Title Page
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Conducted on
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Prepared by
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Rinse Aid and Titration Solutions: Rinse Aid and titration solution levels are appropriate and titration solution has not expired.
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Unused tools, parts, or equipment: Area is free of unused tools, equipment or parts - and free of those used by other departments.
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Beneath staircases: Areas are free of un-needed SORT items and are clean.
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Paperwork: SPC Binder is present, organized, and contents are current
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Slip/Trip Hazards: Area is free of trip/slip hazards
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Safety Item Accessibility: Exits, fire extinguishers, eyewash stations, spill kits, e-stops, etc are accessible.
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Coat racks and personal belonging cabinets: Fixtures and area are clean and well organized.
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Cabinets/ Furniture at Titration Station: All are clean, in good appearance and being used for intended purpose.
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Computers/Printers and Related Wiring: Equipment is clean and appears to be operating properly. Cables/wires are well organized and secure.
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Lighting: Lighting appears sufficient for area. All bulbs are working and clean.
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Electrical Panels: Nothing is stored on top of panels, they are secured and in good condition, and there is 3' clearance.
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Light Fixtures: Tops of light fixtures are clean
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Floor: Floor appears clean and recently swept/mopped.
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Painted Surfaces: Painted surfaces are in good condition - in particular, yellow painted surfaces that are prone to damage.
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Walls & Columns: Walls, including mesh and tarp walls, are clean.
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Movable items: Movable items have homes defined by shadowboxing/signage and items are located to standard.
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End of Shift 5S Expectations are posted: 5S Expectations (Form 4766) is available for every employee.
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Common Areas: Area between Dirt Lab and 1K Loop is clean, free of SORT items, and painted items are in good condition.
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Washer Trenches: Trenches are visibly clean.
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Please enter Auditor's Signature