Manufacturing Machinery Reliability Audit Form
Please complete this form to assess and document the reliability of manufacturing equipment during audit procedures.
Machine Name or ID
*
Location of Machine
*
Date of Audit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Full Name
*
First Name
Last Name
Select the type of machinery being audited
*
Please Select
Conveyor System
Injection Molding Machine
CNC Machine
Press Machine
Packaging Equipment
Other
Inspection Criteria - Rate the following aspects of the machine's reliability
*
Rows
Excellent
Good
Fair
Poor
Operational Performance
1
2
3
4
Safety Systems Functionality
5
6
7
8
Preventive Maintenance Status
9
10
11
12
Lubrication and Wear Condition
13
14
15
16
Electrical System Integrity
17
18
19
20
Cleanliness and Organization
21
22
23
24
Date of Last Maintenance
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Reliability Rating
*
1
2
3
4
5
Have there been any recent breakdowns or failures?
*
Yes
No
If yes, please describe the issue(s) and corrective actions taken
Additional Comments or Recommendations
Auditor Signature
*
Submit Audit
Submit Audit
Should be Empty: