Information

📝EVALUATION GUIDELINES: Please use these score criteria for consistent and accurate assessment, based on specific observations and evidence. 🥇 PERFECT: Consistently meets or exceeds standards with excellent organization; No improvements needed. 🥈 VERY GOOD: Systematic and consistent adherence with minor room for improvement. 🥉 GOOD: Generally meets standards but lacks consistency or systematic approach. Improvements are necessary. ⌛ FAIR: Inconsistent meeting of standards; needs significant improvement. 👎 POOR: Fails to meet standards; requires immediate and substantial improvement.

📅 Month, Week & Date :

  • Month :

  • Week Number:

  • Conducted Date

SELECT YOUR EVALUVATION & 5S TEAM

  • Select Evaluation & 5S Team:

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of Replacement

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of Replacement

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of the Replacement.

  • Select Team Members:

  • Select Absentee Name (if Evaluator is not present or required replacement)

  • Add Name of Replacement

Select Your 5S Team Captains:

  • Select your 5S Team / Area to add the Captain's details:

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

  • Select Captains Details.

  • Please add the new Captain's details.

questions

Select your 5S Inspection Area/Team:

  • 5S Team No / Name / Area.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣ Are tools, equipment, and materials organized and stored safely in designated areas with proper labelling or shadow boards for easy access?

  • 6️⃣ Are cables managed properly to avoid obstructing workflow?

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Are signboards and Color codes used correctly to identify materials, including project and batch numbers?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Is ergonomic work posture maintained with proper placement of tools and equipment to minimize unnecessary movement?

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by Evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣ Are tools, equipment, and materials organized and stored safely in designated areas with proper labelling or shadow boards for easy access?

  • 6️⃣ Are cables managed properly to avoid obstructing workflow?

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Are signboards and Color codes used correctly to identify materials, including project and batch numbers?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Is ergonomic work posture maintained with proper placement of tools and equipment to minimize unnecessary movement?

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣ Are unused Lifting tools and Lashing equipment on the Tools Station?

  • 6️⃣ Proper wood stacking, Crane Belts in place?

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Are signboards and Color codes used correctly to identify materials, including project and batch numbers?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Is ergonomic work posture maintained with proper placement of tools and equipment to minimize unnecessary movement?

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣ Are all unnecessary items and clutter removed from the working areas, including tables, shelves, and cabinets?

  • 6️⃣ Proper wood stacking, Crane Belts in place?

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Is there a system in place for scheduling and prioritizing maintenance tasks to minimize downtime and disruptions?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Are emergency exits, fire extinguishers, and other safety equipment regularly inspected and maintained for readiness?

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣ Is (Mixing Chamber, Chargehand Desk, Waste Collecting Area, Cleaning Station) separated in different Locations?

  • 6️⃣ Proper Stands for Painting the Handrails, plates and Fixtures for Painting.

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Are the emergency eye wash stations fully functional, filled with water, easily accessible, and is personnel trained in their proper use?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Proper Work Posture/Ergonomic positions to minimize unnecessary movements like walking, bending, or reaching. (Proper placement of worktable, tools, and equipment)

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

SORT, SET IN ORDER, SHINE, STANDARDIZE, SUSTAIN

  • 1️⃣ Is there a responsible person assigned for cleaning duties and organizing materials?

  • Add Name of the Assigned Person:

  • Ask Captain to assign a Person & add details of Assigned Person(s):

  • During Evaluation: The assigned person must be present alongside the captain to address instant rectifications and provide task briefings as necessary.

  • 2️⃣ Are daily housekeeping tasks performed consistently, keeping the workspace clean and tidy?

  • 3️⃣ Are unnecessary items cleared, and are tools and materials returned to their proper places?

  • 4️⃣ Are waste bins used correctly and emptied regularly to prevent overflow?

  • 5️⃣Are safety protocols, including personal protective equipment (PPE) requirements, consistently followed by all personnel?

  • 6️⃣ Are warning signs and labels used effectively to communicate potential hazards and safety precautions?

  • 7️⃣ Are fire extinguishers accessible, clean, and properly maintained?

  • 8️⃣ Are signboards and Color codes used correctly to identify materials, including project and batch numbers?

  • 9️⃣ Are cleaning tools easily accessible, organized, and returned to their stations after use?

  • 🔟 Proper Work Posture/Ergonomic positions to minimize unnecessary movements like walking, bending, or reaching. (Proper placement of worktable, tools, and equipment)

  • 1️⃣1️⃣ Are storage areas (shelves, racks) used properly, with items safely stacked and clearly labelled?

  • 1️⃣2️⃣ Are all materials, finished and raw, clearly labelled with project and batch numbers, and stored in designated locations for easy retrieval?

  • 1️⃣3️⃣ Are whiteboards updated daily with KPIs, productivity status, achievements, issues, and inventory details?

  • 1️⃣4️⃣ Are checklists for housekeeping, waste segregation, and tool inventory up to date and displayed clearly?

📝 General Notes/Observations

  • 🎯Are there any obstacles/challenges that prevent effective implementation of 5S. (Team Captain responses)

  • 🪄Important Area of Improvements and Suggestions.

📲 INNOVA SAFE APP - HSE ENGAGEMENTS REPORT FOR BONUS POINTS

  • Enter the number of HSE engagement reports submitted by Evaluators.

  • Enter the number of HSE engagement reports submitted by 5S Captains / Team.

EVALALUVATER SIGNATURE : [Select Evaluation Team No]

  • Select Evaluation Team No. to add the Evaluators Signature:

  • Add Name and Signature of Evaluators
  • Select your Name:

  • Add Signature.

  • Add Name and Signature of Evaluators
  • Select your Name:

  • Add Signature

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CAPTAINS SIGNATURE : [Select Team Name]

  • Select 5S Team / Area to add the Captain's Signature:

  • Add Name and Signature of Team Captain
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