• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Housekeeping

  • Are traffic aisles kept clear of obstructions?

  • Is product stored within painted lines?

  • Is floor kept free of wood chips, shrink wrap, nails, or other debris?

  • Are pallets aligned to the direction of painted lines?

  • Are pallets store in upright position without leaning?

  • Are partial boxes identified and aligned neatly on pallets?

  • Are partial pallets presentable and neatly organized?

  • Are fire extinguishers kept clear of obstructions?

  • Are exits accessible and kept clear of obstructions?

  • Are label backings placed into trash bins?

  • Are housekeeping tools properly stored and neatly organized on 5S boards?

  • Is store product kept free of damage and in good salable condition?

  • Are pallet covers properly placed on pallets?

  • Are work areas presentable and neatly organized?

  • Is broken banding (poly-strap) material placed into trash bins?

  • Are trash bins less than 75% full?

  • Are empty pallets stored in designated areas?

  • Is the shrink wrap on pallets presentable and neatly organized?

  • Are minor liquid spills promptly cleaned up?

  • Are staged pallets or material store near dock areas presentable and neatly organized?

Supervisor Information

  • Date of Assessment:

  • Supervisor Printed Name:

  • Supervisor Signature:

  • Enter the name of the employee being assessed:

  • Employee Signature:

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