Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Department

  • Machine<br>

Process

  • Employee(s) Observed

  • Part#

  • Was process card present

  • Was process card being followed

  • Any obvious issues that could result in poor quality

  • If so explain

Safety Audit

  • Was PPE worn correctly

  • Any obvious safety hazards present

  • If so were they corrected

  • Tools/Equipment/Safety Devices/Guards in safe operating condition

  • Ergonomics/Body Mechanic-Correct posture and motions

  • Observe a driver for safe speed, stopping at intersections, use of born and wearing seatbelt

  • Comments

  • Add signature

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