• 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 parts, equipment, pipes etc. in the area.

  • 1.2 All storage areas are tidy.

2.0 Set - A place for everything

  • 2.1 All chemicals are stored and labelled correctly.

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

  • 2.3 All equipment, tools, parts, work in progress and other items are in designated and labelled 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 All equipment is free from rust and temporary repairs, excess lubricant, chemical, water and product leakage and residue. All macinbe tools are free from swarf and offcuts.

  • 3.3 All floors are free from swarf, filings and off cuts.

  • 3.4 All hand wash & 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 and have clean uniforms.

  • 4.2 All lights are covered and operational

  • 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: overstock of maintenance spares, air leaks.....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.