Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
East Wall
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The starting point for the inspection is the east wall of the re-pelletization area at the north entrance of the room. This is located near the large opening leading into the Production Department
Surveillance Camera (CAM-RP-01)
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Camera lens intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Convex Mirror
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Mirror surface intact and mirror positioned correctly?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Rodent Trap (65)
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Rodent trap intact and within protective cover?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Chill Water Pipes
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Look directly overhead while standing in front of the mirror. The face of four gauges should be visible.
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Glass on gauges are intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Man Lift (Genie)
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Man-lift parked in area?
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Man lift in designated location?
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Who was notified of the issue?
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Fire extinguisher secured in proper location and not discharged?
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Who was notified of the issue?
Rodent Trap (64)
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Rodent trap intact and within protective cover?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Fire Extinguisher (FE-RP-02)
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Fire extinguisher secured in proper location and not discharged?
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Who was notified of the issue?
Sprinkle System Water Supply Pipes
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Gauges (2) - glass intact and pressure indicator within marked tolerance?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Welding Receptacle Disconnect Switch (PNL_3P08_BKR18)
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Panel closed?
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Switch position ( should be in the Down/OFF position if not in use)
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Access to panel unobstructed?
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Cap properly installed on outline if not in use?
Rodent Trap (63)
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Rodent trap intact and within protective cover?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Electrical Outlet - covered (PNL_1P24_BKR15)
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Outlet cover closed?
Emergency Light
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This light is located very high on the east wall.
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Glass on lights intact?
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Who was notified of the issue?
Fluff Box
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Fluff box in designated location and properly labeled?
Dust Collector
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Hard plastic on control panel intact?
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Was Work Order created?
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Who was notified of the issue?
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Work Order information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Surveillance Camera
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Camera lens intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Air Hose (AIR-RP-01)
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Hose retracted on reel?
Comments
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Comments and Photos
Item
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Comment
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Photo
South Wall
Air Supply Pipe
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Glass on gauge intact and pressure reading within tolerance?
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Was Work Order created?
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Who was notified of the issue?
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Work Order information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Electrical Disconnect Switch Panel (3P08 BKR 11)
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Panel door closed?
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Switch Position
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Access to panel unobstructed?
Trash Can: Non-Food (TC-RP-01)
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Trash can in designated location and properly labeled?
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Cover properly in place and lid closed?
Eyewash Station (EW 6)
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Station clean, particularly, near water spray outlets?
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Eyewash covers correctly mounted?
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Unit contains adequate amount of water?
Tool Box
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Labels intact? Tools in designated locations? Tool box clean and orderly?
Supply Cabinet (SC-RP-01)
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Labeling intact and only designated items located in their proper locations?
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Cabinet clean, neat, and orderly?
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Photo of cabinet
Chemical Cabinet (CC-RP-01)
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Only items on list found in cabinet?
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Chemical not on cabinet list
Chemical
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Description
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Manufacturer
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Item Number
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Cabinet clean, neat, and orderly?
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Photo of cabinet
Hardware Cabinet (HC-RP-01)
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Labeling intact and only designated items located in their proper locations?
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Cabinet clean, neat, and orderly?
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Photo of cabinet
Purge Box
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Box in designated location
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Lid covering box
Startup Repel Box
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Box in designated location
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Lid covering box
Scale
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Scale in designated location?
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Scale functioning correctly?
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Was Work Order created?
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Who was notified of the issue?
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Work Order information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Housekeeping Equipment (HE-RP-01)
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The hanging rack should contain:
1 broom
2 shovels
3 push mops
Items should hung vertically with end that touches the floor pointing downward. -
Only designated in rack
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Items hanging properly
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Area clean, neat, and orderly - take photo
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Photo of rack
Empty Boxes (broken down)
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This area has two components.
1) Boxes that are empty and placed on pallets to contain produced pellets.
2) Excess boxes that have been "broken down" that to be discarded.
There should be no more than 10 empty boxes staged for use.
Boxes are not to be stacked.
There should be no more than 1 pallet of "broken down" boxes in process of being filled. Full pallets should removed from the area. -
Empty pallets contained is designated area and area is clean neat, and orderly - take photo
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Add media
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Excess box area is clean, neat, and orderly. Only on pallet in area. - take photo
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Add media
Comments
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Comments and Photos
Item
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Comments
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Photo
West Wall
Surveillance Camera
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Camera lens intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Hoist Disconnect Panel (PNL_3P08_BKR3)
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Panel closed?
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Switch position
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Access to panel unobstructed?
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Cap properly installed on outline if not in use?
Exit Light (EL 323)
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EXIT sign illuminated and all glass intact?
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Was Work Order created?
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Who was notified of the issue?
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Work Order information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Fire Extinguisher (RP 1)
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Fire extinguisher secured in proper location and not discharged?
