Organisation ACME Created By

Area Line 1 Check Sheet C Brown

Date 12/11/2006
Photos Standard Frequency M A N M A N M A N M A N M A N M A N M A N MEMO
No oil streaks/ swarf on body End each shift
Air line nozzle cleaned Start and mid shift
Check power cable ok 1 week

Documents up to date 1 week

Pen available End each shift
Date stamp correct Start of day
Gauge 1 week

Check fill level End of day

5S Checklist Signature
3 shift 7 day
11/12/06
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