Title Page

  • Conducted on

  • Prepared by

  • Enter the work cell's identifying information.

1. Sort

  • Have all unnecessary items been removed from the work cell?

  • Select the unnecessary items that have not been removed from the work cell.

  • Paperwork

  • Hand Tools and/or cleaning supplies

  • Parts, components, and/or packaging (from previous changeover)

  • Machines, Fixtures, and/or Tooling

  • Cups, Bottles and/or Drinks

  • Have all unnecessary items in the work cell been clearly tagged, labelled and/or isolated

  • Select the unnecessary items in the work cell that have not been tagged, labelled or separated.

  • Paperwork

  • Hand Tools and/or cleaning supplies

  • Parts, components, and/or packaging (from previous changeover)

  • Machines, Fixtures, and/or Tooling

  • Cups, Bottles and/or Drinks

  • Is there any customer packaging being used inappropriately in the work cell? If so alert the area team leader immediately.

2. Set in place

  • Do all necessary items have an appropriate home location in the work cell?

  • Select the Items that do not have an appropriate home location in the work cell.

  • Paperwork

  • Hand Tools and/or Cleaning Supplies

  • Parts, Components, and/or Packaging (WIP and Complete)

  • Machines, Fixtures, and/or Tooling

  • Cups, Bottles and/or Drinks

  • Are home locations for necessary items clearly and correctly labelled and/or identified (outlined in the appropriate colour of tape)?

  • Select the items that do not have a clearly and correctly labelled and/or identified home location.

  • Paperwork

  • Hand Tools and/or Cleaning Supplies

  • Parts, Components, and/or Packaging (WIP and Complete)

  • Machines, Fixtures, and/or Tooling

  • Cups, Bottles and/or Drinks

  • Are necessary items appropriately stored in their home locations?

  • Select the items that are not appropriately stored in their home locations.

  • Paperwork

  • Hand Tools and/or Cleaning Supplies

  • Parts, Components, and/or Packaging (WIP and Complete)

  • Machines, Fixtures, and/or Tooling

  • Cups, Bottles and/or Drinks

3. Shine

  • Are the necessary cleaning items available in or near the work cell?

  • Select the cleaning items that are available in or near the work cell.

  • Brooms

  • Dustpans

  • Cloths and Rags

  • Cleaning Solution

  • Garbage Cans and/or Waste bins

  • How clean is the floor of the work cell? 0-3: Dangerously cluttered with trip hazards; 4-6: Cluttered but walkable; 7-9: Uncluttered and walkable; 10: Floor has been freshly sealed and shined, no trip hazards or clutter.

  • How clean are the accessible surfaces of the machines, fixtures and tooling in the work cell? 1-3: Surfaces are caked in dirt/grease; 4-6: surfaces are reasonably dirty due to operation; 7-9: No visible dirt on accessible surfaces; 10: accessible surfaces in work cell have been recently cleaned, polished and/or painted

4. Standardize

  • How well have items in the work cell been sorted? 0: There are no distinctions between necessary and unnecessary items in the work cell; 1: Items have been identified as either necessary or unnecessary in the work cell; 2: Unnecessary items have been identified and/or separated from necessary items in the work cell; 3: All Unnecessary items have been identified and removed from the work cell.

  • How well have items in the work cell been set in place? 0: No items in the work cell have an appropriate home location; 1: Some items in the work cell have an appropriate home location; 2: Most items in the work cell have an appropriate and well identified home location; 3: All items in the work cell have an appropriate and well identified home location.

  • How well has the overall work cell been cleaned and shined? 0: The work cell is generally messy and unpolished; 1: The work cell is reasonably unclean due to work and wear; 2: The work cell is very clean and polished; 3: The work cell is spotlessly clean.

  • Are there any safety concerns within this work cell (i.e. Major trip hazards, chemical spills, dangerous work procedures, unreported accidents, etc.)?

  • PLEASE REPORT ANY SERIOUS SAFETY CONCERNS IMMEDIATELY.

  • Are there examples of best practices that can be taken from this workcell?

5. Sustain

  • Is the last 5S Audit conducted on this work cell available in the work cell?

  • Has a 5S Audit been completed in this work cell within the last six months?

  • Has the 5S score of this work cell been maintained or improved since the last audit?

  • At this point, please notify the team leader of any outstanding issues.

Sign-Off

  • SCORING:

    Award up to one star based on the performance of the evaluated work cell in each of the first three phases of 5S.

    If a work cell has achieved partial completion in one of these first three phases, award them half a star for that phase.

    The score for the first three phases is the sum of stars awarded in the first three phases, rounded down to the nearest whole number.

    Award one star for work cells that has achieved 3 stars, and a score of at least 2 in all three of the questions in phase four, "Standardize"

    Award one final star for work cells that have both achieved four stars, and maintained or improved their performance within the last six months.

    Each plant will receive the lowest score among their respective work cells as their overall score.

  • Indicate the performance of the work cell in the achievement of the phases 5S

  • Review the audit with the team leader of the work cell and have them sign off. If necessary (i.e. Major safety concerns, etc.) review issues with the shift supervisor and have them sign off as well.

  • Team Lead Signature

  • Enter the name of the team lead.

  • Supervisor signature

  • Enter the name of the supervisor.

  • Auditor signature

  • Enter the name of the auditor.

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.