Information
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QSE - Report Number
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Conducted on
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Prepared by
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Form Number
Audit Summary
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Auditor
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Date of Audit
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Location of Audit
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Technician - Name
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Technician - Code
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Overall Score (%)
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R/A/G
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QSE - Proposed Visit Plan Interval (Months)
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SSM - Adjusted Visit Plan Interval (Months)
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Reasons if reducing the proposed Visit Plan interval
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Corrective Actions Required? (Qty)
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It is important that the Root Cause is identified & preventative measures implemented (see Response Last Page - If Required).
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Corrective Actions?
- PA-05
- PA-12
- P6-06
- P6-11
- SM-29
- SM-31
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Comments
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Customer Feedback?
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Comments
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Name of customer providing feedback
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Executive Summary
Section 1
PA05 - Training
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1) Are you sufficiently trained for the company products you support?
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Comments
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2) Is specialist training completed and up to date (i.e. TE / Pyroban)?
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Comments
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3) Are training records on the company database complete & up to date?
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Comments
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Comments
P6 - 06 - Handling Storage Packing & Delivery
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1) Are new parts delivered suitably packed & labelled with correct delivery notes?
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Comments
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2) Are parts deliveries satisfactory?
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Comments
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3) Are parts securely stored & labelled to prevent transit damage and ease of location (5S)?
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Comments
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4) Are heavy items & parts secured safely i.e. appropriately strapped to prevent movement in transit?
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Comments
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5) Are storage racking & anchor points "fit for purpose"?
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Comments
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Comments
Section 2
P6 - 11 - Tool Issue & Control
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1) Are tools used appropriate & sufficient to carry out duties?
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Comments
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2) Are tools of a suitable standard & in a safe condition?
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Comments
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3) Are specialist tools present & in a good condition?
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i) 110v Power tools
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Comments
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ii) Torque Wrenches
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Comments
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iii) Multi meter
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Comments
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iv) Jack & block Set
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Comments
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4) Are Portable Appliances Tested & in date?
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Comments
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5) Personal Protective Equipment - Are all items present & in good condition?
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Comments
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6) Company First Aid Kit - complete & in date?
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Comments
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Comments
SM - 29 - Chemical Handling
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1) Are oils stored in the "Oil Storage" area & suitably labelled in appropriate containers?<br>
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Comments
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2) Is the COSHH / MSDS information accessible?
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Comments
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3) Are all hazardous substances stored & labelled correctly?
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Comments
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4) Are there suitable quantities of consumable items & Oil?
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Comments
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5) Is there appropriate provisions for containment in the event of unplanned spillages?
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Comments
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Comments
SM - 31 - Waste Generation Storage & Disposal
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1) Is the technician familiar with the company waste disposal procedure?
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Comments
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2) Are the correct return procedures being followed?
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Comments
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3) Is SD201 return process being used correctly?
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Comments
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Comments
Section 3
PA12 - Maintenance of Work Equipment
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1) Are all lifting equipment and associated items examined and recorded on the Special Tool Planner?
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Comments
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2) Are all other items listed on the Special Tool Examination Planner in date?
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List S No's of items on the planner
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Comments
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Comments
Company Vehicle Maintenance Audit
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Company Vehicle Registration No.
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1) Is the vehicle being serviced at the appropriate times / mileages?
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Comments
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2) Is the vehicle currently inside the service times / mileages?
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Comments
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Current Mileage
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Date of Last Service
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Mileage at Last Service
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3) Is the vehicle suitable in relation to 5S programme and are there any concerns? ie - Does the photograph match reality?
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Comments
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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?
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Comments
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5) Lights / Horn checked and working correctly?
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i) Side light (F&R)
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Comments
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ii) Stop Lights
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Comments
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iii) Headlights
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Comments
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iv) Rear fog lights
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Comments
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v) No. Plate light
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Comments
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vi) Hazard / ind lights
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Comments
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vii) Internal Lights
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Comments
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viii) Reversing lights<br>
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Comments
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ix) Horn
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Comments
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6) Washers / Wipers - Is the screen free from obvious chips, cracks & scratches that obstruct the drivers vision?
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Comments
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7) Do the washers work satisfactorily?
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Comments
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8) Do the wipers work satisfactorily?
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Comments
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9) Weight Load & Distribution - Is the vehicle storage area appropriately managed, clean & tidy (5S)?
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Comments
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10) Is the weight distributed throughout the vehicle to ensure appropriate axle loading?<br>
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Comments
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11) Are all items securely stored to prevent movement?
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Comments
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12) Are there any loose items or documents likely to cause driver distraction?
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Comments
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13) Exterior - Does the vehicle appear generally clean & recently washed?
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Comments
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14) Has the vehicle any significantly damaged areas?
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Comments
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15) Is the company livery & warning signs displayed?
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Comments
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Comments
Section 4
Quality Assurance Report - Visual Check
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Make / Model:
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Serial No.
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Last PM SO No.
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Last SO - Hour Meter
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Inspection - Hour Meter
General Observations:
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1) Operating Conditions
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Comments
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2) Customer Care
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Comments
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3) Cleanliness
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Comments
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4) Electrical (Clean & Tidy)
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Any faults?
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Comments
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5) Hydraulic (Clean & Tidy)
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Any faults?
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Comments
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6) Mechanical (Clean & Tidy)
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Any faults?
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Comments
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7) Chassis (Clean & Tidy)
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Any faults?
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Comments
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8) Battery / Charger (Clean & Tidy)
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Any faults?
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Comments
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9) Giving due regard to the operating conditions, was this machine in an acceptable state of repair?
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Comments
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10) Was any remedial work carried out at time of audit?
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Comments
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11) Urgent repair required?
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Comments
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Comments
Section 5
Vehicle Photographs:
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Front / Side / Back
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Comments
Other supporting Photographs (if required):
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Additional Photographs
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Comments
Authorised by:
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Auditor
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Auditee
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SSM
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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