Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

East Wall

  • 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)

  • Camera lens intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Convex Mirror

  • Mirror surface intact and mirror positioned correctly?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Rodent Trap (65)

  • Rodent trap intact and within protective cover?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Chill Water Pipes

  • Look directly overhead while standing in front of the mirror. The face of four gauges should be visible.

  • Glass on gauges are intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Man Lift (Genie)

  • Man-lift parked in area?

  • Man lift in designated location?

  • Who was notified of the issue?

  • Fire extinguisher secured in proper location and not discharged?

  • Who was notified of the issue?

Rodent Trap (64)

  • Rodent trap intact and within protective cover?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Fire Extinguisher (FE-RP-02)

  • Fire extinguisher secured in proper location and not discharged?

  • Who was notified of the issue?

Sprinkle System Water Supply Pipes

  • Gauges (2) - glass intact and pressure indicator within marked tolerance?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Welding Receptacle Disconnect Switch (PNL_3P08_BKR18)

  • Panel closed?

  • Switch position ( should be in the Down/OFF position if not in use)

  • Access to panel unobstructed?

  • Cap properly installed on outline if not in use?

Rodent Trap (63)

  • Rodent trap intact and within protective cover?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Electrical Outlet - covered (PNL_1P24_BKR15)

  • Outlet cover closed?

Emergency Light

  • This light is located very high on the east wall.

  • Glass on lights intact?

  • Who was notified of the issue?

Fluff Box

  • Fluff box in designated location and properly labeled?

Dust Collector

  • Hard plastic on control panel intact?

  • Was Work Order created?

  • Who was notified of the issue?

  • Work Order information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Surveillance Camera

  • Camera lens intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Air Hose (AIR-RP-01)

  • Hose retracted on reel?

Comments

  • Comments and Photos

  • Item
  • Comment

  • Photo

South Wall

Air Supply Pipe

  • Glass on gauge intact and pressure reading within tolerance?

  • Was Work Order created?

  • Who was notified of the issue?

  • Work Order information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Electrical Disconnect Switch Panel (3P08 BKR 11)

  • Panel door closed?

  • Switch Position

  • Access to panel unobstructed?

Trash Can: Non-Food (TC-RP-01)

  • Trash can in designated location and properly labeled?

  • Cover properly in place and lid closed?

Eyewash Station (EW 6)

  • Station clean, particularly, near water spray outlets?

  • Eyewash covers correctly mounted?

  • Unit contains adequate amount of water?

Tool Box

  • Labels intact? Tools in designated locations? Tool box clean and orderly?

Supply Cabinet (SC-RP-01)

  • Labeling intact and only designated items located in their proper locations?

  • Cabinet clean, neat, and orderly?

  • Photo of cabinet

Chemical Cabinet (CC-RP-01)

  • Isopropyl Alcohol - Swan - MSDS 4967

  • Molykote - Dow Corning - MSDS 10557

  • Never Seez - Never Seez Compound Corp. - MSDS 6309

  • Only items on list found in cabinet?

  • Chemical not on cabinet list

  • Chemical
  • Description

  • Manufacturer

  • Item Number

  • Cabinet clean, neat, and orderly?

  • Photo of cabinet

Hardware Cabinet (HC-RP-01)

  • Labeling intact and only designated items located in their proper locations?

  • Cabinet clean, neat, and orderly?

  • Photo of cabinet

Purge Box

  • Box in designated location

  • Lid covering box

Startup Repel Box

  • Box in designated location

  • Lid covering box

Scale

  • Scale in designated location?

  • Scale functioning correctly?

  • Was Work Order created?

  • Who was notified of the issue?

  • Work Order information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Housekeeping Equipment (HE-RP-01)

  • 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

  • Items hanging properly

  • Area clean, neat, and orderly - take photo

  • Photo of rack

Empty Boxes (broken down)

  • 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

  • Empty pallets contained is designated area and area is clean neat, and orderly - take photo

  • Add media

  • Excess box area is clean, neat, and orderly. Only on pallet in area. - take photo

  • Add media

Comments

  • Comments and Photos

  • Item
  • Comments

  • Photo

West Wall

Surveillance Camera

  • Camera lens intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Hoist Disconnect Panel (PNL_3P08_BKR3)

  • Panel closed?

  • Switch position

  • Access to panel unobstructed?

  • Cap properly installed on outline if not in use?

