• 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 unloading/CIP hoses, tools, pipes on the floor.

2.0 Set - A place for everything

  • 2.1 All fixed pipe work, tanks, conduit etc. are labelled to indicate contents.

  • 2.2 All chemical containers stored and labelled correctly.

  • 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, free from rubbish, excessive odours, or debris blocking drains.

  • 3.2 Unloading / CIP hoses are free from splits and excessive wear

  • 3.3 No milk pooling on floors. No leaking water sources.

  • 3.4 Hand washing facilities, soap, paper towel and a bin is available.

  • 3.5 All soaking baths are clean, all rubbers are removed, and parts fully submerged.

4.0 Standardise - compliance to standards

  • 4.1 Tanker drivers neat and tidy, and wearing safety glasses

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

  • 4.3 All lights are covered and operational

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

  • 4.5 All open product pipes to be blanked off

  • 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: leaking taps, milk drained to floor.....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.