Title Page

  • Conducted on (Date and Time)

  • Inspected by

  • Location

  • Use these score criteria for your inspection:

    3 - There is an ability to maintain it. (Always)
    2 - This is being complied regularly.
    1 - Needs Work
    0 - Not at all.
    N/A - Not Applicable

SORT

  • Is the floor area free of unwanted items?

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

  • Are items stored according to frequency of use?

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

  • Is there a general clutter free appearance?

  • Capture photo\(s) of red tagged items

SET IN ORDER

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

  • Do all items of equipment have identification labels?

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

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

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

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

  • Is color coding used effectively for easy identification?

  • Is there a general appearance of orderliness?

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

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

SHINE

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

  • Is use of adequate cleaning tools evident?

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

  • Is there a general appearance of cleanliness all round?

STANDARDIZE

  • Are standard check lists used to regularly inspect 6S?

  • Are labels, notices etc. standardized?

  • Do isles have a standard size and color?

SUSTAIN

  • Does management provide support to 6S program by recognition, resources and leadership?

  • Do employees show positive interest in 6S activities?

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

SAFETY

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

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

  • Rate risk/ hazard before control measures

  • Take a photo of step/ activity (Optional)

COMPLETION

  • Recommendation

  • Overall Rating

  • Full Name of the Inspector

IMPROVEMENT SUGGESTION

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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.