3s check list

• 3s check sheet

• Store no.

• Location
  Address

• Conducted on

  Date

• Prepared by

• Store manager

Select and remove office

• Whether vertically-pilled documents are left on the desks

  Yes

  No

  N/A

• Whether unnecessary private belongings, office supplies that become unusable or packaging materials such as cartoon boxes are left as they are?

  Yes

  No

  N/A

• whether unnecessary ON equipment machine parts, spare parts, or wirings are left as they are

  Yes

  No

  N/A

• Whether surplus office supplies are found?

  Yes

  No

  N/A

Select and remove service

• Whether waste materials, waste products or unnecessary scraps are left in work place

  Yes

  No

  N/A

• Whether unidentifiable materials, intermediate materials or defective components are left

  Yes

  No

  N/A

• Whether unnecessary parts and tools are left as they are

  Yes

  No

  N/A

• Whether unnecessary equipment, machine parts or spare parts are left as they are

  Yes

  No

  N/A

Sort. Office

• Whether clearly-stated location indicators is given for office supplies and slips that belong to the office

  Yes

  No

  N/A

• If there are locations other than those described above such as warehouse or stack room is that location is the location indicator clear

  Yes

  No

  N/A

• Whether office things on and around desk controlled by individuals are kept tidy accordance with the standard rule

  Yes

  No

  N/A

Sort service

• Whether predetermined quantities of jigs tools or cleaning things are put in predetermined locations

  Yes

  No

  N/A

• Whether signs are posted in a predetermined locations

  Yes

  No

  N/A

Keep clean office

• Whether dust and contamination are removed from desk surfaces and floor surfaces

  Yes

  No

  N/A

• Whether rubbish waste are separated into burnable and non burnable trash boxes and weather the trash boxes are full to the brim

  Yes

  No

  N/A

• Whether unused outlets are capped and weather accumulation of dust is observed on plugs and outlets

  Yes

  No

  N/A

• Whether defective unsuable equipment or wiring are left as they are

  Yes

  No

  N/A

• Whether excessive load to one electric outlet is observed

  Yes

  No

  N/A

• Whether lights are contaminated or damage and whether light bulbs are blown

  Yes

  No

  N/A

• Whether the lines drawn on the floor surface are free from contamination and defacement

  Yes

  No

  N/A

Keep cleaning service

• Whether dust and contaminations are remove from machines and floor surfaces

  Yes

  No

  N/A

• Whether waste materials waste products are scattered and left as they are

  Yes

  No

  N/A

• Whether bolts nuts and metallic foreign materials are fallen

  Yes

  No

  N/A

• Whether oil is leaking from machine

  Yes

  No

  N/A

• Whether lights are contaminated or damage or whether light bulbs are blown

  Yes

  No

  N/A

• Whether the lines drawn on the storage location passages are clear and free from contaminations and defacement

  Yes

  No

  N/A

Select and remove

• Whether waste materials waste products or unnecessary scraps are left in the workplace

  Yes

  No

  N/A

• Whether unidentifiable materials intermediate or defective components are left

  Yes

  No

  N/A

• Whether unnecessary parts and tools are left as they are

  Yes

  No

  N/A

• Whether unnecessary equipment machine parts or spare parts I left as they are

  Yes

  No

  N/A

• Whether things that can become foreign materials (such as wooden materials packing tape etc.) are left and whether things that are prohibited to bring in

  Yes

  No

  N/A

Sort

• Whether the location and quantities are clearly stated regarding materials products cart pallet jacks and tools or administrative books

  Yes

  No

  N/A

• Whether pallets carts reels readjusted articles reserved articles ets. Are put in predetermined locations in predetermined manners

  Yes

  No

  N/A

• Whether predetermined quantities of jigs, tools or cleaning things are put in predetermined locations

  Yes

  No

  N/A

• Whether indicators put on distributing board/operator board are clear and legible

  Yes

  No

  N/A

• Whether signs are posted in predetermined locations

  Yes

  No

  N/A

Keep clean

• Whether dust and contamination are removed from machines and floor surfaces

  Yes

  No

  N/A

• Whether bolts/nuts and metallic foreign materials are fallen

  Yes

  No

  N/A

• Whether oil is leaking from machine

  Yes

  No

  N/A

• Whether water is leaking from machine

  Yes

  No

  N/A

• Whether lights are contaminated or damage or whether light bulbs are blown

  Yes

  No

  N/A

• Whether the lines drawn on the storage locations/passages are clear and free from contamination and defacement

  Yes

  No

  N/A

General plant checklist

• Do you have an active, plant/store-wide program for 3s

  Yes

  No

  N/A

• Is one person clearly responsible for directing the 3s program

  Yes

  No

  N/A

• Do you have 3s committed or team made up of management and employees that meets regularly and reports in writing on its activities and progress

  Yes

  No

  N/A

• Do you encourage employees suggestions to improve 3s

  Yes

  No

  N/A

• Are you keeping employees advised of 3s problems and successes

  Yes

  No

  N/A

General plant checklist

• Overall is the plant kept in good 3S condition ordely neat clean well maintained sanitary and safe? Is it a pleasant and efficient workplace?

