5S Housekeeping Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Floors

• 1. Floors and general area is clear of unwanted objects

  Yes

  No

  N/A

• 2. Floor is not slippery / no damage to floor surface

  Safe

  At Risk

  N/A

• Material behind lines or within designated areas only

  Yes

  No

  N/A

• 4. In general floor is safe and trip or hazard free

  Yes

  No

  N/A

Aisle Ways

• 5. Aisle ways clear of any obstructions

  Yes

  No

  N/A

• 6. Aisle ways are protected / pedestrians only

  Yes

  No

  N/A

• 7. Aisle ways are designated and safe to approach

  Yes

  No

  N/A

Machines and Appliances

• 8. Machine and appliances are well maintained

  Yes

  No

  N/A

• 9. Electrical Test and Tag is current

  Yes

  No

  N/A

• 10. Power outlets are in good condition (includes power boards)

  Yes

  No

  N/A

Storage

• 11. Hand trolleys stored and parked correctly

  Yes

  No

  N/A

• 12. Shelves are neatly stocked

  Yes

  No

  N/A

• 13. Labelled areas have correct stock

  Yes

  No

  N/A

• 14. Red tag area is well maintained. All stock inside red area

  Yes

  No

  N/A

Equipment

• 15. KPI data updated. No missing data. OHS data must be updated daily (incidents)

  Yes

  No

  N/A

• 16. Notice boards presented neatly

  Yes

  No

  N/A

• 17. Desks and equipment neatly presented. No clutter

  Yes

  No

  N/A

Rubbish

• 18. Area free from unwanted objects

  Yes

  No

  N/A

• 19. Recycling bins used. Paper / Compost etc

  Yes

  No

  N/A

• 20. Area free from general rubbish / dirt / dust

  Yes

  No

  N/A

• 21. Housekeeping in area well maintained

  Yes

  No

  N/A

Emergency

• 22. Exit signs visual and operating in the area

  Safe

  At Risk

  N/A

• 23. Access to emergency / fire equipment unobstructed

  Safe

  At Risk

  N/A

• 24. Evacuation plan visible

  Safe

  At Risk

  N/A

Safety

• 25. Safety cross coloured correctly. Updated daily

  Safe

  At Risk

  N/A

• 26. PPE - Hi Vis vests available if necessary

  Safe

  At Risk

  N/A

• 27. Emergency and First Aid members identified

  Safe

  At Risk

  N/A

• 28. First aid cabinets / room accessible to all personnel

  Safe

  At Risk

  N/A