• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add signature

1.0 Sort - No unnecessary items in the area

  • 1.1 No machine parts or tools on the floor

  • 1.2 No obsolete or unused tools, equipment, etc. in the area

  • 1.3 All storage areas for packaging and other materials have limits on how much can be stored in the area and stored quantities are within these limits

2.0 Set - A place for everything

  • 2.1 ll fixed pipe work, conduit etc. labelled to indicate contents. All equipment gauges, dials, buttons, lubrication points etc. are labelled and indicate desired operating range if applicable

  • 2.2 All equipment, tools, packaging, chemicals and other items are stored in designated and labelled locations. Chemical containers correctly labelled

  • 2.3 All walkways, safety zones (emergency showers, exits, fire equipment etc.) are clearly signed and are not obstructed.

3.0 Shine - clean workplace and equipment

  • 3.1 Area is clean and free from rubbish. Cupboards, shelves and work benches are clean and tidy. All bins are labelled and colour coded. No excess bottles or trimmings on the floor.

  • 3.2 Bottle bins clean and vacuumed weekly. Evidence sighted.

  • 3.3 All equipment is free from rust and temporary repairs and free from excess lubricant and coolant leakage.

  • 3.4 All ceilings, walls and doors are clean and free from corrosion, flaking paint, dust and plastic shavings.

  • 3.5 All hand wash, sanitiser & paper towel dispensers stocked and being used and a bin is available.

4.0 Standardise - compliance to standards

  • 4.1 All staff are using relevant PPE, have clean uniforms and boots, and are following the jewellery policy.

  • 4.2 All walls, ceilings and doors without gaps or holes. All doors / air locks closed securely, pest control is in place and there is no evidence of pests.

  • 4.3 All windows, glass, Perspex (including guards) and lights are free from cracks and holes, and all lights are covered and operational.

  • 4.4 No crates or product containers are being used for any purpose other than designated.

  • 4.5 Bottles stored in secure boxes or bags.

  • 4.6 All records are current, legible and signed.

  • 4.7 No obsolete or uncontrolled documents (process documents, notices etc.) in the area.

5.0 Sustain - Maintain standards (only answer the following questions if an area has been 5Sd, otherwise mark N/A)

  • 5.1 The audit roster is posted, current, assigned to individual team members, and signed off.

  • 5.2 The audit result is posted and current.

  • 5.3 The area map is posted and current.

  • 5.4 All 5S Area Standard/s are posted and current.

Waste Observation

  • Are any wastes observed? Please specify location and describe the waste.<br>Example: bottle losses, unnecessary double handling of materials....etc

  • Describe the corrective actions required.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.