  Yes

  No

  N/A

• Are plant walkway floors machinery and equipment and building in good 3S condition? ( refer to the following checklist)?

  Yes

  No

  N/A

• Combustible debris waste and scrap stored safely and removed promptly?

  Yes

  No

  N/A

• Are all plant areas adequately illuminated?

  Yes

  No

  N/A

• Are noise levels kept to a minimum?

  Yes

  No

  N/A

• Is appropiate personal protection equipment ( safety glasses shoes and ear plugs) available and used where required?

  Yes

  No

  N/A

• Are restrooms and hand washing facilities kept in good 3S condition:? Are principles a good hygiene promoted such as washing with soap?

  Yes

  No

  N/A

• Are break area and locker rooms kept in good 3s condition?

  Yes

  No

  N/A

• Are office areas kept in good 3s condition? Are desk tops kept uncluttered and papers neatly filed away or stacked at the end of the day?

  Yes

  No

  N/A

• is team responsibility for cleaning up the plant and maintaining good 3s conditions promoted?

  Yes

  No

  N/A

• is individual responsibility for cleaning up after oneself and maintaining good 3s habits promoted?

  Yes

  No

  N/A

Workplace 3s checklist

• Are walkway (including ailes, passageway, stairways, ramps, and exits) free of clutter?

  Yes

  No

  N/A

• Are all walkways and exits kept clear of items that could inpede transit?

  Yes

  No

  N/A

• is there safe clearance along the entire length?

  Yes

  No

  N/A

• Is safe clearance for walking in aisles where forklifts operate?

  Yes

  No

  N/A

• Are aisles clearly distinguished from work areas with lines or railings? Are any portions of the aisle or either area markings obscured or covered?

  Yes

  No

  N/A

• Are there any bumps, steps, holes, or grooves in walkways or stairways that need to be repaired, covered, or otherwise made safe?

  Yes

  No

  N/A

• Are walkways kept dry? Are slick surfaces covered with non-slip materials?

  Yes

  No

  N/A

• Are all water, oil or chemical spills cleaned up immediately and according to proper procedures?

  Yes

  No

  N/A

• Are there any potentially unsafe cords, or pipes Crossing the passageway? ( if temporary or necessary are they fully covered?

  Yes

  No

  N/A

• Are all entryways and exits clearly signs or lights as required? Are they wide enough?

  Yes

  No

  N/A

• Are all exits kept free of obstructions?

  Yes

  No

  N/A

• Are doors or stairways that are not exit marked " Not an exit," or dearly labeled with a destination, such as "To offices" or "Storeroom"?

  Yes

  No

  N/A

Work areas checklist

• Are work areas kept in good 3s conditions orderly, neat, clean, and safe?

  Yes

  No

  N/A

• Are there any uneven places ( bumps, steps,holes, or groves) in the floor?

  Yes

  No

  N/A

• Are floor opening covered or guarded?

  Yes

  No

  N/A

• Are drains and grates maintained?

  Yes

  No

  N/A

• Is there any oil or mounting compound spilled on the floor or equipment? Are floors and work surfaces kept dry? Are slick surfaces covered with non slip material?

  Yes

  No

  N/A

• Are all cords, hoses and pipes safely and properly routed?

  Yes

  No

  N/A

• Are work tools, equipment, end cleaning materials stored in designated locations,? Are the required special purpose receptacles used?

  Yes

  No

  N/A

• is waste and scrap placed in the correct receptacles or on clearly label skids?

  Yes

  No

  N/A

• Are this receptacles emptied (or skids removed) regularly?

  Yes

  No

  N/A

• Are hazardous substances properly disposed of in the designated locations? Are the required special purpose receptacles used?

  Yes

  No

  N/A

• Are electrical disconnect switches, fire extinguishers and emergency exit all clearly labeled and free of abstraction?

  Yes

  No

  N/A

• Are fire extinguishers hung on the wall in the proper locations?

  Yes

  No

  N/A

dust and debris, waste and scrap checklist

• is the plant cleaned regularly so that dust debries do not collect? are accumulations of dust and dirt routinely sweat off floors and vacuumed off elevated surfaces, including the overhead structure of buildings?

