Dunn Tire Quarterly 5S Walk Scoresheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

SORT:

• Is there a Red Tag Program?

  Poor

  Fair

  Good

• Priority Handling in use?

  Poor

  Fair

  Good

• Material Condition marking in use?

  Poor

  Fair

  Good

• Product Location I.D. used?

  Poor

  Fair

  Good

• Sort Overall Score 1 being Poor 6 being Excellent

Straighten:

• Are items identified and placed in proper location ?

  Poor

  Fair

  Good

• Is there an active labeling program?

  Poor

  Fair

  Good

• Straighten Overall Score 1 being Poor 6 being Excellent

Shine:

• Has a cleaning plan been developed?

  Poor

  Fair

  Good

• Is the program in use?

  Poor

  Fair

  Good

• What is the general cleanliness of location?

  Poor

  Fair

  Good

• Shine Overall Score 1 being Poor 6 being Excellent

Standardize:

• Are the programs in place followed?

  Poor

  Fair

  Good

• Is signage evident?

  Poor

  Fair

  Good

• Product stored correctly?

  Poor

  Fair

  Good

• Is program innovation evident?

  Poor

  Fair

  Good

• Standardize Overall Score 1 being Poor 6 being Excellent

Sustain:

• Are checksheets used?

  Yes

  No

  N/A

• Restrooms Customer Men's?

  Poor

  Fair

  Good

• Restrooms Customer Females?

  Poor

  Fair

  Good

• Restrooms Employees?

  Poor

  Fair

  Good

• Shop?

  Poor

  Fair

  Good

• Storage area?

  Poor

  Fair

  Good

• Employee breakroom?

  Poor

  Fair

  Good

• Signatures up to date?

  Poor

  Fair

  Good

• Does the program show growth and sustainability?

  Poor

  Fair

  Good

• Sustain Overall Score 1 being Poor 6 being Excellent

Overall:

• Is Program acceptance evident?

  Poor

  Fair

  Good

• Is there employee engagement?<br>

  Poor

  Fair

  Good

• Does the program clearly display the teams participation?<br>

  Poor

  Fair

  Good

• Overall Score 1 being Poor 6 being Excellent

• Summary/Action Plan.

• 5S Captain/Manager's Signature

  Sign