JISHU HOZEN AUDIT SHEET

STEP 3: PREPARATION OF TENTATIVE STANDARD (EQUIPMENT)

DEPARTMENT: AREA: CIRCLE NAME: CIRCLE LEADER:

AUDIT BY: SELF AUDIT [LEADER/OFFICER] DEPARTMENT HEAD TOP MANAGEMENT
QUALIFYING SCORE 90 85 80
AUDIT DATE:
MARKS SCORED
PASS (YES/ NO)
AUDITOR'S NAME &
SIGNATURE
SCORE

FULL MARKS
EXCELL
ITEM DESCRIPTION BAD POOR FAIR GOOD
ENT REMARKS
0.2 0.4 0.6 0.8 1
a) Are 1st Step's (Initial cleaning)
conditions and improvement 10
level maintained?
STEP 1 & 2 b) Are 2nd Step's (countermeasure
1 MAINTENANCE to the source of contamination)
CONDITION conditions and improvement 10
level maintained?

(CLEANING STATNDARD)
a) Is the standard made out
according to equipment 5
configuration and location?
b) Are cleaning section, location
and assignment specified? 5
c) Are methods and tools
specified? 5
ACTION d) Are cleaning time and cycle
STANDARD FOR clearly specified and being 5
THE BASIC observed?
EQUIPMENT
MAINTENANCE (LUBRICATION STATNDARD)
2
(CLEANING, a) Are kind of lubrication, amount,
LUBRICATION, cycle, method and assignment 5
RETIGHTENING specified?
& INSPECTION)
REQUIREMENT b) Are correct labels applied to 5
lubrication points?
c) Is the oil ready for lubrication all
the time? 5
d) Is the oil storage location tidy? 5
(INSPECTION STATNDARD)
a) Are all inspection's location,
frequency, method and 5
responsibility specified?
 SCORE

FULL MARKS
EXCELL
ITEM DESCRIPTION BAD POOR FAIR GOOD
ENT REMARKS
0.2 0.4 0.6 0.8 1
(RETIGHTENING STATNDARD)
a) Are dimension of bolts/ nuts,
ACTION numbers, frequency of
STANDARD FOR retightening, method and tools 5
THE BASIC specified?
EQUIPMENT
MAINTENANCE b) Are bolts/ nuts loose and any
2 bolts/ nuts have fallen out? 5
(CLEANING,
LUBRICATION, c) Are all job (Symbol)
RETIGHTENING independent and in non
& INSPECTION) operating zone bolts/ nuts
REQUIREMENT 5
retightening changed into
inspection?

a) Are the contents clear and

understandable by everybody? 5
b) Are the items to be observed
determined autonomously 5
AWARENESS OF (clearly marked)?
OPERATORS
3 OWN ROLE IN c) Is the maintenance observed in
accordance with the standard? 5
MAKING THE
STANDARD d) Are the improvement and new
ideas for easy inspection and
visual inspection implemented 5
actively?

ITEM NO 1 2 3 TOTAL
SCORE FULL
20 60 20 100
SHEET MARKS
SCORE
HOW TO EVALUATE
BAD POOR FAIR GOOD EXCELLENT
MARKS => 0.2 0.4 0.6 0.8 1
Hardly Visible/ Major Areas Most of the Satisfactory
ITEM anything points only Maintained well points are progress and
Shopfloor done maintained well countermeasure
1 &2
taken
EVALUATION
LEVEL All members Only Leader is Members are Most of the jobs All members
are not doing doing the easiest are performed by responsibility is
showing portions only members clearly defined
3 Personnel interest & strictly
followed

ADDITIONAL COMMENTS / SUGGESTIONS: