Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Add signature
1.0 Sort - No unnecessary items in the area
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1.1 Soiled uniforms are in bins provided.
2.0 Set - A place for everything
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2.1 Work boots stored on racks, in lockers, or under lockers.
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2.2 Uniforms and personal clothes are segregated.
3.0 Shine - clean workplace and equipment
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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.
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3.2 All hand wash, sanitiser & paper towel dispensers stocked and being used and a bin is available.
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3.3 Handwashing sign present and in good condition.
4.0 Standardise - compliance to standards
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4.1 All lockers closed.
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4.2 Pest control is in place and there is no evidence of pests.
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4.3 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)
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5.1 The audit roster is posted, current, assigned to individual team members, and signed off.
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5.2 The audit result is posted and current.
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5.3 The area map is posted and current.
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5.4 All 5S Area Standard/s are posted and current.
Waste Observation
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Are any wastes observed? Please specify location and describe the waste.<br>Example: leaking taps, lights left on when not in use....etc
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Describe the corrective actions required.