  Yes

  No

  N/A

• Is used oil stored in noncombustible containers with lids

  Yes

  No

  N/A

• Are cleaning materials stored neatly and safely in specified locations?

  Yes

  No

  N/A

• Is there an active program to reduce waste and scrap?

  Yes

  No

  N/A

• Are receptacles for trash and containers skids industrial waste and scrap properly located and label?

  Yes

  No

  N/A

• Is waste and scrap segregated by type indisposed of in the appropriate locations without overflowing?

  Yes

  No

  N/A

• are waste and scrap storage locations kept in good 3s conditions?

  Yes

  No

  N/A

Machinery and equipment checklist

• is all machinery and equipment and surrounding areas kept neat and clean? Are any I unneeded tools or materials left on top under or next to equipment?

  Yes

  No

  N/A

• is there a regular program of 3s inspections of machinery and equipment?

  Yes

  No

  N/A

• Are there any leaks or spraying oil, steam, or other fluids gases? Are any particles or the debris being swepted out onto or around the machinery?

  Yes

  No

  N/A

• are the Machine surfaces and controls kept clean and dry? Are any operating control panels or switches obscured by dust dirt or paint?

  Yes

  No

  N/A

• Are controls, switches, and valves clearly labeled with their functions?

  Yes

  No

  N/A

• Are any indicator lights, and, or LED/LCD/CRT displays obscured, illegible or burned out ?

  Yes

  No

  N/A

• are all emergency stop buttons clearly labeled and colored red?

  Yes

  No

  N/A

• Does each work area have a full set of that require work tools and equipment stored in a safe location, and organized in an easy to use Manner?

  Yes

  No

  N/A

• Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing materials handling and waste removal?

  Yes

  No

  N/A

• Are areas near projecting movin a rotating parts send off and or clearly marked?

  Yes

  No

  N/A

• is there any danger of becoming wedge or pinched in drive mechanisms, or between machine and work benches materials or carts?

  Yes

  No

  N/A

• are foot operated and other switches guarded old place to prevent accidental actuation why people or falling objects?

  Yes

  No

  N/A

• are equipment and semi finished good play so that they will not collapse fall or tip over and so that people will not trip on them?

  Yes

  No

  N/A

• Are there any breaks unevenness, or cracks in work mats all platforms? are any slippery floor areas covered with non slip materials?

  Yes

  No

  N/A

• Is there any danger of tripping on power cords, air hoses, or pipes?

  Yes

  No

  N/A

• Are working standards and safe operating procedures posted conspicuously?

  Yes

  No

  N/A

• When required is equipment properly de - energized or disengaged and blocked or locked out during servicing? Is the proper lock out tag out or safe energy control procedures strictly followed?

  Yes

  No

  N/A

• When compressed air, sharp implements, or hazardous solvents are used to clean machinery are proper safeguards and personal protective equipment used to protect employees from safety and health hazards?

  Yes

  No

  N/A

Maintenance and repair checklist

• Has the Maintenance Technician given notice and communicated adequately with other employees prior to the start of each maintenance or repair job?

  Yes

  No

  N/A

• When required is machinery or equipment properly de - energized and blocked or locked out during maintenance servicing?

  Yes

  No

  N/A

• Are signs and tags such as "no entry," "lookout/tagout" and Do Not Operate" displayed in the necessary locations?

  Yes

  No

  N/A

• Lockout/Tagout locks, tags, keys, and pegboards in good 3S condition?

  Yes

  No

  N/A

• Are the needed variety and size of tools, work equipment, personal protective equipment, and signage available? Are they organized in convenient locations and placed in a safe manner? Are the used appropriately?

  Yes

  No

  N/A

• Is good 3S maintained in the work area during maintenance or repair? Is it being kept orderly, neat, clean, and safe?

  Yes

  No

  N/A

• Are tools, replacements, and disassembled components placed in a safe manner? Are they put where they cannot fall or drop, or cause people to trip?

  Yes

  No

  N/A

• Are any items placed on or leaning on control panels, equipment, or switches?

  Yes

  No

  N/A

• Are small parts such as nuts and bolts put in small boxes or containers? Is any danger that those containers could fall?

  Yes

  No

  N/A

• Is oil or other fluid from equipment being disposed off properly? Are drip pans or other containers for recovering fluids fluids well placed?

  Yes

  No

  N/A

• Are ladders maintained in good 3S condition? Are they used properly, in a safe manner? Are any obstructed doors blocked open, locked, or guarded?

