• 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 Soiled uniforms are in bins provided.

2.0 Set - A place for everything

  • 2.1 Work boots stored on racks, in lockers, or under lockers.

  • 2.2 Uniforms and personal clothes are segregated.

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.

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

  • 3.3 Handwashing sign present and in good condition.

4.0 Standardise - compliance to standards

  • 4.1 All lockers closed.

  • 4.2 Pest control is in place and there is no evidence of pests.

  • 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)

  • 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: leaking taps, lights left on when not in use....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.