Information

  • Document No.

  • Conducted on

Safety

  • Department:

  • Are there any safety COILS or CI's?

  • If so, are they expired?

  • Are the employees in the department trained on task and work procedures?

  • Did this action create a CI or COIL?

  • Are the employees wearing the proper PPE?

  • Did this action create a CI or COIL?

  • Are all tools safe, no frayed chords, no cracks, free from damage and debris?

  • Include pic of risk

  • Did this action create a CI or COIL?

  • All items stored in a manner to protect from damage and dirt?

  • Include pic of risk

  • Did this item create a CI or COIL?

  • Are 2MD's (2 minute drills) completed and displayed in work spaces?

  • Include pic of risk

  • Did this item create a CI or COIL?

  • Is there a visible effort to maintain safety and quality in the department?

  • Include pic of risk

  • Did this item create a CI or COIL

  • Is 6S, housekeeping, organization, and cleanliness being maintained? (Working on level surfaces, free of trip and slip hazards, hazard signs visible)

  • Include pic of risk

  • Did this item create a CI or COIL

  • Are all equipment guards in place and in the proper specification for standard?

  • Include pic of risk

  • Did this item create a CI or COIL

  • How would you rate the safety of this department?

  • Why?

  • Signature:

Quality

  • Are all parts identified with job number and inspection status?

  • Take pic if needed

  • Did this item create a CI or COIL?

  • Are there any expired items, out-of-calibration or test equipment out of specification?

  • Take pic if needed

  • Did this item create a CI or COIL?

  • Are there work instructions/checklist available where work is being performed?

  • Did this item create a CI or COIL

  • Are work plans being followed and signed?

  • Did this item create a CI or COIL?

  • Are records being retained and archived away from damage and debris?

  • Take pic if needed

  • Did this item create a CI or COIL

  • Is rework, NCR and CARS being documented and discussed at UCE boards?

  • Did this item create a COIL?

  • How would you rate the overall quality of this department?

  • Why?

  • Signature:

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