General 5S Housekeeping Checklist

• Client / Site

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

GENERAL INFORMATION

• Nature of work

• Take a photo of the workspace.

  Media

• HOW TO SCORE YOUR AUDIT:
  Determine individual scores using the scale below. At the end of each section, add the total points to give you a SECTION TOTAL score. Follow the instructions at the end of the audit to calculate your OVERALL SCORE.

• 

SORT OUT - SEIRI

• Is the floor area free of unwanted items?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are items stored according to frequency of use?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are walls free of old posters, calendars, pictures , notices etc.?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is there a general clutter free appearance?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Capture photo(s) of red tagged items.

  Media

SET IN ORDER - SEITON

• Are direction indications available to all facilities from the entrance onwards?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Do all items of equipment have identification labels?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are specific areas demarcated for garbage/rejects/waste, etc.?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are switches, fan regulators, controls, etc. labeled?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is colour coding used effectively for easy identification?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is there a general appearance of orderliness?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is it easy to find any item/document without delay?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Identify and allocate a place for all the materials needed for your work.

SHINE - SEISO

• Are cleaning schedules available and displayed?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are floors, walls, windows doors etc. maintained at a high level of cleanliness?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is use of adequate cleaning tools evident?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are machines, equipment, tools, furniture maintained at a high level of cleanliness and their maintenance schedules displayed?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Is there a general appearance of cleanliness all round?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

STANDARDIZE - SEIKETSU

• Is a daily checklist used to standardize 5s procedures?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are standard check lists used to regularly inspect 5S?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are labels, notices etc. standardized?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Do isles/pathways have a standard size and colour?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Are pipes, cables etc. color coded?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

SUSTAIN - SHITSUKE

• Is there a system for how and when the 5S activities will be implemented?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Does management provide support to 5S programme by recognition, resources and leadership?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

• Do employees show positive interest in 5S activities?

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

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

  Select 5 4 3 2 1 0

  • 5
  • 4
  • 3
  • 2
  • 1
  • 0

COMPLETION

• Recommendation

• Overall Rating

  Passed

  Failed

• Full Name and Signature of the Inspector

  Sign