Pizza Sauce 5S Checklist

• Conducted on (Date and Time)

  Date

• Inspected by

GENERAL INFORMATION

• Use these score criteria for your inspection:
  
  3 - There is an ability to maintain it.
  2 - This is being complied with more systematically.
  1 - It is done but not systematically.
  0 - Not at all.
  N/A - Not Applicable

SORT OUT - SEIRI

• No unneeded materials or parts in area

  3

  2

  1

  0

  N/A

• Are tops and insides of all cupboards, shelves, tables, etc. free of unwanted items?

  3

  2

  1

  0

  N/A

• Are items stored according to where they supposed to be?

  3

  2

  1

  0

  N/A

• Are walls free of old posters, calendars, pictures , notices etc.?

  3

  2

  1

  0

  N/A

• Is there a general clutter free appearance?

  3

  2

  1

  0

  N/A

• Capture photo(s) of red tagged items.

  Compliant

  Non-Compliant

  N/A

SET IN ORDER - SEITON

• Are direction indications available to all facilities from the entrance onwards?

  3

  2

  1

  0

  N/A

• Do all items of equipment have identification labels?

  3

  2

  1

  0

  N/A

• CIL and CLM clipboards are neat and in designated areas?

  3

  2

  1

  0

  N/A

• Are specific areas demarcated for garbage/rejects/waste, etc.?

  3

  2

  1

  0

  N/A

• Are switches, fan regulators, controls, etc. labeled?

  3

  2

  1

  0

  N/A

• Are all cables, wires, pipes etc. neat and straight?

  3

  2

  1

  0

  N/A

• Tables clear of paperwork, tools, and parts? Including the lead office

  3

  2

  1

  0

  N/A

• Are grey tubs clean in designated area

  3

  2

  1

  0

  N/A

• Are sanitation boards complete (brooms, dustpans, squeegees in good condition)

  3

  2

  1

  0

  N/A

SHINE - SEISO

• Are cleaning schedules available and displayed?

  3

  2

  1

  0

  N/A

• Floors are clean and free of debris and pooling water

  3

  2

  1

  0

  N/A

• All lab equipment is clean and in good working condition

  3

  2

  1

  0

  N/A

• Computers and printers are clean in good condition

  3

  2

  1

  0

  N/A

• Sink area is clean

  3

  2

  1

  0

  N/A

STANDARDIZE - SEIKETSU

• Is a daily checklist used to standardize 5s procedures?

  Yes

  No

  N/A

• Are standard check lists used to regularly inspect 5S?

  Yes

  No

  N/A

• Are labels, notices etc. standardized?

  Yes

  No

  N/A

• Employee walking areas are unobstructed

  Yes

  No

  N/A

SUSTAIN - SHITSUKE

• Do employees show positive interest in 5S activities?

  Yes

  No

  N/A

• Are 5S posters and 5S points of work reminders displayed?

  Yes

  No

  N/A

• Are trainings and other programs implemented to sustain workplace organization?

  Yes

  No

  N/A

COMPLETION

• If score is 75% or Higher Highlight Pass/ If Grade is Lower Select Failed

• Overall Rating

  Passed

  Failed

• Full Name and Signature of the Inspector

  Sign