Title Page

  • Location

  • Conducted on

  • Conducted by

1. Sort

  • Has all clutter been removed from the work area or stored away?

  • Is only the essential equipment out?

  • Are extra/replacement equipment and tools stored separately from the main workstation?

  • Are floors clear of boxes, rubbish, tools and any other hazards?

  • Have packing materials been moved to the correct area?

2. Set In Order

  • Are pallet drop zones close to relevant work areas?

  • Do all storage locations have labels indicating what should be stored there?

  • Are signs clear and visible?

  • Do extra supplies have their own storage location that is easily accessible?

  • Are PPE storage locations stocked and fully functional?

  • Do work areas have bins for rubbish/recycling?

3. Shine

  • Are work tables clear of dust and debris?

  • Is all work equipment clean and free of dirt and grime?

  • Are all labels visible and correspond to the station's current layout?

  • Are there no loose items left in sight - on the floor, overhead or at eye level?

  • Are all rubbish bins frequently emptied?

  • Are pallet drop zones free from broken pieces and debris?

  • Have empty boxes been removed from shelves?

  • Are all power cables and electrical components properly secured?

  • Are all machines working properly without dangerous repairs?

4. Standardise

  • Is there an established scheduling for auditing the work area?

  • Is a cleaning schedule in place?

  • Do managers have a method for collecting employees safety observations?

  • Do the operations team have a written plan for controlling the areas 5S?

  • Do all site leaders/supervisors agree to enforce proper upkeep of the area?

5. Sustain

  • Is maintaining the 5S part of induction training?

  • Are employees wearing the correct PPE?

  • Do managers have a way to log 5S action items?

  • Are established cleaning protocols being followed throughout the area?

Sign Off

  • Date

  • Conducted by

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.