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Who was notified of the issue?
Fire Extinguisher (RP 4)
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Fire extinguisher secured in proper location and not discharged?
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Who was notified of the issue?
Air Hose (AIR-RP-02)
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Air hose recoiled onto reel properly
Repel Samples
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Boxes stacked neat and ordering within designated location?
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Photo of sample boxes
Core Press
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Area clean
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Equipment in working order
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Photo of Core Press area
Surveillance Camera (CAM-RP-01)
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Camera lens intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Comments
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Comments and Photos
Item
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Comments
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Photo
North Wall
Electrical Panel (PNL_3P08_BKR7)
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Panel cover closed
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Position of switch
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Access to the panel unobstructed?
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Cap in correctly in place (if not in use)
Roof Lighting Electrical Panel (PNL_3P08_BKR13)
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Panel cover closed
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Access to the panel unobstructed?
Floor Fan
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In designated location
Start/Stop Switch and Thermostat
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Switch and control unobstructed?
Metal Core Stand
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Stand in designated location?
Metal Floor Stand
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Stand in designated location?
Comments
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Comments and Photos
Item
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Comments
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Photos
Repel Production Equipment
MAIN PRODUCTION UNIT
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The starting point of this inspection is at the west side of the conveyor table at the north end of the unit. Proceed south along the equipment until reaching the pellet dryer, then inspect the other side of the equipment from south - north.
Lift Table
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Safety cables in place?
Overhead Gauges
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Gauges (2) - glass intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Lift Table Disconnect Panel
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Panel cover closed
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Position of switch
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Access to the panel unobstructed?
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Cap in correctly in place (if not in use)
Main Electrical Disconnect Panel (Panel 3P08 BKR 1)
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Panel cover closed
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Access to the panel unobstructed?
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Position of switch
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Cap in correctly in place (if not in use)
Convex Mirror
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Mirror surface intact and mirror positioned correctly?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Air Hose (AH-RP-02)
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Hose recoiled onto reel properly
Control Panel (Conveyor)
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Display glass and hard plastic colored light intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
E- Stop Rollers and Wire
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E - Stops unbroken and unobstructed?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Overhead Hoist
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Visible signs of oil leaks?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Control Panel (Repel Unit)
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Display glass and hard plastic colored lights intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Fire Extinguisher (RP 3)
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Who was notified of the issue?
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Fire extinguisher secured in proper location and not discharged?
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Who was notified of the issue?
Screen Changer Gauge
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Gauge glass intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Pellet Cutter Gauge
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Gauge glass intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Rolling Work Cart
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Cart in designated location?
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Only designated items on cart?
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From the south end of the equipment, proceed north viewing the east side of the unit
Sump Pump
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Pump clean?
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Hose stored properly?
Water Cooling Unit Gauges (2)
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Gauge glass intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Pellet Hopper
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Windows (2) - hard plastic intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Comments
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Comments and Photos
Item
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Comments
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Photo
Desk and Staging Area
Dumpster
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Dumpster in designated location?
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Dumpster lid closed?
Lock-out Box
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Hard plastic on box intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
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Clamps, book, and other items orderly and in proper locations?
Desk Area
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Electrical wiring contain in trays or conduit
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Work area clean an organized
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Water Cooler
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Water cooler clean?
Clock
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Hard plastic on clock face intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Sample Area
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Sample area organized?
Trash Can: Food
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Trash can in designated location and lid is closed?
Emergency Radio
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Radio in proper location and functioning?
Incoming Material Staging
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Box is designated location?
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Photo of area
Ladder and Core Buggy
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Ladder in safe, operational condition
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Ladder in designated location
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Core buggy in designated location?
Pallet Jack
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Pallet jack in designated location?
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Pallet jack inspection completed is jack functioning correctly?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
Comments and Sign-off
Summary and Comments
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Overhead lights - all light functioning and hard plastic covers intact?
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Was a Work Order created?
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Who was notified of the issue?
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Work Order Information
Work Order
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Work Order Number
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Date Work Order Created
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Date Work Order Completed
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Comments
Sign-off
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Inspection completed by
Notes
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Desk - trays for wires
Labels still on empty boxes and box being filled
Purge tool extender - not using ladder, could not get to it
Lots of chair around desk for a one person operation
Water cooler cleaning
Sump pump was nasty
Operator leaves area to get fork truck to move full boxes
Pallet jack inspection
Inspect overhead lights
Hook not labeled
Vacuum cleaner blocked
Overhead gauges - how to inspect
High emergency light - how to inspect
Is there a way to have wall opening
Repel man could do banding job
Nothing on wall being used
Do no use big core cart - small cart will do
Seem to be stacking boxes and using buggy to block camera
Water tank drain system sent directly outdoors with no filter
No fire alarm in the area