Sterilising 5s Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SORT

• 1) Is there evidence of regular red tagging?

  Yes

  No

  N/A

• 2) Is there a system for the removal of red tagged items?

  Yes

  No

  N/A

• 3) Are all unused tools removed from the area?

  Yes

  No

  N/A

• 4) Are all unwanted materials removed from the area?

  Yes

  No

  N/A

• 5) Are cupboards/drawers & work surfaces clear of clutter?

  Yes

  No

  N/A

• 6) Are there clear visual standards?

  Yes

  No

  N/A

• 7) Is visual control being adhered to in the area?

  Yes

  No

  N/A

• 8) Is waste being disposed of correctly?

  Yes

  No

  N/A

• SORT SCORE OUT OF 10

STRAIGHTEN

• 1) Are tools identified and on shadow boards?

  Yes

  No

  N/A

• 2) Are cleaning materials/utensils located correctly?

  Yes

  No

  N/A

• 3) Is P.P.E stored correctly?

  Yes

  No

  N/A

• 4) Are large tools stored correctly?

  Yes

  No

  N/A

• 5) Are all bins stored correctly?

  Yes

  No

  N/A

• 6) Are dividing lines & floor markings correctly colour coded?

  Yes

  No

  N/A

• 7) Are all items in the area easily identified?

  Yes

  No

  N/A

• STRAIGHTEN SCORE OUT OF 10

SHINE

• 1) Is the floor clean & free from debris?

  Yes

  No

  N/A

• 2) Are machines & guards clean?

  Yes

  No

  N/A

• 3) Are cleaning tools handy/stored/organised/labelled?

  Yes

  No

  N/A

• 4) Is there a cleaning schedule in place?

  Yes

  No

  N/A

• 5) Are ancillary areas & PDPs clear of debris ?

  Yes

  No

  N/A

• 6) Is underneath of the cooker kept clean?

  Yes

  No

  N/A

• 7) Are bins clean & regularly emptied?

  Yes

  No

  N/A

• 8) Are floors dry and clear of hazards?

  Yes

  No

  N/A

• SHINE SCORE OUT OF 10

STANDARDISE

• 1) Are the team SIC & OEE boards standardised/current?

  Yes

  No

  N/A

• 2) Is there a system for maintaining, clearing up & cleaning?

  Yes

  No

  N/A

• 3) Are regular 5s audits being carried out?

  Yes

  No

  N/A

• 4) Is all relevant paperwork current & up to date?

  Yes

  No

  N/A

• 5) Is the cleaning schedule being adhered to?

  Yes

  No

  N/A

• 6) Are visual control standards being adhered to?

  Yes

  No

  N/A

• 7) Is red tagging agreed/correctly documented?

  Yes

  No

  N/A

• 8) Have visual control standards been identified?

  Yes

  No

  N/A

• 9) Are shift standards agreed & being adhered to?

  Yes

  No

  N/A

• STANDARDISE SCORE OUT OF 10

SUSTAIN

• 1) Are team members wearing appropriate PPE?

  Yes

  No

  N/A

• 2) Is the 5s action plan on team board/current?

  Yes

  No

  N/A

• 3) Is the daily cleaning schedule completed correctly?

  Yes

  No

  N/A

• 4) Is the 5s audit or 30 second sweep displayed on the team board?

  Yes

  No

  N/A

• 5) Are rules & work procedures being adhered to?

  Yes

  No

  N/A

• 6) Is the red tag process being reviewed & audited?

  Yes

  No

  N/A

• 7) Is an ongoing review of 5s processes evident?

  Yes

  No

  N/A

• 8) Is there a plan for 5s training requirements displayed?

  Yes

  No

  N/A

• SUSTAIN SCORE OUT OF 10

• OVERALL SCORE OUT OF 50