Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Take a photo of the workplace

  • Starting the audit taking a photo of the workplace

0S: Safety

  • Safety equipment easily accessible and in good condition? (Cut proof gloves, safety box cutter, etc)

  • Is the person using the required PPE (Personal Protective Equipment) in order to perform the activity?

  • Is the area free of unsafe conditions?<br> • Trip Hazard<br> • Fall Hazard<br> • Uneven floor

1S: Sort

  • Are all unneeded tools, equipment and supplies removed?

  • Are all needed tools, equipment and supplies positioned properly (also storage areas, cabinets)?

  • Is the storage location for tools and equipment based on usage frequency?

  • Are personal belongings properly stored?

2S: Set in Order

  • Desks and cabinets are free of accumulations of papers and other objects?

  • All tools and equipment are kept in a fixed place?

  • Tools and equipment are well organized for ease of take and return?

  • Labeling of cabinets, shelves and files allows immediate identification?

  • Are all the aisles free of clutter and organized?

3S: Shine

  • Are your floors cleaned and free of spills and litter?

  • Racks and cabinets are kept clean and in good condition?

  • Equipment and tools are kept clean and in good condition?

  • Desks, tables and other furniture are kept clean?

  • Trash containers are emptied on a regular basis?

4S: Standardize

  • Is there a standard for an organized work place?

  • Are responsibilities set for housekeeping tasks?

  • Is the workplace clearly signalized (signs, labels, posters, tape or shadow boards)?

  • Is it clear where to use personal protective equipment?

  • Are the coloured coded signs clear and right in use?

5S: Sustain

  • Are the 5S procedures up-to-date and clear?

  • Are 5S checklists results posted, followed up and communicated with the teams?

  • Is personnel trained in the 5S procedures?

  • Are new ideas welcomed to improve workplace organization?

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.