Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Information

  • Area

  • Zone Leader

  • Add signature

  • Lead Auditor

  • Add signature

  • Co-Auditor

Top management

  • Genba<br><br>1. Evidence of Genba is by way of listing the findings, pictures and preferably with signatures of attendance.<br><br>2. Applicable from 1 April 2014 to audit date

  • Master Schedule 1. Master Schedule is to include main 5S activities such as, but not restricted to, 5S Big Day, Benchmarking visit, 5S campaign, Steering Committee Meetings, Management Genba, 1S through 5S activities, Internal Audit, Reward and External audit 2. It is to be approved by Chairman of 5S Committee. A minimum of one year period schedule is required , preferably including the entire FY2014/15 period

  • Committee Meetings<br><br>1. A 5S Committee Organization Chart reflecting the whole Committee Members is required. It is to be duly approved by the Head of Company

  • Remarks

  • Evidents

5S Knowledge

  • Training attendance

  • Interview 1. At least 4 personnel to be interviewed, if possible.

  • Remarks

  • Evidents

5S display board

  • Number of non-compliances<br><br>1. Compliance herein refers to the following matters: <br> - Inclusion of authorized signatories<br> - Updating of documents<br> - Presence of required documents<br> - 3 records of success story (before/after) are being displayed <br>Note : To include 5S board Person-In-charge

  • Evidents

  • Zone leaders clarification<br><br>1. If 5S zone leader cannot sufficiently clarify 5S board details, the maximum score for this criteria shall be 4 points

  • Remarks

1S (Sort)

  • No of Non Compliances<br><br>- foreign object debris (fod)<br>- identify,segregate and label of scheduled waste or general waste with pic

  • Evidents

  • Red Tag<br><br>1. Options available :<br>-Centralized or multiplered tag by zones.<br>-Red Tag flow chart is to be approved by 5S Chairman

  • Evidents

  • Remarks

2S (Set to order)

  • No of non-compliances 1. Area to be assessed, if applicable: - Label - Footprint - Signage - Tooling Storage - Material Inventory Storage - Filing system - Consumables storage - Stationery storage - Common stationery - Staff movement - Meeting room availability - Personnel stationery - Machines ownership available / PIC. - First-in-First-out implementation - Min-Max implementation Note : To include Person-In-charge for Staff Movement, Common Stationer, filing cabinets

  • Evidents

  • FIFO<br><br>Note: Score is full if FIFO is not applicable

  • Evidents

  • MIN MAX<br><br>Note: Score is full if MIN MAX is not applicable

  • Evidents

  • Remarks

3S (Shine)

  • No of Non-Compliances<br><br>1. Areas to be assessed (non-exhaustive) :<br><br>- Wire and hose dressing.<br>- Presence of dust, dirt, grime, oil and other contaminants.<br>- Restoration of torn and faded labels or any visual <br> materials.<br>- General restoration on equipment or working areas.

  • Evidents

  • Source of Contamination 1. Not applicable for office set-up

  • Evidents

  • Evidents

  • Remarks

4S (Standardize)

  • 5S Document Standard 1. Applicable for all practices pertaining to 1S, 2S and 3S. Refer to "Areas to be assessed" in Criteria No 4,5 and 6 for examples 2. The SOPs for 5S shall include appropriate signatories and revision history

  • Evidents

  • Awareness of Standards<br><br>1. Comprehension of the standards is determined through interview. This is a more detailed understanding on 4S matters if compared with interview conducted for 5S knowledge ie. Criteria No 2

  • Remarks

5S (Sustain)

  • Internal Audit

  • Action Plan

  • Improvement Initiatives<br><br>1. Success story (Before/After)

  • Remarks

  • Evidents

Condition Of Canteen, Toilet and Surau. (If applicable)

  • Not Applicable

  • 1S-Sort Note: No unneeded items (1S)

  • Evidents

  • 2S-Set in Order Note: Set to Order (2S)

  • Evidents

  • 3S-Shine Note: Cleanliness /Facilities restoration/ Odor Management (3S)

  • Evidents

  • Remarks

Condition Of Rest Area, Surrounding Area of work place and Building

  • Not Applicable

  • 1S-Sort Note: No unneeded items (1S)

  • Evidents

  • 2S-Set in Order Note: Set to Order (2S)

  • Evidents

  • 3S-Shine Note: Cleanliness /Facilities restoration/ Odor Management (3S)

  • Evidents

  • Remarks

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.