Title Page

  • Document No.

  • Audit Title

  • Team Leader/Supervisor

  • Conducted on

  • Prepared by


  • Team Leader conducted start-up check

  • Area is free of trip hazards

  • Floor is dry and not slippery

  • Walkways are clear

  • Machine Guarding is functional

  • Electric cords are in good shape

  • Team using good lifting method

  • Electrical panels and extinguishers are clear

  • All PPEs are being used appropriately

  • Flammable liquids and chemicals stored and labeled properly

  • Seat belt and blue lights (forklift) are being used

  • No unsafe act or conditions found

  • Describe:

  • Take the evidences:


  • In-Progress checks conducted

  • No quality issues found

  • Describe:

  • Take the evidences:


  • 5S are being performed properly

  • KIOSK board updated

  • Describe:

  • Take the evidences:


  • There's NO "DOWNTIME" (wastes) observed

  • Describe:

  • Take the evidences:


  • Change control board reflects actual condition

  • No pending PR related to audited area

  • Stock out issues

  • Excess in inventory

  • Unbalanced delivery schedule of matls

  • Supplier quality issues

  • take photo of the evidence

Improvements and suggestions

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.