• Area Number

  • Conducted on

  • Prepared by


  • Furniture (bench/table/desk/chairs/cabinets, etc): Required to perform work/Uncluttered with no unnecessary items

  • Machinery/Equipment/Tools/Storage Areas: Required to perform work

  • Supplies/Safety Devices/Containers (trash/recycle): Required to perform work

  • Documents/Boards: Up to date and required to perform work

  • Work In Process: Appropriate and timely storage

  • Photos:

  • Opportunities for improvement:


  • Furniture (bench/table/desk/chairs/cabinets, etc): Labeled and in place

  • Machinery/Equipment/Tools/Storage Areas: Labeled/in place/operable

  • Supplies/Safety Devices/Containers (trash/recycle): All required devices are in place/labeled/operable

  • Documents/Boards: Organized/Up to date/labeled/available

  • Floors/Aisles: Clearly designated and free of obstructions

  • Photos:

  • Opportunities for improvement:


  • Furniture (bench/table/desk/chairs/cabinets, etc): Cleaned/painted (if needed)/free of clutter

  • Machinery/Equipment/Tools/Storage Areas: Cleaned/painted (if needed)/free of debris

  • Containers (trash/recycle): Cleaned/free of debris, right waste/right container

  • Cleaning Equipment: Cleaned/free of debris

  • Floors/Aisles/Boards/Walls: Cleaned/free of debris, spills, piles, painted

  • Photos:

  • Opportunities for improvement:


  • Frequency of Sort: Area re-sorting (unnecessary items not in area)

  • Frequency of Straighten: Area re-straighen (nothing is out of place)

  • Frequency of Shine: Area cleaning (active housekeeping)

  • 6S Program, Documents, Boards: 6S Program exists, posted, updated

  • Equipment and Processes: Equipment/process information is current, visible, and checklists are used

  • Photos:

  • Opportunities for improvement:


  • Commitment: Everyone is committed to 6S and practices 6S daily

  • Management: Is proactive in supporting 6S

  • Integration: 6S is part of the work itself (as it happens)

  • Forward Momentum: Prior Audit Action Items are completed

  • Photos:

  • Opportunities for improvement:


  • PPE properly stored and accessible. ALL employees wearing required PPE

  • Fire hoses, fire extinguishers and other emergency equipment are prominently displayed and are unobstructed.

  • Machine guarding and guard rails are painted and in good condition. Provide adequate protection

  • E Stop switches and breakers are highly visible and located for easy access in case of emergency.

  • Tripping dangers are removed from standing/walking areas.

  • Working conditions and tasks are ergonomically friendly.

  • Photos:

  • Opportunities for improvement:

Top 3 Opportunities for improvement

  • 1:

  • 2:

  • 3:

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.