Exit Light (EL 323)

  • EXIT sign illuminated and all glass intact?

  • Was Work Order created?

  • Who was notified of the issue?

  • Work Order information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Fire Extinguisher (RP 1)

  • Fire extinguisher secured in proper location and not discharged?

  • Who was notified of the issue?

Fire Extinguisher (RP 4)

  • Fire extinguisher secured in proper location and not discharged?

  • Who was notified of the issue?

Air Hose (AIR-RP-02)

  • Air hose recoiled onto reel properly

Repel Samples

  • Boxes stacked neat and ordering within designated location?

  • Photo of sample boxes

Core Press

  • Area clean

  • Equipment in working order

  • Photo of Core Press area

Surveillance Camera (CAM-RP-01)

  • Camera lens intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Comments

  • Comments and Photos

  • Item
  • Comments

  • Photo

North Wall

Electrical Panel (PNL_3P08_BKR7)

  • Panel cover closed

  • Position of switch

  • Access to the panel unobstructed?

  • Cap in correctly in place (if not in use)

Roof Lighting Electrical Panel (PNL_3P08_BKR13)

  • Panel cover closed

  • Access to the panel unobstructed?

Floor Fan

  • In designated location

Start/Stop Switch and Thermostat

  • Switch and control unobstructed?

Metal Core Stand

  • Stand in designated location?

Metal Floor Stand

  • Stand in designated location?

Comments

  • Comments and Photos

  • Item
  • Comments

  • Photos

Repel Production Equipment

MAIN PRODUCTION UNIT

  • 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

  • Safety cables in place?

Overhead Gauges

  • Gauges (2) - glass intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Lift Table Disconnect Panel

  • Panel cover closed

  • Position of switch

  • Access to the panel unobstructed?

  • Cap in correctly in place (if not in use)

Main Electrical Disconnect Panel (Panel 3P08 BKR 1)

  • Panel cover closed

  • Access to the panel unobstructed?

  • Position of switch

  • Cap in correctly in place (if not in use)

Convex Mirror

  • Mirror surface intact and mirror positioned correctly?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Air Hose (AH-RP-02)

  • Hose recoiled onto reel properly

Control Panel (Conveyor)

  • Display glass and hard plastic colored light intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

E- Stop Rollers and Wire

  • E - Stops unbroken and unobstructed?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Overhead Hoist

  • Visible signs of oil leaks?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Control Panel (Repel Unit)

  • Display glass and hard plastic colored lights intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Fire Extinguisher (RP 3)

  • Who was notified of the issue?

  • Fire extinguisher secured in proper location and not discharged?

  • Who was notified of the issue?

Screen Changer Gauge

  • Gauge glass intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Pellet Cutter Gauge

  • Gauge glass intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Rolling Work Cart

  • Cart in designated location?

  • Only designated items on cart?

  • From the south end of the equipment, proceed north viewing the east side of the unit

Sump Pump

  • Pump clean?

  • Hose stored properly?

Water Cooling Unit Gauges (2)

  • Gauge glass intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Pellet Hopper

  • Windows (2) - hard plastic intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Comments

  • Comments and Photos

  • Item
  • Comments

  • Photo

Desk and Staging Area

Dumpster

  • Dumpster in designated location?

  • Dumpster lid closed?

Lock-out Box

  • Hard plastic on box intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

  • Clamps, book, and other items orderly and in proper locations?

Desk Area

  • Electrical wiring contain in trays or conduit

  • Work area clean an organized

Water Cooler

  • Water cooler clean?

Clock

  • Hard plastic on clock face intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Sample Area

  • Sample area organized?

Trash Can: Food

  • Trash can in designated location and lid is closed?

Emergency Radio

  • Radio in proper location and functioning?

Incoming Material Staging

  • Box is designated location?

  • Number of boxes

  • Photo of area

Ladder and Core Buggy

  • Ladder in safe, operational condition

  • Ladder in designated location

  • Core buggy in designated location?

Pallet Jack

  • Pallet jack in designated location?

  • Pallet jack inspection completed is jack functioning correctly?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

Comments and Sign-off

Summary and Comments

  • Overhead lights - all light functioning and hard plastic covers intact?

  • Was a Work Order created?

  • Who was notified of the issue?

  • Work Order Information

  • Work Order
  • Work Order Number

  • Date Work Order Created

  • Date Work Order Completed

  • Comments

Sign-off

  • Inspection completed by

Notes

  • 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

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