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• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Safety

• Are there any trips hazards

  Yes

  No

  N/A

• Are the fire extinguisher in test dates and unobstructed.

  Yes

  No

  N/A

• Is ppe standards being adhered to.

  Yes

  No

  N/A

• Are jsa being used/suitable and signed by all

  Yes

  No

  N/A

Benches / peg boards / trolleys

• Are the benches clear of unnecessary items

  Yes

  No

  N/A

• Are tools stored in there correct place

  Yes

  No

  N/A

• Are tool conditions suitable and clean

  Yes

  No

  N/A

Work spaces

• Are floors clean

  Yes

  No

  N/A

• Is mobile equipment there work zones

  Yes

  No

  N/A

• Is there suitable access between the equipment.

  Yes

  No

  N/A

• Is the personnel access points being adhered to

  Yes

  No

  N/A

• Are there any unnecessary items

  Yes

  No

  N/A

Oil storage

• Are drums on bunded pallets

  Yes

  No

  N/A

• Is there any spilt grease or oil

  Yes

  No

  N/A

• Are the greases and oils in there correct places and labeled correctly

  Yes

  No

  N/A

Visual management

• Are meeting being attended

  Yes

  No

  N/A

• Is data up to date

  Yes

  No

  N/A

• Do the users of the board understand it and it's purpose.

  Yes

  No

  N/A

• Are actions assigned to correct variances from targets.

  Yes

  No

  N/A

• Auditor name

  Sign