Title Page
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Audit #
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Date
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Audit by
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Directions
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1. For each statement, choose the appropriate score. [Use image below as reference]
2. Tap on 'Note' or 'Image' under each question to add a comment or evidence
3. Complete all items in the checklist & review score per section to identify the overall rate score. -
Take or attach a photo of workspace
SORT
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Are all tools in the work area currently in use?
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Are all tools or parts off the floor?
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Are all posted work instructions, notes and drawing currently in use?
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Are workstations and walkways clear of unnecessary items and clutter?
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Is the station clear of safety hazards
SET-IN-ORDER
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Are tools, equipment and supplies organized in separate locations and bins?
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Are aisles and work areas clearly delineated?
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FIRE HOSES, FIRE EXTINGUISHERS, and other emergency equipment are prominently displayed and are unobstructed.
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Are items not in use put away?
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Are materials and tools clearly labeled?
SHINE
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WORK AREAS (Machines, workbenches, dies, and other equipment including electrical boxes) are kept clean and painted.
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WALLS, RAILS, ETC. are kept clean and painted.
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FLOORS are free from dirt, debris, oil, parts, hardware, empty boxes, etc.
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All EQUIPMENT SAFETY - related warnings, signs, labels, floor lines, etc. are all clean, easy to read, not torn or damaged, and provide adequate protection
STANDARDIZE
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Is the schedule for 5S checks being followed?
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The WORK ENVIRONMENT satisfies the requirements of the work being performed- Lighting brightness and color, temperature, air flow and quality etc.
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Necessary information is visible and meets visual workplace standards
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All standard are visible
SUSTAIN
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A member of MANAGEMENT has participated in a 5S activity
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RECOGNITION is given to teams who get involved in 5S activities.
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TIME AND RESOURCES are allocated to 5S activities (e.g., designated daily/weekly clean-up time, 5S Team Leader).
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All operators, team leaders, supervisors, etc. are assigned 5S ACTIVITIES to be completed at least once a month.
COMPLETION
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Overall observation & recommendations ( IF )