Title Page
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Document No.
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Audit Title
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Team Leader/Supervisor
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Conducted on
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Prepared by
SAFETY
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Team Leader conducted start-up check
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Area is free of trip hazards
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Floor is dry and not slippery
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Walkways are clear
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Machine Guarding is functional
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Electric cords are in good shape
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Team using good lifting method
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Electrical panels and extinguishers are clear
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All PPEs are being used appropriately
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Flammable liquids and chemicals stored and labeled properly
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Seat belt and blue lights (forklift) are being used
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No unsafe act or conditions found
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Describe:
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Take the evidences:
QUALITY
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In-Progress checks conducted
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No quality issues found
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Describe:
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Take the evidences:
5S
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5S are being performed properly
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KIOSK board updated
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Describe:
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Take the evidences:
WASTES
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There's NO "DOWNTIME" (wastes) observed
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Describe:
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Take the evidences:
DAILY REVIEW
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Expected and actual output are posted
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Root causes for +/- identified