Title Page

  • Audit Title

  • Area Team Leader/Department Manager

  • Department

  • Conducted on

  • Program and Style/Model/Product

  • Station/Task
  • Employee Audited

  • Please record the SWI and Revision number being audited.

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

  • Does the SWI Rev.# of the sign off copy match the current controlled version on the network?

  • 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?

  • Is the worker using PPE as intended?

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

  • Does the worker follow the correct sequence of steps?(no prompt)

  • Can the worker tell you all the steps in the correct sequence?(prompt)

  • Does the worker meet his/her cycle time?(observe & time 3-5 cycles)

  • Does the worker know overall purpose/goal of task?(prompt)

  • For each process step, can worker state key points and why?(prompt)

  • Safety, ergonomic and environmental appear OK?

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

  • Did you ask the worker if he/she has any ideas for improvement?

  • What were the employee's ideas for improvement, if any?

  • Tools, gauges, scales, fixtures, aids, samples: available and in good condition, and calibration stickers are up to date?

  • Evidence of audits for this station in past 30 days?

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

  • Auditor: Present results to team leader and worker. ADD ACTION ITEMS TO STANDARD WORK OPEN ISSUES LIST AND INFORM TEAM LEADER THAT YOU HAVE DONE SO.

  • Team leader

  • Auditor

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.