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Facility-Inspection-Simple_Example

The Red Deer Shop facility inspection on June 1, 2012, identified several deficiencies across various locations, including a torn carpet in the front office and broken desk leg in the shop office. Corrective actions have been assigned to team members with specific closure dates, ranging from immediate fixes to those requiring new orders. The inspection categorizes deficiencies into three classes (A, B, C) based on urgency and required actions.

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tolga işsever
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8 views2 pages

Facility-Inspection-Simple_Example

The Red Deer Shop facility inspection on June 1, 2012, identified several deficiencies across various locations, including a torn carpet in the front office and broken desk leg in the shop office. Corrective actions have been assigned to team members with specific closure dates, ranging from immediate fixes to those requiring new orders. The inspection categorizes deficiencies into three classes (A, B, C) based on urgency and required actions.

Uploaded by

tolga işsever
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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<Insert Your Logo Here>

Red Deer Shop: FACILITY INSPECTION

Department: Inspection Team: Inspection Date:


Manufacturing - John Smith (mgr), Jane Doe (warehouse), Omar Epp (JHSC June 1, 2012
Nisku rep)
Anticipated
Hazard Sign-
Location Nature of Deficiency Corrective Action Closure
Class Off
Date
Front Office  Torn carpet in Omar - Apply duct tape B July 1st
entrance immediately.
Al - Request quote to
have carpet replaced.
Lunch Room  N/A

Shop Office  Broken desk leg Jane - Moved manuals C June 15th
and inspection logs to
reduce stress load.
Jane - New desk was
already ordered and is
on the way.
Shop Floor  Racking was struck Jane – Immediately had A June 15th
and leg is bent column unloaded and
 Poor housekeeping taped off. C
Jane – New upright to June 2nd
be ordered.
Omar – Conduct safety
meeting on both topics
Loading Dock  Exterior light broken Jane – Will have Todd B June 2nd
 Yellow tape is peeled replace light. C
off ground (safe-zone Jane – Will order more June 15th
markings) tape. Have Todd replace
markings once it arrives.

Facility Inspection - Simple


Page 1
<Insert Your Logo Here>

Guidance:

A − Indicates that the deficiency must be marked and isolated if possible. Work must stop and an assessment must be
conducted to determine the appropriate corrective action. Supervisor sign-off is required before restarting.

B − Indicates that the deficiency must be reported to a supervisor immediately. Also, a short-term corrective action plan
must be designed and implemented before work continues.

C − Indicates that the deficiency should be noted and reported to a supervisor by the end of the shift. The deficiency
needs to be communicated to all workers on-site immediately. Corrective action must be designed and implemented
within three days.

Facility Inspection - Simple


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