• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add signature

1.0 Sort - No unnecessary items in the area

  • 1.1 No machine parts, tools, pipes or hoses on the floor

  • 1.2 No obsolete or unused tools, equipment, pipes etc. in the area

  • 1.3 All storage areas for ingredients and other materials have limits on how much can be stored in the area and stored quantities are within these limits

2.0 Set - A place for everything

  • 2.1 All fixed pipe work, tanks, conduit etc. labelled to indicate contents. All equipment gauges, dials, buttons, lubrication points etc. are labelled and indicate desired operating range if applicable

  • 2.2 All equipment, tools, ingredients, chemicals and other items are stored in designated and labelled locations. Chemical containers correctly labelled and bunded if appropriate.

  • 2.3 All walkways, safety zones (emergency showers, exits, fire equipment etc.) are clearly signed and are not obstructed

3.0 Shine - clean workplace and equipment

  • 3.1 Area is clean and free from rubbish. Cupboards, shelves and work benches are clean and tidy (no paper cups). All bins are labelled and colour coded

  • 3.2 All equipment is free from rust and temporary repairs and free from excess lubricant, chemical, water and product leakage and residue.

  • 3.3 All floors are in good repair (free from cracking or holes), and free of product, water or other liquid pooling. All drains are clean and unobstructed. All footbaths filled, all foaming stations are working and providing effective coverage.

  • 3.4 All ceilings, walls and doors are clean and free from corrosion, mould or flaking paint.

  • 3.5 All cleaning tools are clean, in good condition and stored correctly.

  • 3.6 All hand wash, sanitiser & paper towel dispensers stocked and being used and a bin is available.

  • 3.7 All soaking baths are clean, all rubbers are removed, and parts fully submerged.

4.0 Standardise - compliance to standards

  • 4.1 All staff are using relevant PPE, have clean uniforms and boots, and are following the jewellery policy.

  • 4.2 All open pipes are blanked off and o-rings / seals are removed.

  • 4.3 All walls, ceilings and doors without gaps or holes. All doors / air locks closed securely, pest control is in place and there is no evidence of pests.

  • 4.4 All windows, glass, Perspex and lights are free from cracks and holes, and all lights are covered and operational.

  • 4.5 No crates or product containers are being used for any purpose other than designated.

  • 4.6 No wooden handled implements in the area. No damaged pallets in and around work area

  • 4.7 All ingredients containers are sealed and in a condition to prevent contamination.

  • 4.8 All records are current, legible and signed.

  • 4.9 No obsolete or uncontrolled documents (process documents, notices etc.) in the area.

5.0 Sustain - Maintain standards (only answer the following questions if an area has been 5Sd, otherwise mark N/A)

  • 5.1 The audit roster is posted, current, assigned to individual team members, and signed off.

  • 5.2 The audit result is posted and current.

  • 5.3 The area map is posted and current.

  • 5.4 All 5S Area Standard/s are posted and current.

Waste Observation

  • Are any wastes observed? Please specify location and describe the waste.<br>Example: leaking taps, milk drained to floor....etc

  • Describe the corrective actions required.

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.