Self Assessment Basic Care Checklist

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Level 1

Not engaged YES NO

Equipment is not cleaned with


any regularity.

No cleanliness standards exist.


Cleaning

Excessive failures due to poor


cleanliness.

Operators perform little or no


lubrication activities on
Lubrication
equipment although
opportunities exist.

Maintenance called for all


Adjustments
adjustments.

No operator inspections
Inspections
performed.
No operator inspections
Inspections
performed.
Level 2 Level 3
Experimenting YES NO Enlightened

Written cleanliness standards


Equipment cleaned
and cleaning routines exist but
sporadically
no formal system for execution.

Fewer cleanliness related


Informal, unwritten standard. failures but still unacceptable
levels.

Equipment stills fails due to


poor cleanliness.

Operators perform some Standards exist but not


lubrication activities. enforced.

Some variability between


No defined standards.
operators.

No consistency between
No formal training to standards.
operators.

Some level of formal training


1 or 2 skilled operators make
and documented standards
minor adjustments
exists.

Knowledge not shared across


No follow-up and coaching.
all operators.

High % of operator induced


errors from adjustments made.

Informal inspections performed Written standards exist but


by some operators mostly comprised of checklists.
No indications of acceptable
No documentation.
performance on checklists.

No consistency across
operators.
Level 4
YES NO Good practice YES NO

Standards exist.

Consistently followed.

Few equipment failures related


to cleanliness.

No continuous improvement on
cleaning routines.

Standards exist and


consistently followed.

Little variation between


operators.

Formal training program.

Room for expansion.

No continuous improvement.

Clear standards, training and


coaching provided.

Operators performing majority


of adjustments.

High degree of variability


across operators.

Written standards exist and


consistently followed.
Clear definitions of acceptable
performance.
Level 5
Best practice YES NO

Standards well defined and


consistently followed.

Evidence of continuous
improvement.

Sources of contamination
identified and eliminated.

Standards well defined and


consistently followed.

Evidence of continuous
improvement.

Standards, training and


coaching provided.

Consistently followed.

Low variability across


operators.

Ample evidence of continuous


improvement exists.

Properly developed inspections


exist and followed.
Ample evidence of continuous
improvement exists.

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