Standardized Work Audit - 4837E Rev 000

• SWI and Rev #

• Auditor

• Employee audited

• Department

  Receiving/Kanban

  Assembly

  EPP

  Paint

  Other

• Enter Dept Name

• Shift

  Nights

  Days

  Afternoons

• Conducted on

  Date

Documentation Control

• Does the SWI Rev.# of the employee-signoff copy match the current controlled version on the network?

  Yes

  No

  N/A

• Does the training matrix reflect that the worker has been sufficiently trained for the task he/she is performing and is the worker signed-off on the SWI and associated Mod. Bulletins?

  Yes

  No

  N/A

• If a Modification Bulletin reflects any permanent changes to the process, has the SWI been updated?

  Yes

  No

  N/A

• Can worker locate ALL SWI's and/or Modification Bulletins for this job/station?

  Yes

  No

  N/A

Use of work instructions. (Observe 5 to 10 cycles)

• Is the worker using PPE as intended?

  Yes

  No

  N/A

• Please STOP, correct issue, and record the nature of problem.

• Does the worker follow the work instruction? (no prompt)<br>(If not, possible actions include additional employee training or issuing a Form 0504 Modification Bulletin and initiating a permanent SWI change using Form# 4854.).

  Yes

  No

  N/A

• Can the worker explain the purpose of the work instruction and why any key points are important? (prompt)

  Yes

  No

  N/A

Leadership in Standardized Work.

• Safety, ergonomic and environmental conditions appear OK?

  Yes

  No

  N/A

• Please STOP, correct issue, and record the nature of the problem.

• Have you considered if there are opportunities to further mitigate risk (as reflected on the job Risk Assessment)?

  Yes

  No

  N/A

• ALL action items from last audit of this SWI have been 100% closed by the due date?

  Yes

  No

  N/A

• Auditor: Please share results with worker and TL (if applicable). Assign tasks as required and record on I&A List.

• Auditor

  Sign