5S AUDIT CHECKSHEET

• Audit For the Month of

• Audit Area

• Audit Number

• Conducted on

  Date

• Prepared by

• Personnel in attendance eg Team Leader

• Date Audit was undertaken

  Date

SORT ACTIVITY DESCRIPTIONS

• 1. Only the required spare parts, materials WIP, etc are present at the workstation. items not required to make the current product are removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 2. Only the required tools are present at the workstation. items not required to make current product are removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 3. Only the required paperwork is present at the workstation. Out dated or otherwise unnecessary posters, memos, announcements, reports, etc. are removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 4. Only the required equipment is present at the workstation. ALl obsolete broken, or unnecessary equipment, shelves, lockers, workbenches, etc not required to make the current product is removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 5. Only the required furniture is present at the workstation. All broken or unnecessary chairs, shelves, lockers, workbenches, etc not required to make the current production is removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 6. Tripping dangers such as electrical cables, etc are removed from standing / walking areas.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

SET IN ORDER ACTIVITY DESCRIPTIONS

• 7. Locations for containers, boxes, bins, WIP, materials, etc is clearly defined by painted lines and properly labeled (part number, quantity etc)

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 8. Tools have a designated storage location that is within reach of the operator. The location is properly labeled and tools can easily be identified if absent.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 9. Paperwork is properly labeled and has a clearly defined and labeled location that is visible to the operators and away from the work surfaces.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 10. Equipment is clearly identified (numbered, named, colour coded, etc.) and placed in a properly identified location. Critical maintenance points are clearly marked.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 11. Furniture is clearly identified (numbered, colour coded, etc.) and placed in a properly identified location.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 12. Work areas requiring personal protective equipment are clearly labeled.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 13. Stop switches and breakers are highly visible and located for easy access in case of emergency.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 14. Fire hoses, fire extinguishers and other emergency equipment are prominently displayed and are unobstructed.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 15. Working conditions are ergonomically friendly. Tools are stored at appropriate heights, lift assist devices are provided where necessary, etc.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 16. The workplace layout accommodates easy exit in case of emergency.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 17. Walkways and vehicle paths are clearly identified and unobstructed. Exits are clearly labeled and unobstructed.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

SHINE ACTIVITY DESCRIPTIONS

• 18. Containers, boxes, bins, etc. are clean and not cracked, torn, or otherwise damaged. They are neatly stacked.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 19. Tools are kept clean and in good working order. Where possible, tools are stored in a manner to keep them clean and free from risk of damage.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 20. Paperwork is not torn, kept clean and protected from dirt.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 21. Work surfaces ( machines, workbenches, dies and other equipment including electrical boxes ) are clean and painted.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 22. Floors are free from dirt, debris, oil, parts, hardware, e pty boxes, packaging material,etc. Drains (if required) are properly located and unclogged.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 23. Walls, partitions, railings etc are painted and kept clean.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 24. There is a schedule showing times, frequency and responsibilities to clean areas of the workplace such as windows, corners, walls, doors, top of cabinets etc.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 25. All Cleaning equipment is neatly stored and is readily available when needed.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 26. All personnel protective equipment is maintained in sanitary and reliable condition and is properly stored in a easily accessible and labeled location when not in use.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 27. Equipment safety concerns are clearly identified. Safety guards are painted, in good working condition and provide adequate protection.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

STANDARDISE ACTIVITY DESCRIPTIONS

• 28. Tools, equipment, paperwork, furniture, etc are stored neatly in designated areas and are returned immediately after each use.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 29. Documents are labeled clearly as to contents and responsibility for control and revision. The date and revision number are clearly visible.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 30. Equipment maintenance records are visible and clearly state when maintenance last occurred and when maintenance is scheduled.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 31. Product waste (eg. Swarm, containers, liquids, wrappers, etc.) is consistently and often cleaned up and removed from the workplace.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 32. Preventative measures have been implemented to ensure the workplace meets 5S guidelines (e.g. Systems that do not allow waste to accumulate such as containers to collect debris from machines)

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 33. The results of the previous audit are posted and clearly visible to the entire team.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 34. Areas for improvement identified during the previous audit have been completed.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 35. The work environment satisfies the requirements of the work being performed. Lighting (brightness and colour ), air quality, temperature, etc.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

SUSTAIN ACTIVITY DESCRIPTIONS

• 36. A member of Management has participated in a 5S activity such as an audit or activity within the last 3 audit periods.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 37. Recognition is given to teams who get involved in 5S activities.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 38. Time and resources are allocated to 5S activities (eg designated daily/weekly clean up-time, 5S team leader, etc)

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 39. All operators, team leaders, supervisors, etc. are assigned 5S activities to be completed at least once a week.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

• 40. The team took the initiative to make improvements to the workplace that were to identified during the last 5S audit.

  Select 0 - ZERO EFFORT 1 - MINIMUM ACCEPTABLE LEVEL 2 - MODERATE EFFORT 3 - MINIMUM ACCEPTABLE LEVEL 3.5 - ABOVE AVERAGE RESULTS 4 - ABOVE AVERAGE RESULTS (3 AUDITS) 4.5 - OUTSTANDING RESULTS 5 - OUTSTANDING RESULTS (5 AUDITS)

  • 0 - ZERO EFFORT
  • 1 - MINIMUM ACCEPTABLE LEVEL
  • 2 - MODERATE EFFORT
  • 3 - MINIMUM ACCEPTABLE LEVEL
  • 3.5 - ABOVE AVERAGE RESULTS
  • 4 - ABOVE AVERAGE RESULTS (3 AUDITS)
  • 4.5 - OUTSTANDING RESULTS
  • 5 - OUTSTANDING RESULTS (5 AUDITS)

• Comments

• Image of Concern / Improvement

  Media

AREAS FOR IMPROVEMENT

• Comments

• Signature of Auditor

  Sign