Title Page
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SWI and Revision #
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Auditor
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Employee Audited
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Department
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Enter Dept Name
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Shift
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Conducted on
Documentation Control
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Does the SWI Rev.# of the sign off copy match the current controlled version on the network?
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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?
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Are all stakeholders (Mgr, Day TL, Aft TL, Night TL) signed off on the revision?
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Can worker locate ALL SWI's and/or Modification Bulletins for this job/station?
Use of work instructions. (Observe 5 to 10 cycles)
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Is the worker using PPE as intended?
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Please STOP, correct issues, and record nature of problem.
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Does the worker follow the order of major steps defined in the SWI? (no prompt)<br>(If not, possible actions include additional employee training or issuing a Form 0504 Modification Bulletin and initiating a permanent SWI change using Form# 4854.).
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For each process step, can the worker state key point(s) and explain why they're important? (prompt)
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Are all regular, periodic tasks reflected in the SWI?
Leadership in Standardized Work.
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Safety, ergonomic and environmental conditions appear OK?
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Please STOP, correct issue, and record the nature of the problem.
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Have you considered if there are opportunities to further mitigate risk (as reflected on the job Risk Assessment)?
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Did you ask the worker if he/she has any ideas for improvement?
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What were the employee's ideas for improvement, if any?
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Tools, gauges, scales, fixtures, aids, samples: available and in good condition, and calibration stickers are up to date?
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ALL action items from last audit of this SWI have been 100% closed by the due date?
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Auditor: Please share results with worker and TL (if applicable). Assign tasks as required and record on I&A List.
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Auditor
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Team leader
