Information

  • QSE - Report Number

  • Conducted on

  • Prepared by

  • Form Number

Audit Summary

  • Auditor

  • Date of Audit

  • Location of Audit

  • Technician - Name

  • Technician - Code

  • Overall Score (%)

  • R/A/G

  • QSE - Proposed Visit Plan Interval (Months)

  • SSM - Adjusted Visit Plan Interval (Months)

  • Reasons if reducing the proposed Visit Plan interval

  • Corrective Actions Required? (Qty)

  • It is important that the Root Cause is identified & preventative measures implemented (see Response Last Page - If Required).

  • Corrective Actions?

  • Comments

  • Customer Feedback?

  • Comments

  • Name of customer providing feedback

  • Executive Summary

Section 1

PA05 - Training

  • 1) Are you sufficiently trained for the company products you support?

  • Comments

  • 2) Is specialist training completed and up to date (i.e. TE / Pyroban)?

  • Comments

  • 3) Are training records on the company database complete & up to date?

  • Comments

  • Comments

P6 - 06 - Handling Storage Packing & Delivery

  • 1) Are new parts delivered suitably packed & labelled with correct delivery notes?

  • Comments

  • 2) Are parts deliveries satisfactory?

  • Comments

  • 3) Are parts securely stored & labelled to prevent transit damage and ease of location (5S)?

  • Comments

  • 4) Are heavy items & parts secured safely i.e. appropriately strapped to prevent movement in transit?

  • Comments

  • 5) Are storage racking & anchor points "fit for purpose"?

  • Comments

  • Comments

Section 2

P6 - 11 - Tool Issue & Control

  • 1) Are tools used appropriate & sufficient to carry out duties?

  • Comments

  • 2) Are tools of a suitable standard & in a safe condition?

  • Comments

  • 3) Are specialist tools present & in a good condition?

  • i) 110v Power tools

  • Comments

  • ii) Torque Wrenches

  • Comments

  • iii) Multi meter

  • Comments

  • iv) Jack & block Set

  • Comments

  • 4) Are Portable Appliances Tested & in date?

  • Comments

  • 5) Personal Protective Equipment - Are all items present & in good condition?

  • Comments

  • 6) Company First Aid Kit - complete & in date?

  • Comments

  • Comments

SM - 29 - Chemical Handling

  • 1) Are oils stored in the "Oil Storage" area & suitably labelled in appropriate containers?<br>

  • Comments

  • 2) Is the COSHH / MSDS information accessible?

  • Comments

  • 3) Are all hazardous substances stored & labelled correctly?

  • Comments

  • 4) Are there suitable quantities of consumable items & Oil?

  • Comments

  • 5) Is there appropriate provisions for containment in the event of unplanned spillages?

  • Comments

  • Comments

SM - 31 - Waste Generation Storage & Disposal

  • 1) Is the technician familiar with the company waste disposal procedure?

  • Comments

  • 2) Are the correct return procedures being followed?

  • Comments

  • 3) Is SD201 return process being used correctly?

  • Comments

  • Comments

Section 3

PA12 - Maintenance of Work Equipment

  • 1) Are all lifting equipment and associated items examined and recorded on the Special Tool Planner?

  • Comments

  • 2) Are all other items listed on the Special Tool Examination Planner in date?

  • List S No's of items on the planner

  • Comments

  • Comments

Company Vehicle Maintenance Audit

  • Company Vehicle Registration No.

  • 1) Is the vehicle being serviced at the appropriate times / mileages?

  • Comments

  • 2) Is the vehicle currently inside the service times / mileages?

  • Comments

  • Current Mileage

  • Date of Last Service

  • Mileage at Last Service

  • 3) Is the vehicle suitable in relation to 5S programme and are there any concerns? ie - Does the photograph match reality?

  • Comments

  • 4) Tyres - Do all tyres (including spares) have at least 1.6mm of tread depth across a minimum of 75% of the tread width, spreading continuously around the entire circumference & with no apparent sidewall damage?

  • Comments

  • 5) Lights / Horn checked and working correctly?

  • i) Side light (F&R)

  • Comments

  • ii) Stop Lights

  • Comments

  • iii) Headlights

  • Comments

  • iv) Rear fog lights

  • Comments

  • v) No. Plate light

  • Comments

  • vi) Hazard / ind lights

  • Comments

  • vii) Internal Lights

  • Comments

  • viii) Reversing lights<br>

  • Comments

  • ix) Horn

  • Comments

  • 6) Washers / Wipers - Is the screen free from obvious chips, cracks & scratches that obstruct the drivers vision?

  • Comments

  • 7) Do the washers work satisfactorily?

  • Comments

  • 8) Do the wipers work satisfactorily?

  • Comments

  • 9) Weight Load & Distribution - Is the vehicle storage area appropriately managed, clean & tidy (5S)?

  • Comments

  • 10) Is the weight distributed throughout the vehicle to ensure appropriate axle loading?<br>

  • Comments

  • 11) Are all items securely stored to prevent movement?

  • Comments

  • 12) Are there any loose items or documents likely to cause driver distraction?

  • Comments

  • 13) Exterior - Does the vehicle appear generally clean & recently washed?

  • Comments

  • 14) Has the vehicle any significantly damaged areas?

  • Comments

  • 15) Is the company livery & warning signs displayed?

  • Comments

  • Comments

Section 4

Quality Assurance Report - Visual Check

  • Make / Model:

  • Serial No.

  • Last PM SO No.

  • Last SO - Hour Meter

  • Inspection - Hour Meter

General Observations:

  • 1) Operating Conditions

  • Comments

  • 2) Customer Care

  • Comments

  • 3) Cleanliness

  • Comments

  • 4) Electrical (Clean & Tidy)

  • Any faults?

  • Comments

  • 5) Hydraulic (Clean & Tidy)

  • Any faults?

  • Comments

  • 6) Mechanical (Clean & Tidy)

  • Any faults?

  • Comments

  • 7) Chassis (Clean & Tidy)

  • Any faults?

  • Comments

  • 8) Battery / Charger (Clean & Tidy)

  • Any faults?

  • Comments

  • 9) Giving due regard to the operating conditions, was this machine in an acceptable state of repair?

  • Comments

  • 10) Was any remedial work carried out at time of audit?

  • Comments

  • 11) Urgent repair required?

  • Comments

  • Comments

Section 5

Vehicle Photographs:

  • Front / Side / Back

  • Comments

Other supporting Photographs (if required):

  • Additional Photographs

  • Comments

Authorised by:

  • Auditor

  • Auditee

  • SSM

  • SSM - Corrective Actions Response (if required):
    It is important that the Root Cause is identified & preventative measures implemented. Please provide details of actions taken.

  • Comments

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.