PGS Housekeeping Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Housekeeping

• Are traffic aisles kept clear of obstructions?

  Yes

  No

  N/A

• Is product stored within painted lines?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are pallets aligned to the direction of painted lines?

  Yes

  No

  N/A

• Are pallets store in upright position without leaning?

  Yes

  No

  N/A

• Are partial boxes identified and aligned neatly on pallets?

  Yes

  No

  N/A

• Are partial pallets presentable and neatly organized?

  Yes

  No

  N/A

• Are fire extinguishers kept clear of obstructions?

  Yes

  No

  N/A

• Are exits accessible and kept clear of obstructions?

  Yes

  No

  N/A

• Are label backings placed into trash bins?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are pallet covers properly placed on pallets?

  Yes

  No

  N/A

• Are work areas presentable and neatly organized?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are trash bins less than 75% full?

  Yes

  No

  N/A

• Are empty pallets stored in designated areas?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are minor liquid spills promptly cleaned up?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Supervisor Information

• Date of Assessment:

  Date

• Supervisor Printed Name:

• Supervisor Signature:

  Sign

• Enter the name of the employee being assessed:

• Employee Signature:

  Sign