5s + Safety Audit (VA)

• Conducted on

  Date

• Conducted by

• Plant

  Select

• Building

  Select

• Department

  Select

SORT - Only work essentials are in the area to complete the job

• Are there excess supplies and equipment present?

  Select

• Specify work station(s)

  Select

• Are work areas cluttered ( this includes carts, tables and scrap bins in work areas )?

  *YES

  No

  n/a

• Specify work station(s)

  Select

• Is product in correct locations (part on correct shelf, product has correct label)?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Trash present in work area?

  *YES

  No

  n/a

• Specify work station(s)

  Select

STRAIGHTEN - Everything has a place and everything in its place. Clearly labeled or shadowed.

• Are items placed in marked locations? (i.e. supplies, garbage cans, etc?)

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are inventory bins and carts within posted min/max requirements?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are shelves organized (boxes closed, one box open at a time, no trash present)?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Visual controls are in place and easy to understand?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are employees following Standard Work?

  Yes

  No

  N/A

• Specify work station(s)

  Select

SHINE - Clean and like new. Inspect through cleaning (no leaks)

• Are floors clear of dirt and debris?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Is equipment clean and organized?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are cleaning supplies accessible?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Is signage in good condition?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are employees addressing cleanliness issues as they see them?

  Yes

  No

  N/A

• Specify work station(s)

  Select

STANDARDIZE - Everyone does it per Standard Work every time

• Are supplies readily accessible?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are quantities and limits visible?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Is work left incomplete (previous day or shift product left out, etc)?

  *YES

  No

  n/a

• Specify work station(s)

  Select

• Do employees know ISO, IATF and 6S practices?

  Yes

  No

  N/A

• Specify work station(s)

  Select

SUSTAIN

• 6S Audits performed weekly and results posted?

  Select

• Specify work station(s)

  Select

BEHAVIOR BASED SAFETY

• Are employees wearing appropriate PPE?

  Yes

  No

• Specify lack of or inappropriate PPE

  Select Safety Glasses/Goggles Rx Safety Glasses/Over the Glasses Safety Glasses Face Shields Steel Toes Gloves Respiratory Protection

  • Safety Glasses/Goggles
  • Rx Safety Glasses/Over the Glasses Safety Glasses
  • Face Shields
  • Steel Toes
  • Gloves
  • Respiratory Protection

• Specify work station(s)

  Select

• Is PPE being worn correctly?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Is PPE maintained in a sanitary condition and ready for use?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are aisles, exits and fire extinguishers easily accessible and free of obstructions?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Is department free of trip hazards?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are employees adhering to cell phone and earbud policy?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are proper lifting procedures being followed?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are safety guards in use (light curtains, cage doors, mezzanine gates, machine guards, dock chains, LOTO if applicable etc.)?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are employees using caution around machines?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are pallets and materials laying flat and stacked securely and neatly?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are pallets that are in use in good condition?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are flexible cords and cables free of exposed wiring, frayed/deteriorated insulation, splices or taps?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Any air leaks around production equipment?

  *YES

  No

  n/a

• Specify work station(s)

  Select

• Any air leaks around hand tooling?

  *YES

  No

  n/a

• Specify work station(s)

  Select

• Do all extension cords have a grounding conductor?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are extension cords being used as permanent powers sources?

  *YES

  No

  n/a

• Specify work station(s)

  Select

HAZARD COMMUNICATION

• Are all containers such as spray bottles, pails, vats, storage tanks, etc., identified with a GHS Compliant Label?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are safety cans used for dispensing flammable or combustible liquids at the point of use?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans, etc.)?

  Yes

  No

  N/A

• Specify work station(s)

  Select

• Are employees adhering to General Safety Rules when using and storing hazardous materials?

  Yes

  No

  N/A

• Specify work station(s)

  Select

Sign-off

• Auditor

  Sign

• Plant Manager

  Sign

• Plant EHS

  Sign

• Additional Personnel

  Sign

• Additional Personnel

  Sign