6S Lean Safety Checklist

• Client / Site

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

• Use these score criteria for your inspection:
  
  3 - There is an ability to maintain it.
  2 - This is being complied with more systematically.
  1 - It is done but not systematically.
  0 - Not at all.
  N/A - Not Applicable

SORT OUT - SEIRI

• Is the floor area free of unwanted items?

  3

  2

  1

  0

  N/A

• Are tops and insides of all cupboards, shelves, tables, etc. free of unwanted items?

  3

  2

  1

  0

  N/A

• Are items stored according to frequency of use?

  3

  2

  1

  0

  N/A

• Are walls free of old posters, calendars, pictures , notices etc.?

  3

  2

  1

  0

  N/A

• Is there a general clutter free appearance?

  3

  2

  1

  0

  N/A

• Capture photo\(s) of red tagged items

  Media

SET IN ORDER -SEITON

• Are direction indications available to all facilities from the entrance onwards?

  3

  2

  1

  0

  N/A

• Do all items of equipment have identification labels?

  3

  2

  1

  0

  N/A

• Are all rooms, cubicles and similar areas clearly numbered or named?

  3

  2

  1

  0

  N/A

• Are specific areas demarcated for garbage/rejects/waste, etc.?

  3

  2

  1

  0

  N/A

• Are switches, fan regulators, controls, etc. labeled?

  3

  2

  1

  0

  N/A

• Are all cables, wires, pipes etc. neat and straight?

  3

  2

  1

  0

  N/A

• Is colour coding used effectively for easy identification?

  3

  2

  1

  0

  N/A

• Is there a general appearance of orderliness?

  3

  2

  1

  0

  N/A

• Is it easy to find any item/document without delay?

  3

  2

  1

  0

  N/A

• Identify and allocate a place for all the materials needed for your work.

SHINE-SEISO

• Are cleaning schedules available and displayed?

  3

  2

  1

  0

  N/A

• Are floors, walls, windows doors etc. maintained at a high level of cleanliness?

  3

  2

  1

  0

  N/A

• Is use of adequate cleaning tools evident?

  3

  2

  1

  0

  N/A

• Are machines, equipment, tools, furniture maintained at a high level of cleanliness and their maintenance schedules displayed?

  3

  2

  1

  0

  N/A

• Is there a general appearance of cleanliness all round?

  3

  2

  1

  0

  N/A

STANDARDIZE - SEIKETSU

• Is a daily checklist used to standardize 5s procedures?

  3

  2

  1

  0

  N/A

• Are standard check lists used to regularly inspect 5S?

  3

  2

  1

  0

  N/A

• Are labels, notices etc. standardized?

  3

  2

  1

  0

  N/A

• Do isles/gangways have a standard size and colour?

  3

  2

  1

  0

  N/A

• Are pipes, cables etc. colour coded?

  3

  2

  1

  0

  N/A

SUSTAIN - SHITSUKE

• Is there a system for how and when the 5S activities will be implemented?

  3

  2

  1

  0

  N/A

• Does management provide support to 5S programme by recognition, resources and leadership?

  3

  2

  1

  0

  N/A

• Have first 3S become a part of the daily work?

  3

  2

  1

  0

  N/A

• Do employees show positive interest in 5S activities?

  3

  2

  1

  0

  N/A

• Are 5S posters and 5S points of work reminders displayed?

  3

  2

  1

  0

  N/A

• Are trainings and other programs implemented to sustain workplace organization?

  3

  2

  1

  0

  N/A

SAFETY

• Click + Add to add a Job Step of the task being assessed

Step

• Enter job step description

• Potential risk or hazard identified while task is being performed (select all that apply)

  Select Chemical (Toxic, Flammable, Corrosive) Explosion (Chemical Reaction, Over Pressurization) Electrical (Shock, Short Circuit, Fire, Static, Loss of Power) Ergonomics (Strain, Sprains, Human Error) Excavation (Collapse) Fall (Slip, Trip) Fire Mechanical (Mechanical Failure, Stuck between objects) Noise Radiation (Alpha, Beta, Gamma, X-rays) Struck by Objects Extreme Temperature Visibility (lack of lighting, Obstructed vision) Weather Other

  • Chemical (Toxic, Flammable, Corrosive)
  • Explosion (Chemical Reaction, Over Pressurization)
  • Electrical (Shock, Short Circuit, Fire, Static, Loss of Power)
  • Ergonomics (Strain, Sprains, Human Error)
  • Excavation (Collapse)
  • Fall (Slip, Trip)
  • Fire
  • Mechanical (Mechanical Failure, Stuck between objects)
  • Noise
  • Radiation (Alpha, Beta, Gamma, X-rays)
  • Struck by Objects
  • Extreme Temperature
  • Visibility (lack of lighting, Obstructed vision)
  • Weather
  • Other

• Enter other potential risk/s identified

• Rate risk/ hazard before control measures

  Extremely High Risk

  High Risk

  Moderate Risk

  Low Risk

• Take a photo of step/ activity (Optional)

  Media

• Hazard Control Measures

  Select Engineering Controls Administrative Controls Personal Protective Equipment Other

  • Engineering Controls
  • Administrative Controls
  • Personal Protective Equipment
  • Other

• Engineering Controls

• Administrative Controls

• Personal Protective Equipment

• Other preventive measures

COMPLETION

• Recommendation

• Overall Rating

  Passed

  Failed

• Full Name and Signature of the Inspector

  Sign