Title Page

  • Conducted on

  • Prepared by

  • Location

Sort (Organization)

  • Only have equipment, tools, supplies & materials that are needed for the job.

  • Are customer packaging stored safety and in correct locations/containers

  • Areas under desks are clear of boxes, bins and personal items.

  • Are tripping hazards and barriers excluded from the area?

  • All walls are clean, free of dirt and smudges and holes. Air vents are clean.

  • Is the work in process arranged so as to reduce travel time and other kinds of waste

  • Are paths, doorways, electrical panels, and fire extinguishers released from material and blockages

  • All postings and displays current and up to date.

Set in Order (Orderliness)

  • Are shelves clearly labelled with location

  • Are warehouse places for work in the process designated and registered

  • Are all unused vehicles and forklifts parked in the chosen area

  • Are workplaces, storage areas, and equipment surroundings precisely labelled, marked, and/or footprinted if required

  • Correct places for items are obvious & items are in their correct places.

  • All desktops, tables and shelves are clean, sorted and organized.

  • All Desktop file holders labeled for proper content and neatly organized.

  • Are all pipes, controls and gauges classified and labelled to show function or purpose

  • Shelves are only used for storage of books, files, and folders.

Shine ( Cleanliness)

  • Floors, walls, and desk sufaces are free of dirt, and excess paper work.

  • Are work surfaces clean and orderly?

  • Are machines clean, neat and in good repair

  • Floor is free of obstructions and not-slippery

  • Cleaning materials are easily accessible.

  • Is there a cleaning routine available

  • No scrap or parts are on floor or desktops.

  • Are recycling containers located as required with trash and recycling being controlled in the region

  • Are pallet positions free of empty pallets and trash

  • Are pallet locations in pick ready state

  • Are pallet locations free of hanging shrink wrap or banding

  • Lines, signs, etc., are clean and unbroken.

Standardize (Adherence)

  • Best practices, visual aides, labels, designated to keep desks clean and organized are implemented.

  • Is there an established work in place containing quality checks, and use of work stations?

  • Paper recycling bins are used. No paper is found in trash cans.

  • Items can be located in 30 seconds.

  • Are concerns constantly being reacted

  • Are Operation Standards documented, understandable and actively used

  • Are workers informed of their responsibilities

Sustain (Self-Discipline)

  • Is everyone sufficiently trained

  • There is an action item list visible, assigning responsibility for open issues.

  • Are all start-up safety checks taken and documented

  • Is everyone inside the area wearing proper personal protection equipment

  • Is daily housekeeping checklist adhered and document evidence available

  • All personal belongings are neatly stored.

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.