Title Page
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Conducted on
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Prepared by
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Unused items: Area is free of unused tools, equipment or other item - including those used by other departments.
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Drums and empty totes: Drums and totes awaiting shipment are neatly organized.
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Slip/Trip Hazards: Area is free of trip/slip hazards
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Safety Item Accessibility: Exits and spill kits are clear and readily accessible.
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Lighting: Lighting appears sufficient for area. All bulbs are working and clean.
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Movable items: Movable items have homes defined by shadowboxing/signage and items are located to standard.
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End of Shift 5S Expectations are posted: 5S Expectations (Form 4766) is available for every employee.
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Rework Racks: No rework racks dropped in front of buck storage.
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North Retaining Wall: No broken bucks or other Facilities debris on retaining wall.
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Broken Bucks in Racks: No broken bucks are stored within racks. All are properly contained within quarantine at Buck Wash.
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Bucks and Related Hardware: Bucks and Hardware are neatly contained within racking.
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Please enter Auditor's Signature
