6S- Standardize Phase -Audit Checklist

• Conducted on (DD/MM/YYYY):

  Date

• By:

• Location:
  Address

• The shelves are free from damage, garbage, etc...?

  Pass

  Fail

  N/A

• Mask holder and soap dispenser are stocked with mask/soap and functioning properly.

  Pass

  Fail

  N/A

• All necessary signs/guidelines are clear and easy to follow.

  Pass

  Fail

  N/A

• Floor is free from garbage/debris. No un-used/unexplained objects.

  Pass

  Fail

  N/A

• Walls and ceiling are in good conditions.

  Pass

  Fail

  N/A

• Chairs and tables are in good conditions with protecting shield. Tables have no garbage/ leftover food.

  Pass

  Fail

  N/A

• Appliances (microwave, coffee machine) is working properly and clean. No idling/not-functional appliances in the room.

  Pass

  Fail

  N/A

• Utensils are stored properly in designated area. No un-used utensils around the room.

  Yes

  No

  N/A

• Sink is clean. Soap and paper are available.

  Yes

  No

  N/A

• The shelves are free from damage, garbage, etc...?

  Yes

  No

  N/A

• Mask holder and soap dispenser are stocked with mask/soap and functioning properly.

  Yes

  No

  N/A

• All necessary signs/guidelines are clear and easy to follow.

  Yes

  No

  N/A

• Floor is free from garbage/debris. No un-used/unexplained objects.

  Yes

  No

  N/A

• Walls and ceiling are in good conditions.

  Yes

  No

  N/A

• Appliances (microwave, coffee machine) is working properly. No idling/not functional appliances in the room.

  Yes

  No

  N/A

• Chairs and tables are in good conditions with protecting shield. Tables have no garbage/ leftover food.

  Yes

  No

  N/A

• Utensils are stored properly in designated area. No un-used utensils around the room.

  Yes

  No

  N/A

• Fridge is clean. Food containers are closed properly.

  Yes

  No

  N/A

FSQA Offices

• Carts are empty and moved into office/the hall. Supplies are well organized

  Yes

  No

  N/A

• Tables are free from garbage if not being used by team members.

  Yes

  No

  N/A

• Floor is free from garbage. Bins are not full or overloaded.

  Yes

  No

  N/A

• Chargers/Laptops are stored properly.

  Yes

  No

  N/A

• Lab coats are stored in designated area. Other jacket/clothes are hung properly.

  Yes

  No

  N/A

• No unused objects in the office.

  Yes

  No

  N/A

First Aid Room

• Items are in stock and stored in designated area.

  Yes

  No

  N/A

• No unused items on chair/bed. Floor is free from garbage/debris.

  Yes

  No

  N/A

Washrooms

• The floor/mirror/hand knob are clean. No bad smell or dirty spot/area.

  Yes

  No

  N/A

• Paper dispenser/Soap Dispenser/ Air dryer are working properly. Dispensers are stocked.

  Yes

  No

  N/A

• Hand sink is functioning properly

  Yes

  No

  N/A

• Garbage bin is not full/overloaded.

  Yes

  No

  N/A

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• Lab coats are hung in designated area.

  Yes

  No

  N/A

• Floor is free from garbage/debris

  Yes

  No

  N/A

• Hairnet/Bearnet/Other supplier are in stock.

  Yes

  No

  N/A

• Changing room is clean: the floor/locker/walls/ceiling.

  Yes

  No

  N/A

Janitor Room

• Chemical bottles are empty and stored in designated area at the end of the shift.

  Yes

  No

  N/A

• Equipment is in good condition. No unused/damaged equipment in the room.

  Yes

  No

  N/A

• No personal belongings, Lab Coat, irrelevant items in the room.

  Yes

  No

  N/A

• Mopping buckets are empty after use.

  Yes

  No

  N/A

5485

• Washing stations are working properly. The water pressure is high enough for washing hands.

  Yes

  No

  N/A

• Soap dispensers are stocked. Hand dryers are working.

  Yes

  No

  N/A

• Lab coats ( in-use, used , new) are stored in designated area.

  Yes

  No

  N/A

• Hairnets, beard nets are stocked.

  Yes

  No

  N/A

• Boot cleaning station are working ( if applicable).

  Yes

  No

  N/A