Information
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Conducted on
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Prepared by
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Personnel
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Location
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When conducting audits, choose a sample area of the department. Answer all questions and take pictures for all questions. If an area is lacking a computer, or desk, etc. choose another sample area to complete the audit.
Work Surfaces, Workstations and Floors (72 pts.)
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1 - Do the floors in the working area look like the standard photos? (Yes = 32 pts., Needs Improvement = 16 pts., No = 1 pts.)
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Notes on deficiencies
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Take a photo of your area's floors
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2 - Does the workstation look like the standard photos? (Yes = 40 pts., Needs Improvement = 20 pts., No = 1 pts.)
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Notes on deficiencies
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Take a photo of your area's workstation
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Check this box if work stations have major defects that maintenance needs to fix.
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Enter the work order number and/or project charter in reference to this area and any additional notes.
Machines, Equipment, Conveyors, and Tooling (96 pts.)
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3 - Does your emergency equipment and emergency exits look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on Deficiences
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Take a picture of your emergency equipment
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Check this box if the emergency equipment and exits signs are not working or in poor condition.
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Enter the work order number and/or project charter in reference to this area and any additional notes.
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4 - Does the PPE in the area look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's PPE
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5 - Do the machines, equipment, conveyors, and assembly tables look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's machines, and equipment
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Check this box if machines or equipment are in poor working condition, if guards are damaged, or cables are a trip hazard.
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Enter the work order number and/or project charter in reference to this area and any additional notes.
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6 - Do the tools and gauges in the area look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on deficiences
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Take a picture of your area's tools and gauges
Supplies, Kanban Shelves, Material Staging Areas (On-line and Off-line Storage) (72 pts.)
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7 - Do the supply areas look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on deficiences
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Take a picture of your area's supplies
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Check this box if shelves are in poor condition and maintenance needs to fix it.
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Enter the work order number and/or project charter in reference to this area and any additional notes.
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8 - Does the desk and documents look like the standard photo? (Yes = 24 pts., Needs Improvement = 12 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's desk
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Check this box if computer equipment is not in good working condition.
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Enter help desk ticket and/or project charter in reference to this area and any additional notes.
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9 - Do the cleaning supplies look like the standard photo? (Yes = 24 pts, Needs Improvement = 12 pts, No = 1pts)
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Notes on deficiences
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Take a picture of your area's cleaning supplies
Trash and Scrap
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10- Does the trash and scrap look like the standard picture? (Yes - 12 pts., Needs Improvement = 6 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's trash and scrap
Communication Boards, Check Sheets, Standard Work (60 pts.)
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11 - Does the department's SQSP board look like the standard photo? (Yes = 16 pts., Needs Improvement = 8 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your department's SQSP board
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12 - Are check sheets complete, up-to-date, and in good presentation (no frayed edges, all words are legible)? (Yes = 16 pts., Needs Improvement = 8 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's 5S check sheet
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13 - Is the standard work book organized, up-to-date, pages are in good presentation ( no rips, words a legible)? (Yes = 16 pts., Needs Improvement = 8 pts., No = 1 pts.)
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Notes on deficiencies
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Take a picture of your area's standard work book