Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

GENERAL INFORMATION

  • Take a photo of the workspace.

  • Use these score criteria for your inspection:
    4 - Exemplary standards demonstrated
    3 - Expected standards met
    2 - Some signs of 5S in place
    1 - Not to expected standard
    0 - Not at all
    N/A - Not Applicable

SORT OUT - SEIRI

  • Is the floor area free of unwanted items?

  • Comments

  • REFERENCE: The floor area is free from unwanted items.
    [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  • Are tops and insides of all cupboards, shelves, tables, etc. free of unwanted items?

  • Comments

  • Are walls free of old posters, calendars, notices, work instruction document, etc.?

  • Comments

  • Is there a general clutter free appearance?

  • undefined

SET IN ORDER - SEITON

  • Are all storage areas labelled and are labels in good condition?

  • Comments

  • Are all rooms, cubicles and similar areas clearly numbered or named?

  • Comments

  • Are specific areas demarcated for waste, equipment, receptacles, etc.?

  • Comments

  • Do all items of equipment have applicable markings / labels?

  • Comments

  • Are all cables, wires, pipes, etc. neat and straight?

  • Comments

  • Is colour coding used effectively for easy identification?

  • Comments

  • Is everything within its designated location?

  • Comments

  • Is there a general appearance of orderliness?

  • Comments

SHINE - SEISO

  • Are floors, work surfaces, etc. maintained at a high level of cleanliness?

  • Comments

  • Is cleaning equipment available and in designated area?

  • Comments

  • Are machines, equipment, tools maintained at a high level of cleanliness?

  • Comments

  • Is there a general appearance of cleanliness all round?

  • Comments

STANDARDISE - SEIKETSU

  • Is a daily checklist used (to standardise 5S procedures)?

  • Comments

  • Are labels, notices, etc. standardised?

  • Comments

  • Is the storage of all materials ergonomically friendly?

  • Comments

  • Is there a standardised colour coded system?

  • Comments

SUSTAIN - SHITSUKE

  • Have first 3S become a part of the daily work?

  • Comments

  • Do employees show positive interest in 5S activities?

  • Comments

  • Are 5S posters and 5S points of work reminders displayed?

  • Comments

  • Are trainings and other programs implemented to sustain workplace organisation?

  • Comments

  • Have all outstanding actions from previous audit been completed?

COMPLETION

  • Recommendation

  • Overall Rating

  • Full Name and Signature of the Inspector

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.