JISHU HOZEN AUDIT SHEET

STEP 2: COUNTERMEASURES FOR THE SOURCES OF CONTAMINATION

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) Is the Cleaning Level (All Parts including the Hidden areas
are Free from Dust, Oil, Coolant, Debris) of Step 1 is Good
and being Maintained according to Cleaning
Schedule? 5

MAINTENANCE OF
1
STEP 1 a) Are All Abnormalities (Leaks, Splashing, Loose, Damage,
Broken, Missing, Vibration, Over heated etc.) regularly
identified and Tagged (White/ Red) 5

b) Are All White/ Red Tags Removed according to the

Action Plan of Step1? Is Zero Leakage of air/oil
COUNTER- achieved? Are all Unsafe conditions identified &
MEASURES FOR
eliminated? Are the locations marked & maintained
for Input/ output materials and other accessories?
THE 15
ABNORMALITIES
IN ALL AREAS

2
a) Are the countermeasures implemented for the sources
of contamination? The Localized Guards are made to
stop splashing. Actions taken for the caused sources
of failure such as dust, dirt, air/ oil leakages?
15

a) Are the Kaizens implemented to make Cleaning,

COUNTER- Lubrication, Retightening & Inspection (CLRI) easy?
MEASURES & i)Electrical wires dressed,
KAIZENS FOR ALL ii)Pipes are made fixed,
HARD TO ACCESS iii)Match marks on Bolts,
AREAS iv)All Gauges marked Green & Red Zones,
(Pneumatic, v)Pipes are painted according to
Hydraulic,
Electrical &
3 Lubrication) 20
 SCORE

FULL MARKS
EXCELL
BAD POOR FAIR GOOD
ITEM DESCRIPTION ENT REMARKS
0.2 0.4 0.6 0.8 1
a) C, L, R, I maintenance sheet
3
b) JH Kaizen Sheet
3
DISPLAY OF
INFORMATION, c) One point Lessons
4 1
ANALYSIS AND
ACTION PLANS d) Before/ After Photographs
2
e) Action Plan for Step3
1

a) Is the understanding of Step 2 clear to all member 10

INVOLVEMENT
OF TPM CIRCLE Is TPM Circle activity held regularly and everybody
5 b) 10
MEMBERS IN THE participating
ACTIVITY
Are all the members participating in Kaizen activity to
b) 10
make CLRI easy?

ITEM NO 1 2 3 4 5 TOTAL

SCORE FULL
10 15 35 10 30 100
SHEET MARKS

SCORE

HOW TO EVALUATE
BAD POOR FAIR GOOD EXCELLENT
MARKS =>
0.2 0.4 0.6 0.8 1
Hardly anything done Visible/ Major Areas Most of the Satisfactory progress
points only Maintained well points are and countermeasure
maintained well taken
ITEM
Shopfloor
1 to 4
EVALUATION
LEVEL
All members are not showing interest Only Leader is Members are Most of the jobs All members
doing doing the easiest are performed by responsibility is
portions only members clearly defined &
strictly followed
5 Personnel

ADDITIONAL COMMENTS / SUGGESTIONS: