Title Page
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Auditor
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Location
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Room / Area / Floor
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Date
A. Safe and Clean
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Is the floor clean and maintained or is there evidence of spills, rubbish, paper etc
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Is the work area free from excessive clutter, is it confusing to a new person
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Responsibility " Who is responsible for the area"
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Due Date " Date issues are to be rectified by"
B. Sorted and Necessary
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Are there any unnecessary items located within the area
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Is there evidence of a system of organisation (e.g. labelled file folders, labelled file drawers, etc)
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Responsibility " Who is responsible for the area"
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Due Date " Date issues are to be rectified by"
C. Stabilised and in order
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Are all documents in area associated with task, neatly stored, and are revisions current
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Is all documentation appropriately identified in terms of its status (e.g. controlled, to do, file, etc)
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Responsibility
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Due Date
D. Standardised and Obvious
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Is all documentation appropriately identified in terms of its status (e.g. controlled, to do, file, etc)
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Are there suitable markings and labels to identify contents on the floor, shelves, bins, cabinets
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Responsibility
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Due Date
E. Sustained and Working
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Is there evidence of a system to keep the area clean by daily care (e.g. 5S Sustain Board)
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Are all tables, benches and workstations kept in an orderly, clean and tidy condition
- Benchmark
- Succeeding
- Learning
- Below Average
- Poor
- Emergency
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Responsibility
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Due Date
Signature
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