Title Page

  • Department

  • Conducted on (Date and Time)

  • Inspected by

  • Location

SORT

  • Only the required report is present in the area. Outdated or unnecessary memos, instructions, reports, posters, etc. are removed from the area.

  • Only the required equipment is present in the area. All obsolete, broken or unnecessary equipment not required for current projects are removed from the area or red tagged for removal.

  • All tripping hazards such as electrical wires and equipment cables are removed from all working, standing, and walking areas.

SET IN ORDER

  • Equipment/machinery is clearly identified (numbered, named, color-coded, etc.) and placed in a properly identified location. Critical maintenance points are clearly marked.

  • Tools have a designated storage area that is within reach of the user/operator. The location is properly labeled and a system is in place to identify tools that are absent (shadow board, etc.).

  • When applicable, furniture is clearly identified (numbered, named, color-coded, etc.) and placed in a properly identified location.

  • Locations for containers (boxes, bins, etc.) are clearly defined via signs, marked or taped lines, and properly labeled.

  • Paperwork is properly labeled and has a clearly identified location that is away from work surfaces.

  • Work areas requiring Personal Protective Equipment (PPE) are clearly marked (floor tape, safety signs/labels, etc.)

  • Fire hoses, fire extinguishers, and other emergency equipment are prominently displayed and are unblocked.

  • Floors/aisles are clearly marked; forklift lanes, exits, dangerous areas, paths of egress, walkways, aisles, etc. are all marked with visible lines (floor tape/floor paint).

  • Working conditions are ergonomically friendly. Tools and other items needed for daily work are stored at appropriate heights, anti-fatigue mats are in place where applicable, related safety signage is displayed clearly, etc.

  • The workplace layout has a clear exit in case of emergency.

STANDARDIZE

  • Tools, equipment, paperwork, furniture, etc. is stored neatly in designated areas and are returned to their proper homes immediately after use.

  • Equipment maintenance records are visible and clearly state on labels when maintenance last occurred.

  • Product waste (shavings, containers, liquids, wrappers, etc.) is consistently and regularly cleaned up and removed from the workplace.

  • The work environment is friendly and suitable for people. (Lighting brightness and color, temperature, air flow, and quality, etc.).

  • The results of the previous audit are posted and everyone can look at.

  • Areas for improvement from the previous audit have been addressed and completed.

SUSTAIN

  • Everyone has time and equipment support to do 5S activities (e.g. designated daily/weekly clean-up time, 5S Team Leader).

  • All operators, team leaders, supervisors, etc. do the 5S activities at least once a week.

  • The team improved the workplace by themselves, regardless of the previous audit result.

COMPLETION

  • Recommendations

  • Full Name and Signature of the Inspector

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.