags are inside their bags and no rags touching the outside of the barrels<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Rodent traps present, placed against the wall, and in good condition<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Sinks are kept separate and labeled for hand washing/utensils<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Trash/Recyclables in correctly labeled bins and covered<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Use the question list to "interview" at least 2 employees, include in your comments which questions were asked, the response given, and the position of the person asked.<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Walls and roof free of holes or cracks<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Walls and roof free of holes or cracks<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

  • Other: Explain<br>

  • Person Assigned Corrective Action and Target Date

  • Date Completed

Area Chemical Room and Flammable Room

  • Are two products in the chemical room on the chemical approval list? List chemicals that you audited

  • Are the quantities correct on the inventory list?

  • Are two products in the Flammable room on the chemical approval list? List Flammable that you audited

  • Are the quantities correct on the inventory list?

  • Add media

  • Add signature

  • Add signature

  • When Audit is complete, Email audit to cindy.goehring@polyone.com and charlene.frost@polyone.com

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.