• 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 machine parts or tools on the floor

  • 1.2 No obsolete or unused tools, equipment, etc. in the area

  • 1.3 All storage areas for packaging and other materials have limits on how much can be stored in the area and stored quantities are within these limits

  • 1.4 Have all obsolete product samples been removed

2.0 Set - A place for everything

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

  • 2.2 All equipment, tools, packaging, chemicals and other items are stored in designated and labelled locations. Chemical containers correctly labelled. Drawers and cupboards labelled appropriately

  • 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 and free from rubbish. Cupboards, shelves and work benches are clean and tidy. All bins are labelled and colour coded. No excess Preforms or trimmings on the floor.

  • 3.2 Machine is clean and free from debris.

  • 3.3 All equipment is free from rust and temporary repairs and free from excess lubricant and coolant leakage.

  • 3.4 All ceilings, walls and doors are clean and free from corrosion, flaking paint, dust and plastic shavings.

  • 3.5 All sanitiser dispensers stocked and being used

  • 3.6 Are all conveyors clean

4.0 Standardise - compliance to standards

  • 4.1 All staff are using relevant PPE, have clean uniforms and boots, and are following the jewellery policy.

  • 4.2 Does op check sheet detail agree with production schedule

  • 4.3 All windows, glass, Perspex (including guards) and lights are free from cracks and holes, and all lights are covered and operational.

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

  • 4.5 Product is stored correctly. I.e. No product left on conveyor when machine not running, part pallet / box are covered to prevent contamination.

  • 4.6 All records are current, legible and signed. (Including check sheets and specifications)

  • 4.7 No obsolete or uncontrolled documents (process documents, notices etc.) in the area.

  • 4.8 No pre-printed labels (obsolete) on machine

5.0 Sustain - Maintain standards (only answer the following questions if an area has been 5Sd, otherwise mark N/A)

  • 5.1 All 5S Area Standard/s are posted and current.

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.