JISHU HOZEN AUDIT SHEET

AREA: EQUIPMENT NAME : TAG NO.

SCORE

FULL MARKS
ITEM DESCRIPTION REMARKS

a) There should not be Dust, Oil,

Coolant, Debris & Mist on non
operating zone, M/c Guards,
5
Piping & Cabling including the
CLEANING OF Hidden areas
1 EQUIPMENT
MAIN BODY b) All Abnormalities (Leaks,
Splashing, Loose, Damage, Broken,
Missing, Vibration, Over heated etc.) 5
must be identified and Taged
(White/ Red)

a) There should not be Dust, Oil,

CLEANING OF Coolant, Debris & Mist on Sub -
EQUIPMENT Assemblies (Proximities, Motors, 10
SUB- Spindles, Wires,Valves, Gauges, Pipes,
ASSEMBLY Hoses, Panel Box, Stirrer etc)
2 (Pneumatic,
Hydraulic, b) All Abnormalities (Leaks,
Splashing, Loose, Damage, Broken,
Electrical & Missing, Vibration, Over heated etc.)
Lubrication 10
in each parts must be identified
Areas) and Taged (White/ Red)

a) There should not be Dust, Oil,

Coolant, Debris & Mist on
Accessories (Inspection Table, Hand
tools, Measuring Instruments &
Gauges, Boards, Conveyors, Crane etc)
5
and around the m/c and no
CLEANING OF unwanted materials to be kept
ACCESSORIES
3
& AROUND THE b) Segregation and Placing of Input
EQUIPMENT & Good/Scrap/RW materials on
fixed locations, Passage around
the m/c, Demarkation of 5
Walking & Working zone

SCORE
FULL MARKS

BAD POOR
ITEM DESCRIPTION REMARKS
0.2 0.4
 a) 7 Types Abnormality List with
Location, 5

DISPLAY OF b) Cleaning Schedule 2

INFORMATION,
4
ANALYSIS AND c) Action Plan to remove the Tags 4
ACTION PLANS
d) Action Plan for easy to CLIT &
Remove HTA 4

e) Before Photographs 5

AWARENESS Do all of them understand the

a) 10
AND motive of the Jishu Hozen?
INVOLVEMENT
OF OPERATORS/
TPM CIRCLE
Do all of them Know how to do
5 MEMBERS IN b) the activity? 10
THE ACTIVITY
& KNOWLEDGE
OF THE
MOTIVE & Are all of them participating in
THEIR ROLE b) 20
the activity?

ITEM NO 1 2 3 4 TOTAL
SCORE FULL
10 20 10 20 100
SHEET MARKS
SCORE
HOW TO EVALUATE
BAD POOR FAIR EXCELLENT
MARKS => 0.2 0.4 0.6 1
Hardly Visible/ Major Areas Satisfactory
ITEM anything points only Maintai progress and
Shopfloor done ned countermeasure
1 to 4
well taken
EVALUATION
LEVEL All members Only Leader is Membe All members
are not doing rs are responsibility is
showing doing clearly defined
5 Personnel interest the & strictly
easiest followed
portions
only
ADDITIONAL COMMENTS / SUGGESTIONS:
 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:

 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: