Title Page

  • Nama Cabang

  • Dilaksanakan Pada (Tanggal & Waktu)

  • Nama Auditor

  • Jabatan


  • Nature of work

  • Take a photo of the workspace.

  • 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


  • Is the floor area free of unwanted items?

  • REFERENCE: The floor area is free from unwanted items.
    [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  • 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.


  • 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 colour 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.


  • Are cleaning schedules available and displayed?

  • 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?


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

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

  • Are labels, notices etc. standardized?

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

  • Are pipes, cables etc. color coded?


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

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

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

  • Do employees show positive interest in 5S activities?

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

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


  • Recommendation

  • Overall Rating

  • Full Name and Signature of the Inspector

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.