Title Page
-
Conducted on
-
Prepared by
-
Rinse Aid and Titration Solutions: Rinse Aid and titration solution levels are appropriate and titration solution has not expired.
-
Unused tools, parts, or equipment: Area is free of unused tools, equipment or parts - and free of those used by other departments.
-
Paperwork: SPC Binder is present, organized, and contents are current
-
Slip/Trip Hazards: Area is free of trip/slip hazards
-
Safety Item Accessibility: Exits, fire extinguishers, eyewash stations, spill kits, e-stops, etc are accessible.
-
Cabinets/ Furniture: All are clean, in good appearance and being used for intended purpose.
-
Computers/Printers/ Scanners & Related Wiring: Equipment is clean and appears to be operating properly. Cables/wires are well organized and secure.
-
Waste removal: Standard garbage bins are in proximity. Bins are clean and not overflowing.
-
Lighting: Lighting appears sufficient for area. All bulbs are working and clean.
-
Electrical Panels: Nothing is stored on top of panels, they are secured and in good condition, and there is 1 metre of clearance.
-
Painted Surfaces: Painted surfaces are in good condition - in particular, yellow painted surfaces that are prone to damage.
-
Floor: Floor appears clean and recently swept/mopped.
-
Walls & Columns: Walls, including mesh and tarp walls, are clean.
-
Movable items: Movable items have homes defined by shadowboxing/signage and items are located to standard.
-
Labelling: All labelling within crib is in good condition and accurately reflects location contents.
-
End of Shift 5S Expectations are posted: 5S Expectations (Form 4766) is available for every employee.
-
Common Areas: At titration system, area is clean and clear of inappropriate contents including trays.
-
Please enter Auditor's Signature