  Yes

  No

  N/A

• Is welding equipment in good condition? Are safety rules strictly followed?

  Yes

  No

  N/A

• Is cutting, welding, or grinding work involving open flames or sparks? Is there a hot work procedure available and being followed?

  Yes

  No

  N/A

• Have any tools or parts being left behind at the location?

  Yes

  No

  N/A

• Has leaked oil, fluids or scrapped items been properly removed?

  Yes

  No

  N/A

• Have safety devices, covers, or stopped devices been restored to their original state?

  Yes

  No

  N/A

• Have maintenance signs and LOTO tags been collected and returned?

  Yes

  No

  N/A

Electrical Equipment checklist

• Are there any unnecessary items inside the power substation rooms, fences, or enclosures? Have locks and "No Entry" signs been installed?

  Yes

  No

  N/A

• Is there any unnecessary or foreign materials inside, in front of or on top of the control panels or switchboards? Are they contaminated with dirt or dust?

  Yes

  No

  N/A

• Are control panels and switch functions clearly labeled? Is there any interference with operation or incorrect reading?

  Yes

  No

  N/A

• Is there any concern of rain from roof or other leaks entering electrical equipment? Do installations in damp areas meet NEC requirement?

  Yes

  No

  N/A

• Do any extension cords or cables cross open spaces? Do any run through or along walls? Are extension cords being used instead of permanent wiring?

  Yes

  No

  N/A

• Is proper personal protective equipment for electric work available and used?

  Yes

  No

  N/A

• Are there any openings in electrical panels broken boxes or disconnects?

  Yes

  No

  N/A

• Have any damaged cords or connectors been properly repaired or replaced? Are all cord cables and raceway connections intact and secure?

  Yes

  No

  N/A

• Are ground lines properly connected and tested?

  Yes

  No

  N/A

• Are water pumps or other electrical devices involving water properly grounded and equipped with devices to prevent shock or short circuits ( such as GFCIS)? Have these devices been inspected and tested?

  Yes

  No

  N/A

• Are all Electrical disconnects labeled to indicate their voltage and purpose ( what they control )?

  Yes

  No

  N/A

• Is a GFCI used when attached to an extension cord or in a wet location?

  Yes

  No

  N/A

• When electrical equipment or lines are to be serviced maintained or adjusted are necessary switches opened locked out and tagged as required?

  Yes

  No

  N/A

Hand held and portable power tools checklist

• Have you obtained tools of the appropriate type and size for the job?

  Yes

  No

  N/A

• Are the tools in good condition?

  Yes

  No

  N/A

• Is there any breakage or wear?

  Yes

  No

  N/A

• Are pneumatic or hydraulic hoses checked regularly for deterioration or damage?

  Yes

  No

  N/A

• Are tools stored in designated locations and conveniently positioned?

  Yes

  No

  N/A

• Are they kept in dry locations secure from tampering and out of harm's way?

  Yes

  No

  N/A

• Are cutting blades or edges regularly sharpened so that the tool will move smoothly without bidding or skipping?

  Yes

  No

  N/A

• Are tools with sharp blades or points safely stored with protective covers?

  Yes

  No

  N/A

• Are grinding wheels store in special cases or racks so that cannot be gouged cracked or bent?

  Yes

  No

  N/A

• Are they ring - tested prior to installation?

  Yes

  No

  N/A

• Are dust collectors and powered exhaust provided on grinders used in operations that produce large amounts of dust? Are splash guards mounted on grinders that use coolant to protect employees and reduce spillage?

  Yes

  No

  N/A

• Are good 3S conditions maintained around grinders and other power tools?

  Yes

  No

  N/A

• Is magnesia grinding and parts that can be damaged by moisture stored in a dry location? (Follow the manufacturer's directions for care)?

  Yes

  No

  N/A

• Are any tools left unsecured in an elevated location from which they could fall?

  Yes

  No

  N/A

• Are any hand tools left out in stairways passageways or work area floors?

  Yes

  No

  N/A

• Are all power tools double insulated and equipped with 3 - wire plugs?

  Yes

  No

  N/A

• Are safety glasses or face shields worn when using hand tools that might produce flying debris or with materials that could become projectiles?

  Yes

  No

  N/A

• In locations where sparks could ignite fires or explosions are appropriate tools used such as beryllium alloy cutter or bits that could not generate sparks?

  Yes

  No

  N/A

Compressed gas cylinders checklists

• Are compressed gas cylinders segregated and labeled according to content?

  Yes

  No

  N/A

• Are cylinders stored vertically away from stairs?

  Yes

  No

  N/A

• Have countermeasure been taken against tipping striking puncturing dropping or rolling?

