Aker Solutions

• Audit Title

• Conducted on

  Date

• Prepared by

SORT

• 5 or more problems = 0
  3 or 4 problems = 1
  2 problems = 2
  1 problem = 3
  No problems = 4

• 1) Unneeded equipment, tools, etc. are present? I

  0

  1

  2

  3

  4

• 2) Unneeded Items are on walls, shelves, bulletin boards, etc.

  0

  1

  2

  3

  4

• 3) Items are present in aisle ways,corners etc. ?

  0

  1

  2

  3

  4

• 4) Unneeded supplies, parts or materials are present?

  0

  1

  2

  3

  4

• 5) Safety hazards exist (water, oil, chemicals, or other safety issue) ?

  0

  1

  2

  3

  4

SET IN ORDER

• 1) Correct places for items are not obvious?

  0

  1

  2

  3

  4

• 2) Are tools identified and on shadow boards?

  0

  1

  2

  3

  4

• 3) Aisle ways, equipment, garbage containers locations are not indicated?

  0

  1

  2

  3

  4

• 4) Items are not in their correct places?

  0

  1

  2

  3

  4

• 5) Height and quantity limits are not obvious?

  0

  1

  2

  3

  4

SHINE

• 1) Floors, walls, and surfaces are free of dirt, oil, and grease?

  0

  1

  2

  3

  4

• 2) Equipment is kept clean of dirt, oil, and grease?

  0

  1

  2

  3

  4

• 3) Cleaning materials are not easily accessible?

  0

  1

  2

  3

  4

• 4) Lines, labels, signs etc. are not clean and are not broken?

  0

  1

  2

  3

  4

• 5) Other cleaning problems of any kind are present?

  0

  1

  2

  3

  4

STANDARDIZE

• 1) Necessary information is not visible?

  0

  1

  2

  3

  4

• 2) All standards are not known and visible?

  0

  1

  2

  3

  4

• 3) Checklists do not exist for all cleaning and maintenance jobs?

  0

  1

  2

  3

  4

• 4) All quantities and limits are not easily recognizable?

  0

  1

  2

  3

  4

• 5) how many items can't be located in 30 seconds?

  0

  1

  2

  3

  4

SUSTAIN

• 1) How many workers have not had any 5S training?

  0

  1

  2

  3

  4

• 2) How many times last week was the daily 5S worksheet not completed?

  0

  1

  2

  3

  4

• 3) How many times are personal belongings not easily stored?

  0

  1

  2

  3

  4

• 4) Are job aids available and up to date?

  0

  1

  2

  3

  4

• 5) How many times last week was the Workplace Scan Checklist not completed?

  0

  1

  2

  3

  4

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