• 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 obsolete or unused tools, equipment, pipes etc. in the area

2.0 Set - A place for everything

  • 2.1 Chemical cages are locked and bunded, there is appropriate signage

  • 2.2 All pallets, trolleys, crates and other items have designated and labelled locations

  • 2.3 All pallets, trolleys, crates and other items are in designated locations

  • 2.4 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.

  • 3.2 No excessive odours in compactor, bins, DAF plant etc. areas.

  • 3.3 All drains are clean and unobstructed.

4.0 Standardise - compliance to standards

  • 4.1 All exterior factory doors and perimeter gates closed.

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

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

  • 4.4 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: overstocking of pallets and chemicals/ materials, milk and chemicals running into storm water drains......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.