Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Zone 1

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • The water baths are free of calcium / salt / hard water build up

Zone 2

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 3

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 4

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 5

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 6

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Locations of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 7

  • Zone 7

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 8

  • Zone 8

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The tops of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 9

  • Zone 9

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The top of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 10

  • Zone 10

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The top of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / hard water build up

Zone 11

  • Zone 11

  • Sort

  • Obsolete / Unused items have been removed

  • Scrap wood / conduit / misc. items have been picked up

  • Loose hardware is in the magnetic trays

  • Anti seize, oil cans, copper tape, spray paint cans have been removed

  • The top of cabinets / hardware bins and walkways are clear

  • Set in Order

  • Location of hand tools is clear

  • Location of spare equipment is clearly identifiable

  • There are an adequate number of cleaning stations available

  • Location of heat gloves is visible

  • Spare parts are organized in cabinets or on shelves

  • Shine

  • Floor has been swept - no resin, floor dry or excessive amount of dirt

  • Cool purging's have been picked up in an appropriate time

  • The equipment is free of dirt and grime build up

  • There are no oil leaks on the equipment

  • Water baths are free of calcium / salt / had water build up

Red Tag Zone

  • Sort - Have items been dispositioned within 1 month

  • Set in Order - Red tags are available, Items are stored in an Organized fashion

  • Shine - The area is clean (free of oils spills, dirt, loose pallets, etc.)

  • Standardize - All items have a red tag attached and it's filled out completely

  • Sustain - Red tag zone procedure is displayed

Standardize

  • Where is the plant at with Standardize

  • Shadow foam / boards , visual controls have been created for hand tools and cleaning stations

  • Location of items is visual, color coding is being used

  • Kanban is being used

  • SOP's are being displayed

  • Cleaning stations have a consistent layout

Sustain

  • How is the plant doing at sustaining the improvements that have been made

  • All hand tools / brooms / cleaning tools are in their place

  • Spare / Extra equipment is in it's place

  • Kanban items are being replenished in an appropriate time

  • 5S / Improvement leaders have been identified

  • Monthly 5S audits are being performed and documented

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.