Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Audits Requested
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Audits handed out? (Record audit number)
Attendance
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All Directors present?
Report Out: Ehs
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: Quality
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: Customer Service
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: Packaging
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: CVS
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: FVS
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: BVS
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: SOS/SI
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Report out happened? (enter position)
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Boards updated correctly?<br>
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Report out content met guidelines?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Report Out: IVS
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Report out happened? (enter position)
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Report out content met guidelines?<br>
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Boards updated correctly?<br>
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Report Out Time approx 90 sec or less?
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Problems Exposed at Tier 3?
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Problems Solved at Tier 3?
Action Board
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Green Dots?
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Red dots?
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Double reds?
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Triple reds removed?
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New Yellow Stickies? for whom (by position)?
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New Blue Stickies? For whom (by position)?
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Orange Stickies Escalated to Tier 3?
Audits
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Audits Returned
Meeting End Time
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End before 10:30? (Record time)
Monthly. Number of blue stickies
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Greater than number of Yellow? (Record # Blue, Yellow, %)