Title Page

  • Conducted on

  • Prepared by

  • Location

Sort

  • Are there unnecessary items in the workplace? (GMS1.1: Decluttering Workplace)

  • Are there any unused or obsolete machines, items, or equipment around? (GM S1.3: Usability, GM S1.4 Defect detection)

  • Are all fire extinguishers, fire exits, and first aid kits free from obstructions and readily available for use? (GMs S1.4.1, S1.4.2)

  • Is it obvious which items have been "red tagged" as unnecessary? (GM S1.2.1)

  • Are solid wastes segregated as to biodegradable, non-biodegradable, and recyclables? (GM S1.2.2)

  • Is lighting adequate that the area is well lighted / no bulb is missing? (GM S1.3.1, S1.4.3)

  • Is ventilation adequate for the work? (GM S1.3.1, S1.4.3)

Set in Order

  • Are the walkways and the general office areas in good condition? (GM S2.1.4)

  • Are wires and cables secured or tie wrapped? (GM S2.1.2)

  • Are shelves and other storage areas marked with location indicators and addresses? (GM S2.3)

  • Are filing cabinets and its contents organized and properly labeled? (GMs S2.2, S2.3.2)

  • Are the maximum and minimum allowable quantities indicated? (GM S2.3.4)

  • Are fire extinguishers, fire exits, and first aid kits easily identifiable and easily located? (GM S2.3.5)

  • Are all postings current, neat & orderly in appearance? (GM S2.4.1)

  • Is there a smooth flow of information and process through the work area? (GM S2.1)

  • Are there files on top of working table that need archiving ? (GM S2.1.3)

  • Are binders arranged in a manner of the same height that no undersized or oversized items stored in the shelves?<br>(GM S2.2.3)

Shine

  • Are floors, walls, blinds, ceiling kept "shiny" clean? (GM S3.1.1)

  • Are equipment or work areas kept clean? (GM S3.1: Cleaning)

  • Are all fire extinguishers, fire exits, and first aid kits readily available for use and free from dust and clutter? (GMs S3.1.2, S3.1.4)

  • Do employees ensure that floors are kept clean as well as office equipment? (GM S3.1.7)

  • Is there a regular fumigation, animal and pest control? (GM S3.2.2)

Standardize

  • Are 5S related information properly cascaded to each employee? (GM S4.1.1)

  • Are improvement ideas being acted on? (GM S4.1.3)

  • Are the standards being considered with a clear improvement plan for the area? (GM S4.1.3)

  • Are the first 3 Ss (sort, set in order, and shine) being maintained? (GM S4.1.4)

  • Are standard procedures clear, documented and actively used? (GM S4.2.1)

Sustain

  • Is everyone, even newly hired employees, aware of the 5S methodology and company standard procedures? (GM S5.1.3)

  • Are the floors, work areas and equipment kept clean without being told? (GM S5.1 Sustained 5S habits and procedures)

  • Are procedures up-to-date and regularly reviewed? (GM S5.2 Progress and feedback)

  • Are activity boards up-to-date and regularly reviewed? (GM S5.3.3)

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.