Title Page

  • Audit #

  • Date

  • Area

  • Audit by

  • Directions

    1. For each statement, choose the appropriate score. [Use image below as reference]
    2. Tap on 'Note' or 'Image' under each question to add a comment or evidence. Add images to create a history of consistent performance.
    4. For identified failed items, assign a corrective action by tapping on 'Action', provide a description, assign to a member, set priority and due date.
    5. Complete all items in the checklist & review score per section to identify the overall rate score.

    5s scoring referrence.PNG
  • Take or attach a photo of workspace


  • Only the required ITEMS are present in the area. All obsolete, broken or unnecessary equipment not required for current work are removed from the area or red tagged for removal

  • Only the required TOOLS are present in the area. Tools not required for current projects are removed from the area or red tagged for removal.

  • Only the required FURNITURE is present in the area. All obsolete, broken or unnecessary work-benches, shelves, chairs, lockers, etc. not required for current activity are removed from the area or red tagged for removal.

  • Only the required SPARE PARTS and MATERIALS are present in the area. Items not required for current projects are removed from the area or red tagged for removal.

  • All TRIP HAZARDS such as electrical wires and equipment cables are removed from all working, standing, and walking areas.


  • EQUIPMENT/MACHINERY is clearly identified (numbered, named, color-coded, etc) and placed in a properly identified location. Critical maintenance points are clearly marked

  • TOOLS have a designated storage area that is within reach of the user/operator. The location is properly labeled and a system is in place to identify tools that are absent (shadowboard, etc.)

  • PIPEWORK is clearly marked (numbered, named, color-coded, etc.) and flow directions properly identified.

  • Locations for CONTAINERS, WIP MATERIAL, BOXES, BINS, etc. are clearly defined via signs or marked/taped lines and properly labelled.

  • PAPERWORK is properly labelled and has a clearly identified location that is away from work surfaces

  • Work areas requiring PERSONAL PROTECTIVE EQUIPMENT (PPE) are clearly marked (floor tape, safety signs/labels, etc.)

  • STOP SWITCHES AND BREAKERS are highly visible and located for easy access in case of emergency

  • FIRE HOSES, FIRE EXTINGUISHERS, and other emergency equipment are prominently displayed and are unobstructed.

  • FLOOR/AISLES are clearly marked; forklift lanes, exits, dangerous areas, paths of egress, walkways, aisles, etc. are all marked with visible lines (floor tape/floor paint).

  • Working conditions are ERGONOMICALLY FRIENDLY - Tools and other items needed for daily work are stored at appropriate heights, and where applicable, related safety signage is displayed clearly, etc.

  • The workspace layout accommodates EASY UNOBSTRUCTED EXIT in case of emergency. The emergency exit route is posted in conspicious location for all to see


  • PAPERWORK is properly labelled and has a clearly identified locations is away from work surfaces

  • WORK AREAS (Machines, workbenches, work stations, and other equipment including electrical boxes) are kept clean and painted.

  • WALLS, PARTITIONS, RAILS, ETC. are kept clean and painted.

  • FLOORS are free from dirt, debris, oil, parts, hardware, empty boxes, etc. and all drains (if applicable) are clear of debris and clogs

  • PAPERWORK is not torn and is kept clean and protected from dirt and other contaminants

  • CONTAINERS, BOXES, BINS etc. are clean and not cracked, torn, or otherwise damaged. When stored, they are neatly stacked in their correct location.

  • All PERSONAL PROTECTIVE EQUIPMENT (PPE) is maintained in sanitary and reliable condition and is properly stored in an easily accessible and labeled location when not in use.

  • All CLEANING EQUIPMENT is neatly stored and is readily available when needed.

  • All EQUIPMENT SAFETY - related warnings, signs, labels, floor lines, etc. are all clean, easy to read, not torn or damaged, and provide adequate protection

  • There is a posted SCHEDULE showing times, frequency, and responsibilities to clean areas of the workplace such as windows, corners, walls, doors, tops of cabinets, etc.


  • TOOLS, EQUIPMENT, PAPERWORK, FURNITURE, ETC are stored neatly in designated areas and are returned to their proper homes immediately after use.

  • Equipment MAINTENANCE RECORDS are visible and clearly state when maintenance last occured.

  • PRODUCT WASTE (containers, liquids, Cardboard, etc.) is consistently and regularly cleaned up and removed from workspace.

  • PREVENTATIVE MEASURES have been implemented to ensure the workplace meets 5S guidelines (e.g., systems that do not allow waste to accumulate such as containers to collect product debris from machines)

  • The WORK ENVIRONMENT satisfies the requirements of the work being performed- Lighting brightness and color, temperature, air flow and quality etc.

  • The RESULTS OF THE PREVIOUS AUDIT are posted on Team Board and clearly visible for the entire team

  • AREAS FOR IMPROVEMENT identified during the previous audit have been addressed and completed.


  • A member of MANAGEMENT has participated in a 5S activity such as an audit or other activity within the past 3 audit periods

  • RECOGNITION is given to teams who get involved in 5S activities.

  • TIME AND RESOURCES are allocated to 5S activities (e.g., designated daily/weekly clean-up time, 5S Team Leader).

  • All operators, team leaders, supervisors, etc. are assigned 5S ACTIVITIES to be completed at least once a week.

  • The team took the INITIATIVE to make improvements to the workplace that were NOT identified during the last audit.


  • Overall observation & recommendations

  • Name & Signature of Area Supervisor/ or any Assigned Employee

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.