Layered Process Audit

Job: 11
Check list: Inspector
Auditor Audit date Auditor's signature Audit area Name of audit participant

                       

Category:W = Work Os = Occupational safety C = Cleanliness / good order n.r. = not relevant
No. Cat. Question Yes No n.r. Measure / Remark / Result
Have working instructions been drawn up for the inspector's work, and      
1 W
if so, by whom and when?
Have these working instructions been checked and approved, and if      
2 W
so, by whom (name / function) and when?
Have these working instructions been revised,      
3 W
and if so, when was the revision status updated?
Have the previous working instructions been marked as invalid?      
4 W

Does the inspector have these working instructions or, respectively,      
5 W
does he have access to them?
Has the inspector been briefed on the working instructions,      
6 W
and if so, by whom (name / function) and when?
Has the briefing on the working instructions been documented?      
7 W

Has the inspector received a stipulation for his work?      

8 W

Is the observance of the stipulation being verified?      

9 W

Has the workplace been set up in accordance with the requirements of

10 W the work?      
(lighting / desk / ........)

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 1 of 6

Layered Process Audit
Job: 11
Check list: Inspector

Auditor Audit date Auditor's signature Audit area Name of audit participant
Error:
Error: Reference source Reference Error: Reference Error: Reference source not
not found source not source not found found
found

Category:W = Work Os = Occupational safety C = Cleanliness / good order n.r. = not relevant
No. Cat. Question Yes No n.r. Measure / Remark / Result
Is the inspector's workplace clean and tidy?      
11 C

Does the inspector use testing equipment for the work,      
12 W
and if so, what type?
Is this testing equipment provided by Formel D,      
13 W
and if so, who exactly provides it?
Is the testing equipment that is used calibrated?      
14 W

Has the inspector been briefed on how to use the testing equipment,      
15 W
and if so, by whom and when?
Are reference samples (OK / NOK reference samples) required for the      
16 W
work?
Are the reference samples labelled? For instance, status OK / NOK      
17 W
reference samples, who provides them and when, duration of validity)
Has the inspector been briefed on how to use the reference samples,      
18 W
and if so, by whom and when?
Are the reference samples effectively protected and stored to prevent      
19 W
any damage?
20 Os Does the work of the inspector involve the use of any potentially      
hazardous substances, and if so, what substances? (for instance

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 2 of 6

Layered Process Audit
Job: 11
Check list: Inspector

solvents/paints/adhesives/acids/caustic solutions)

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 3 of 6

Layered Process Audit
Job: 11
Check list: Inspector

Auditor Audit date Auditor's signature Audit area Name of audit participant
Error:
Error: Reference source Reference Error: Reference Error: Reference source not
not found source not source not found found
found

Category:W = Work Os = Occupational safety C = Cleanliness / good order n.r. = not relevant
No. Cat. Question Yes No n.r. Measure / Remark / Result
Has the inspector been briefed on how to handle / store the hazardous      
21 Os
substances, and if so, by whom and when?
Has the briefing on how to handle hazardous substances been      
22 Os
documented?
Has the inspectors been given instruction sheets, describing how
23 Os hazardous substances should be handled or does the inspectors have      
access to such sheets?
Is operating equipment used for the inspector's work?
24 Os For instance lifting platform, hydraulic, pneumatic and assembly      
equipment, milling and grinding machines and drills.
Has the inspector been briefed on how to handle the operating      
25 Os
equipment, and if so, by whom and when?
Has the briefing on the handling of operating equipment been      
26 Os
documented?
Has the inspector been briefed on how to keep records on hours /      
27 W
travelling expenses, and if so, by whom?
Is there a work performance record of the inspector for the day of the      
28 W
audit?
Does the inspector have personal protective equipment (for instance      
29 Os
safety shoes, protective goggles, gloves, helmet)?

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 4 of 6

Layered Process Audit
Job: 11
Check list: Inspector

Auditor Audit date Auditor's signature Audit area Name of audit participant
Error:
Error: Reference source Reference Error: Reference Error: Reference source not
not found source not source not found found
found

Category:W = Work Os = Occupational safety C = Cleanliness / good order n.r. = not relevant
No. Cat. Question Yes No n.r. Measure / Remark / Result
Does the inspector wear the personal protective equipment?      
30 Os

Has the inspector been briefed on site regarding the prevailing

occupational safety measures, and if so, by whom and when?      
31 Os
(this includes, for instance: location of the first aid kit, first aider,
emergency installations, escape plans, company access routes)
Has the inspector been briefed on the potential danger zones,      
32 Os
and if so, by whom and when?
Has the briefing on the occupational safety measures been      
33 Os
documented?
Does the inspector wear Formel D work clothes?      
34 C

Are these work clothes clean and in perfect condition?      

35 C

36      

37      

38      

39      

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 5 of 6

Layered Process Audit
Job: 11
Check list: Inspector

40

     

document: qm_lpa_cklist_11_inspector_e date: 09.10.2008 revision: 2 page 6 of 6