Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

WALKWAYS

  • SORT - Walkways separated from work, stores and access areas?

  • SET - Walkways direct between points to achieve flow?

  • SHINE - Walkways clear of debris?

  • STANDARDISE - Walkways and crossings marked with lanes and safety notices?

WORK AREAS

  • SORT - Unnecessary personal / work items clear from the work area

  • SET - Work area well lit, layed out for easy flow of materials, plant, staff & waste

  • SHINE - Work areas clear of debris?

  • STANDARDISE - Work area marked with access and safety notices?

HAZARDS

  • SORT - Hazards separated with covers & barricades

  • SHINE - clear areas around hazards for visibility?

  • STANDARDISE - Hazards marked with safety notices?

TOOL STORAGE

  • SORT - Sort necessary from not needed tools, sort by type and hi from low use?

  • SET - obvious places for all tools, located for easy access, specialized racks?

  • SHINE - Clear access to tools, free of grease, glue & debris, clean surfaces?

  • STANDARDISE - Standard labels, marked storage, uncerviceable kit labelled?

MATERIALS STORAGE

  • SORT - Separate types of materials from each other and other areas?

  • SET - Layout materials for easy access, on racks or pallets for easy movement, protected from damage?

  • SHINE - Materials areas clear of debris for easy access?

  • STANDARDISE - Work area marked with access and safety notices?

PLANT & MACHINERY

  • SORT - Separate plant from stores, walkways and work areas?

  • SET - Plant & attachments layed out in set areas to enable flow of people and materials?

  • SHINE - Plant serviced, glass clean, free of grease, oil and debris?

  • STANDARDISE - Marked exclusion zones, hazard warnings in place?

WASTE & BINS

  • SORT - Separate waste from work & team areas, separate by type?

  • SET - Waste areas close enough to work areas and access routes. Only correct waste type in bins?

  • SHINE - Clear access around bins for loading and removal?

  • STANDARDISE - Adequate no. of bins for demand, bin labels and instructions?

ROADWAYS

  • SORT - Separate roadways from walkways, stores, staff and work areas?

  • SET - Direct routes between access and delivery/ load points?

  • SHINE - Roads clear of obstructions?

  • STANDARDISE - Road layout simple and standardized?

SIGNS & DOCUMENTS

  • SORT - Displays visible in work & staff areas with current info, only documents needed on the work area?

  • SET - Documents clearly labelled and organised?

  • SHINE - Signs clear of obstructions?

  • STANDARDISE - Standard sign colours & type, visually obvious?

PARKING

  • SORT - Parking is off road and path access, and work areas

  • SET - Parks aligned for ease of use, ie angled or parrallel; and suitable size?

  • SHINE - Parks clear of obstructions?

  • STANDARDISE - Parks clearly labelled, allocated or open and numbered and obvious to drivers?

SUSTAIN

  • SUSTAIN - Leaders allocate time to review scores & support 5S?

  • SHINE - Cleaning schedules displayed, actions completed, cleaning regular and habitual?

  • SUSTAIN - Audits carried out monthly at a minimum? Results shared with team?

  • STANDARDISE - 5S tools are simple, available to teams, eg red tags, audit app, sheets, labels and lane paint and performance boards?

ACTION COMMENTS

  • Suggested actions here:

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.