Title Page
-
Client / Site
-
Conducted on (Date and Time)
-
Inspected by
-
Location
-
Use these score criteria for your inspection:
3 - There is an ability to maintain it.
2 - This is being complied with more systematically.
1 - It is done but not systematically.
0 - Not at all.
N/A - Not Applicable
S1 - SORT OUT - SEIRI
-
No unnecessary items are left or stored in the workplace?
-
No items with expired date are in use?
-
All machines and pieces of equipment are in regular use?
-
All tools, racks, waste containers, worktables etc… are in regular use?
-
Storage area is defined to store broken, unusable or occasionally used items?
-
Standards for eliminating unnecessary items exist and are being followed?
-
Capture photo\(s) of red tagged items
S2 - SET IN ORDER - SEITON
-
Standard PERI layout of workplace defined and followed?
-
Locations of tools and equipment are clear and well organized?
-
Locations of materials and products are clear and well organized?
-
Labels exist to indicate locations, containers, boxes, shelves, and stored items?
-
Evidence of inventory control exists (Kanban cards, min/max levels, etc…)
-
Standard PERI workplace marking in use?
S3 - SHINE - SEISO
-
Floors, walls, ceilings etc… are in good condition and free from dirt and dust?
-
Racks, cabinets, and shelves are kept clean?
-
Machines, equipment, and tools are kept clean?
-
Are there cleaning instructions and schedules for machines, equipment, and tools?
-
Stored items, materials, and products are kept clean?
-
Lighting is adequate and all lighting is clean and free from dust?
-
Good movement of air exists through the workplace (appropriate ventilation)?
-
Pest control exists and effective?
-
Cleaning tools and materials are easily accessible?
-
Cleaning schedule for the workplace is defined?
-
Cleaning schedule for the workplace is being followed?
S4 - STANDARDIZE - SEIKETSU
-
Information displays, signs, color coding and other markings are established?
-
Everything is labeled and marked?
-
Photos of a Standard are taken and are visible and transparent?
-
It is clear to everyone where to find what and where to put it back after work?
-
Everyone knows his responsibilities, when and how?
S5 - SUSTAIN - SHITSUKE
-
5S seems to be the way of life rather than just a routine?
-
Success stories are being displayed (before and after pictures)?
-
Rewards and recognition is part of the 5S system?
-
Regular 5S audits are carried out using 5S checklists?
-
Improvement measures are carried out on a regular basis?
COMPLETION
-
Recommendation
-
Overall Rating
-
Full Name and Signature of the Inspector