Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Projects Reviewed

  • Status of Projects?

  • Add media

  • Which Projects were discussed at meeting?

Housekeeping observed: (note pro & con)

  • Positive locations to be noted

  • Add media

  • Areas that need to be addressed.

  • Add media

Safety issues observed:

  • Positive locations to be noted

  • Add media

  • Areas that need to be addressed.

  • Add media

Personnel notes (uniforms use note here):

  • all employees in uniform?

  • Add media

Other Comments?

  • General comments

  • Add media

NESHAP

  • Daily Pelletmill Cyclone Checks? is is current?

  • BLO Sock Condition? (Long enough & in good condition?)

  • Add media

  • Quarterly Housekeeping Inspection (is it current?)

Energy Efficiency

  • Stop the Hiss (Did you perform? / Date)

  • Steam Leaks (any noted with the walk around?)

  • Add media

Continuous Improvement

  • Backlog (how many jobs, and is the manager aware of it)?

  • Downtime (How many hours last week / is the manager aware of it)?

  • Weekly Maintenance Plan (is there one printed out and is the manager aware of it?)

Corrective Actions

  • Enter any corrective actions that will be undertaken

  • Add media

Sign Off

  • On site representative

  • Auditor's signature

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.