Title Page
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Client / Site
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Conducted on (Date and Time)
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Inspected by
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Location
S1 - Sort - SEIRI
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No unnecessary items are left or stored in the workplace.
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All machines and pieces of equipment are in regular use.
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All tools, fixtures, and fittings are in regular use.
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Storage area is defined to store broken, unusable or occasionally used items.
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Standards for eliminating unnecessary items exist and are being followed.
S2 - Set in order - SEITON
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Locations of tools and equipment are clear and well organized.
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Locations of materials and products are clear and well organized.
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Labels exist to indicate locations, containers, boxes, shelves and stored items.
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Dividing lines are clearly identified and clean as per standard.
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Safety equipment and supplies are clear and in good condition.
S3 - Shining - SEISO
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Floors, walls, ceilings, and pipework are in good condition and free from dirt and dust.
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Racks, cabinets, and shelves are kept clean.
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Machines, equipment, and tools are kept clean.
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Stored items, materials, and products are kept clean.
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Lighting is enough and all lighting is free from dust.
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Good movement of air exists through the room (to limit the spread of viruses).
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Cleaning tools and materials are easily accessible.
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Cleaning assignments are defined and are being followed.
S4 - Standardize - SEIKETSU
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Information displays, signs, color coding and other markings are established.
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Does the organization have a process in place to determine which objects, equipment, furniture and fixtures should be disposed of?.
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5S checklists, schedules, and routines are defined and being used.
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Everyone knows his responsibilities, when and how.
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Regular audits are carried out using checklists and measures.
S5 – Sustain - SHITSUKE
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Do workers leave their organized workplace when they finish their daily activities? This includes documentation, office supplies
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Does the organization have defined the roles and responsibilities of all workers in order and cleanliness procedures? Are these responsibilities integrated into your regular duties
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Success stories are being displayed (i.e. before and after pictures).
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Rewards and recognition is part of the 5S system.
Completion
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Recommendations
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Full Name and Signature of the Inspector