Title Page
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Area Inspected
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Conducted on (Date and Time)
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Inspected by
CAPTURE CURRENT STATE
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Take a photo, or photos, of the workspace, in current state, at the start of the audit.
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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
SORT OUT - "IF YOU DONT NEED IT, GET RID OF IT!"
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Are the aisleways, walkways, and floor space free of unwanted items?
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Are surfaces, shelves, tables, etc. free of unwanted items?
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Are items stored according to frequency of use?
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Is there a general clutter free appearance?
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Capture photo(s) of any red tagged items resulting from this sort, if applicable.
SET IN ORDER - "A PLACE FOR EVERYTHING, AND EVERYTHING IN IT'S PLACE!"
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Do all items and equipment have identification labels?
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Are specific areas demarcated for garbage/rejects/waste, etc.?
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Are controls (light switches, equipment controls, etc...) labeled?
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Are all cables, wires, pipes, etc. labeled, organized, neat and straight?
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Is color coding and/or signage used effectively for easy identification?
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Is there a general appearance of orderliness?
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Is it easy to find any items or documents without delay?
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Identify and allocate a place for all the materials needed for your work.
SHINE - "A CLEAN WORKPLACE IS A SAFE WORKPLACE!"
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Are personal belongings stored in a non-disruptive manner?
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Are floors, walls, surfaces, etc. free of trash, debris, dust, and dirt?
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Are machines, equipment, tools, furniture maintained at a high level of cleanliness and their maintenance schedules displayed?
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Is use of adequate cleaning tools evident?
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Is there a general appearance of cleanliness all round?
STANDARDIZE - "CLEAR EXPECTATIONS THAT EVERYONE CAN HELP MEET IT!"
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Are "expectation images" posted, visible, accessible, and clear?
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Are labels, notices, and other signage standardized and adequate?
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Do isles/pathways meet required standards for size, color, etc.?
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Are pipe markings, cable markings, floor markings, etc. standardized and adequate?
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Are 5S general information posters visible and accessible in the area?
SUSTAIN - "A SYSTEM THAT WORKS BOTH TODAY AND TOMORROW!"
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Is the area's 5S owner visibly identified and up to date?
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Are area 5S scores posted and up to date?
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Are 5S scores reported and up to date on Performance Management board?
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Have first 3S become a part of the daily work?
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Do employees show positive interest in 5S activities?
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Are trainings and other programs implemented to sustain workplace organization?
COMPLETION
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Observations & Recommendations
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Overall Rating
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Full Name and Signature of the Inspector