5S AUDIT FORM

• Department

• Conducted on

  Date

• Prepared by

SORT

• ARE THERE RED TAGS EASILY AVAILABLE IN YOUR AREA ?

  Yes

  No

• ARE ALL THE TOOLS/EQUIPMENT/RAW MATERIAL IN USE WITHIN THE PAST MONTH ?

  Yes

  No

• ARE ALL PERSONAL BELONGINGS REMOVED FROM THE WORKSTATIONS/EQUIPMENT ?

  Yes

  No

• ARE ALL REQUIRED SAFETY EQUIPMENT (PPE) AVAILABLE IN THE WORKSTATIONS ?

  Yes

  No

• ARE ALL SAFETY HAZARDS REMOVED FROM WORKSTATIONS ?

  Yes

  No

SET IN ORDER

• ARE AILSEWAYS, WORKSTATIONS, DOORWAYS, ETC FREE OF BLOCKAGE ?

  Yes

  No

• ARE ALL WIP, RAW MATERIAL, WORKSTATIONS, AISLES, ETC, ALL CLEARLY MARKED WITH FLOOR TAPE ?

  Yes

  No

• ARE ALL FLOOR TAPES FOLLOWING COLOR GUIDELINES ?

  Yes

  No

• ARE ALL FREQUENTLY USED ITEMS CLEARLY LABELED ?

  Yes

  No

• ARE ALL CARTS, PALLETS, PALLET JACKS, BROOMS, AND GARBAGE CANS RETURNED TO THEIR PROPER STAGING AREA OR LOCATION ?

  Yes

  No

SHINE

• ARE CLEANING MATERIALS EASILY AVAILABLE ? (BROOMS/RAGS/DISINFECTANTS/ETC)

  Yes

  No

• ARE EQUIPMENT/WORKSTATIONS KEPT CLEAN OF OIL AND DEBRIS, GREASE, LEAKAGE ?

  Yes

  No

• ARE ALL TOOLS IN WORKING CONDITION ?

  Yes

  No

• ARE ALL TRASH BINS AND SCRAP CONTAINERS EMPTIED ON A REGULAR BASIS ?

  Yes

  No

PHOTOS

• PLEASE PROVIDE 5 AREAS THAT SHOW GOOD EXAMPLES OF 5S (TAKE PHOTOS WITH TABLET)

  Media

• 5S AUDITOR

  Sign

• PROCESS OWNER

  Sign

• 5S LEADER

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