Audit Inspection Checklist

• Facility

• Audit Month:

• Conducted on:

  Date

• Auditor:

5S Rating

• Sort Rating(1to5):

• Set in Order(1to5):

• Shine Rating (1to5):

• Standardize Rating (1to5):

• Sustain Rating (1to5):

Photos

• Photo of computer desk

  Media

• Photo of trash

  Media

• Photo of supplies storage

  Media

• Photo of equipment placement

  Media

Observation

• Is the station color coded?

  Yes

  No

  N/A

• Example of color coding

  Media

• Does department meet productivity expectations?

  Yes

  No

  N/A

• Additional comments/observation

Observation

• Add observations/comments here.

• I hereby certify that all information is accurate and that an actual audit was conducted.

• Auditor's Printed Name & Signature

  Sign