Title Page

  • Site conducted

  • Area Audited

  • Conducted on

  • Completed by


SORT - Distinguish between what is needed and not needed

  • Unneeded equipment, machines, tools, tables, chair, cabinets, etc are present within the department being audited.

  • Unneeded items are on walls, machine panels, bulletin boards, etc Look for calendars, posters, out of date instructions, Notices

  • Items are present in aisleways, stairways, corners, etc All areas should be clear and not obstructed

  • Unneeded inventory, supplies, parts, or materials are present in the department

  • Safety hazards (water, oil, chemical, machine guards, cables) exist

SET IN ORDER - A place for everything and everything in its place

  • Correct places for items are not obvious All items that you use should have a place with a location

  • Items are not stored in their correct places An item may have a location but it has been left somewhere else

  • Aisleways, workstations, equipment locations are not indicated Everyone should be able to see the location / layout of something

  • Items are not put away immediately after use Items have been used for production but left on the floor, table top, or machine surface

  • Height and quantity limits are not obvious or adhered to Look for items that are store unsafely or in too bigger quantity

SHINE - Cleaning, and looking for ways to keep it clean and organised

  • Floors, walls, stairs, and surfaces are not free of dirt, oil, and grease Consider the working environment

  • Equipment is not kept clean and free of dirt, oil, and grease Equipment should be wiped / cleaned on a regular basis

  • Cleaning materials are not easily accessible Brush, shovel, and cleaning materials should be on a board or cabinet close to process

  • Lines, labels, signs, etc. are not clean and unbroken They should be in a good condition and visible

  • Other cleaning problems (of any kind) are present Is anything creating cleaning problems

STANDARISE - Maintain and monitor the first three categories

  • Necessary information is not visible / eg procedures, manuals etc Documents that you need to allow you to do your job

  • All standards are not known and visible There should be standards for the cleanliness of the department and the first 3's above

  • Checklists don’t exist for all cleaning and maintenance jobs Regular cleaning and machine maintenance plans should exist

  • All paperwork standards are checked signed, filed, archived Job sheets, quality check sheets, audits, and other documents used

  • How many items can’t be located in 30 seconds Go look for a tool or product and see if you can find it, repeat 5 times

  • All materials are under control and stored correctly Materials should have traceability and items in quarantine under control with label

SUSTAIN - Stick to the rules

  • How many times has training plan not been carried out to plan Has everybody been trained on 5S and job related tasks. Look for training file

  • How many times, last week, was daily 5S duties not performed Is there a list of 5S duties and have they been done

  • Number of times that personal belongings are not neatly stored Look for personnel belongings in department work area

  • Number of times job aids are not available or up to date Do you have to wait or go get Job cards, drawings, or other information to do your job

  • Number of times, last monthly/yearly, daily 5S inspections were not performed Are audits and 5S duty inspections being carried out

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.