Information

  • Document No.

  • Line P 5S Checklist and workplace Evaluation

  • Conducted on

  • Prepared by

  • Current Operator

Mezzanine

Sort (Organization): Distinguish between what is needed and not needed

  • Area is clear of unneeded equipment, tools, paperwork ect.

  • Area is clear of unneeded items on floor or Desk

  • Area is clear of material or other items in isles or stairways

  • Area is clear of unneeded material

  • Area is clear of Safety and trip Hazards (water, oil, hoses)

Set in Order (Orderliness): A place for everything and everything in its place

  • Item Locations are labeled correctly

  • Items are in there correct places

  • There are no extra items

  • Aisle ways, workstations, equipment locations are indicated

Shine (Cleanliness): Cleaning, and looking for ways to keep it clean and organized.

  • Floors, walls, stairs and surfaces are free of dirt, oil and pellets

  • Equipment is is kept clean and free of dirt, oil and pellets.

  • Workstations are neat and organized

  • Cleaning materials are easily accessible

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

  • White boards are in good condition

Standardize (Adherence): Maintain and Monitor the 1st 3 categories

  • Necessary Run information is available

  • All gauges are marked and labeled accurately

  • Storage for all tools and equipment are clearly labeled

  • White boards have all information needed

Audit Review

  • Auditor Signature

  • Operator Signature

Machine

Sort (Organization): Distinguish between what is needed and not needed

  • Area is clear of unneeded equipment, tools, paperwork ect.

  • Area is clear of unneeded items on floor or Desk

  • Area is clear of material or other items in isles or stairways

  • Area is clear of unneeded material

  • Area is clear of Safety and trip Hazards (water, oil, hoses)

Set in Order (Orderliness): A place for everything and everything in its place

  • Item Locations are labeled correctly

  • Items are in there correct places

  • There are no extra items

  • Aisle ways, workstations, equipment locations are indicated

Shine (Cleanliness): Cleaning, and looking for ways to keep it clean and organized.

  • Floors, walls, stairs and surfaces are free of dirt, oil and pellets

  • Equipment is is kept clean and free of dirt, oil and pellets.

  • Workstations are neat and organized

  • Cleaning materials are easily accessible

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

  • White boards are in good condition

Standardize (Adherence): Maintain and Monitor the 1st 3 categories

  • Necessary Run information is available

  • All gauges are marked and labeled accurately

  • Storage for all tools and equipment are clearly labeled

  • White boards have all information needed

Audit Review

  • Auditor Signature

  • Operator Signature

Additional Items

Additional follow-up items.

  • Is vacuum cleaner present and in proper storage area?

  • Dust and pellet cart is in place and empty

  • Recycle and OSM in the proper place and labeled.

  • Is Shadow board complete with all cleaning utensils?

  • Use this are to identify additional items that need to be corrected or addressed.

  • Follow-Up
  • Type of Follow-Up

  • Give Description of the item

  • If necessary include photo of item.

  • Who is Responsible for item

  • Was Responsible party notified?

Audit Review

  • Auditor Signature

  • Operator Signature

Preventative Maintenance

Preventative Maintenance

  • Boots for feeder are in place and clamped top and bottom

  • Check hoses at Autoweigh for damage

  • Are all hoses in good shape? If not have replaced.

  • Record the tank that needs repaired and contact maintenance to have it replaced.

  • Are there any water leaks on the extruder?

  • Please note the extruder zone with leak and contact maintenance for repair.

  • Clean up Water to prevent a slip hazard

  • Are there any oil leaks on the extruder?

  • Please note the equipment with leak and contact maintenance for repair.

  • Clean up Oil to prevent a slip hazard

  • Use this are to identify equipment that is damaged and in need of repair.

  • Preventative Maintenance
  • Type of Follow-Up

  • Give Description of the item

  • If necessary include photo of item.

  • Who is Responsible for item

  • Was Responsible party notified?

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.