Schalk Faber Copy

• Job Number:

• Description

• Audit Title

• Prepared by

• Conducted on

  Date
• Location
  Address

• Personnel

1. Safety checks

• a) Is it a high risk taks?

  Yes

  No

• b) Is there a JRA for the task? And was the JRA reviewed with the employees?

  Yes

  No

  N/A

• c) Are the employees competent to perform the task?

  Yes

  No

  N/A

• d) Are the employees authorised to perform the task?

  Yes

  No

  N/A

• e) Are the employees permitted to perform the task?

  Yes

  No

  N/A

• f) Are the correct tools / equipment / permits been used to perform the task?

  Yes

  No

  N/A

2. Over inspection (before repaires)

• a) Equipment number

• b) Devect on the equipment

  Yes

  No

• c) Media (Before)

  Media

2. Over inspection (after repairs)

• a) Was the devect repaired to standard?

  Satisfied with observation

  Not satisfied with observation

  Stop ALL work

• b) Media (After)

  Media

3. Testing of the equipment

• a) Was the equipment tested before hand back to production?

  Safe

  At Risk

  N/A

• b) Any legal inspections / test to be performed?

  Safe

  At Risk

  N/A

• c) Any deviations / risks?

  Safe

  At Risk

  N/A

• d) Media

  Media

• a) Foreman comments on execution of the task: (THIS SECTION MUST BE COMPLETED)