  Yes

  No

  N/A

• Are all valves closed capped and protected even on empty cylinders?

  Yes

  No

  N/A

• Is care used in handling and storage to prevent damage and corrosion?

  Yes

  No

  N/A

• Are oxygen cylinders stored at least 20 feet away (or separated by a 5 foot 1/2 hour rated wall) from combination prompting gases such as oxygen or chlorine oil drums or other combustible materials?

  Yes

  No

  N/A

• Are cylinders valves coupling regulators hoses etc.kept free of oil or greasy substances?

  Yes

  No

  N/A

• Is the temperature of gas cylinders storage area kept bellow 40 104 F?

  Yes

  No

  N/A

• Is it away from direct sunlight or other combustible gas cylinder storage areas that could become a source or fire or ignite a fire?

  Yes

  No

  N/A

• Are warning signs posted such as FIRE. HAZARD Absolutely No Smoking or Open Flame?

  Yes

  No

  N/A

• Is the storage area kept in good 3S condition?

  Yes

  No

  N/A

• Are there any other items or materials that could burn or have a corrosive action on gas cylinders?

  Yes

  No

  N/A

• Is there any electrical equipment or wiring that could become an ignition source?

  Yes

  No

  N/A

• Are empty containers distinguished from refills (labeled "Used" or "Empty")?

  Yes

  No

  N/A

• Are cylinders secure from tampering and protected from the elements?

  Yes

  No

  N/A

• Is red used to identify acetylene (or other fuel gas) hoses green for oxygen hose and black for inert gas and air hose?

  Yes

  No

  N/A

• Are cylinders periodically checked for defects damage or corrosion or leakage?

  Yes

  No

  N/A

Chemicals checklist

• Are chemicals storage areas kept in good 3S condition?

  Yes

  No

  N/A

• Are containers clearly labeled with their contents and hazards?

  Yes

  No

  N/A

• Are chemicals segregated and stored by type in closed containers?

  Yes

  No

  N/A

• Are hazardous or flammable chemicals are used well ventilated?

  Yes

  No

  N/A

• Are the areas where chemicals are used well ventilated?

  Yes

  No

  N/A

• Is required respiratory equipment used?

  Yes

  No

  N/A

• Are emergency eyewash stations available? Are they tested weekly?

  Yes

  No

  N/A

• Are combustible scrap debris and waste materials (oily rags etc.) Stored in covered metal receptacles and removed from the work site promptly?

  Yes

  No

  N/A

• Are liquefied petroleum gas (such as propane) Stored handled and used in accordance with safe practices and standards?

  Yes

  No

  N/A

• Are "NO SMOKING" signs and strictly obeyed in areas where flammable or combustible materials are used stored or transported?

  Yes

  No

  N/A

Fire Protection checklist

• Is your fire system certified as required and tested at least annually?

  Yes

  No

  N/A

• Are interior stand pipes and valves inspected regularly?

  Yes

  No

  N/A

• Are fire doors and shatters unobstructed and protected against obstructions including their counterweights?

  Yes

  No

  N/A

• Are automatic sprinkler system valves air and water pressure checked periodically as required?

  Yes

  No

  N/A

• Are adequate numbers and types of portable fire extinguishers mounted in their designated readily accessible locations?

  Yes

  No

  N/A

• Are the correct types of fire extinguishers available for the type of materials in the areas where they are to be used? (Class A ordinary combustible materials fires; Class B flammable liquid gas or grease fires Class C materials Energized electrical equipment fires.)

  Yes

  No

  N/A

• Are all extinguishers free from obstructions or blockage?

  Yes

  No

  N/A

• Are all extinguishers serviced maintained and tagged at least once a year?

  Yes

  No

  N/A

• Are employees periodically instructed in the use of extinguishers and fire protection procedures?

  Yes

  No

  N/A

Fine particles checklist

• Is the 3s condition good in the areas where the particles are generated?

  Yes

  No

  N/A

• Has dust accumulated on the floor or other surfaces?

  Yes

  No

  N/A

• Is the area well ventilated?

  Yes

  No

  N/A

• Are exhaust devices used where necessary?

  Yes

  No

  N/A

• Are these devices well maintained and or do any of them need cleaning?

  Yes

  No

  N/A

• In locations where flammable particles are floating is there any open flame?

  Yes

  No

  N/A

• Is there electrical equipment that could become an ignition source?

  Yes

  No

  N/A

• Is appropiate eye protection used?

  Yes

  No

  N/A

• In operations involving toxic or explosive particles are there pockets or folds where particles could accumulate?

  Yes

  No

  N/A