Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Scoring

  • 1 - Very bad (No evidence)

  • 2 - Bad ( 5 - 6 issues)

  • 3 - OK ( 3 - 4 issues)

  • 4 - Good ( 1 - 2 issues)

  • 5 - Very Good (No issues)

Sort

  • 1. Are all tools, equipment and materials stored in the right place?

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  • 2. Are all tools, equipment and materials stored in the correct quantity?

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  • 3. Is there any unneeded/out of date items or information on walls or noticeboards?

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  • 4. Are there any unsafe conditions? Are any tools or materials being used for other than their design purpose?

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Set in order

  • 5. Correct locations for tools, equipment and materials are obvious and visible?

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  • 6. Are there any improvements that can be seen to reduce motion of materials or people when working in the area?

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  • 7. Are height / quantity / inventory control systems obvious?

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  • 8. Are all tools, equipment and materials easy to reach without stretching or twisting?

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Shine

  • 9. Are worksurfaces and floors and difficult to access places eg top of cable trays, pipe work clean and dust free?

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  • 10. Is equipment free from dirt, oil, grease or other contaminants?

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  • 11. Are lines, labels, signs, standards and workinstructions clean and visible?

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  • 12. Is there any waste that could generate an accident eg oil and or water leaks, sharp metal, waste becoming excessive and leading to trip hazards etc

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  • 13. Is cleaning equipment in good condition and stored correctly?

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Standardise

  • 14. There is a defined 5S / housekeeping document on display?

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  • 15. Are 5S / housekeeping sheets up to date and dated?

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  • 16. Are visual standards consistent?

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  • 17. Are all safety risks that can be identified visually identified and marking is in good condition?

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Sustain

  • 18. Is there evidence of the standard improving?

  • 19. Is there evidence of making it easier to maintain the standard?

  • 20. Have all individuals had the training and understand the rules and standards?

  • 21. Do all employees in the area operate 5S in the same way?

  • 22. Is there evidence of management support for 5S improvement?

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.