PSU OPP Safety -5S Getting Started and Monthly Checklist

• Client / Site

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

GENERAL INFORMATION

• Nature of work

• Take a photo of the workspace.

  Media

• 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

• Is the floor area free of unwanted items?

  3

  2

  1

  0

  N/A

• REFERENCE: The floor area is free from unwanted items.
  Can include a reference photo here.

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

  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.

  Media

SET IN ORDER - SEITON

• Are items stored according to frequency of use?

  3

  2

  1

  0

  N/A

• Do all items have identification labels?

  3

  2

  1

  0

  N/A

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

  3

  2

  1

  0

  N/A

• Is color coding used effectively for easy identification?

  3

  2

  1

  0

  N/A

• Is there a general appearance of orderliness?

  3

  2

  1

  0

  N/A

• Is it easy to find any item/document without delay?

  3

  2

  1

  0

  N/A

• Identify and allocate a place for all the materials needed for your work.

SHINE - SEISO

• Are cleaning schedules available and displayed?

  3

  2

  1

  0

  N/A

• Are floors, walls, windows doors etc. maintained at a high level of cleanliness?

  3

  2

  1

  0

  N/A

• Is use of adequate cleaning tools evident?

  3

  2

  1

  0

  N/A

• Are machines, equipment, tools, furniture maintained at a high level of cleanliness and their maintenance schedules displayed?

  3

  2

  1

  0

  N/A

• Is there a general appearance of cleanliness all round?

  3

  2

  1

  0

  N/A

STANDARDIZE - SEIKETSU

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

  3

  2

  1

  0

  N/A

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

  3

  2

  1

  0

  N/A

• Are labels, notices etc. standardized?

  3

  2

  1

  0

  N/A

SUSTAIN - SHITSUKE

• Is there a system for how and when the 5S activities will be implemented?

  3

  2

  1

  0

  N/A

• Does management provide support to 5S program by recognition, resources and leadership?

  3

  2

  1

  0

  N/A

• Have first 3S become a part of the daily work?

  3

  2

  1

  0

  N/A

• Do employees show positive interest in 5S activities?

  3

  2

  1

  0

  N/A

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

  3

  2

  1

  0

  N/A

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

  3

  2

  1

  0

  N/A

COMPLETION

• Recommendation

• Overall Rating

  Passed

  Failed

• Full Name and Signature of the Inspector

  Sign