Title Page

  • Department

  • Conducted on

  • Prepared by


  • Only necessary tools and equipment are in the work area.

  • Only necessary inventory is in the work area.

  • Tools and inventory are located in the most convenient locations.

  • Outdated documents are not present in the work area.

  • Personal items are stored outside of the work area.

Set in Order

  • Storage areas are clearly defined and footprints marked.

  • Shadow boards or foam are used where possible.

  • Walkways and work areas are clearly defined.

  • Tools are labeled with their home location.

  • Waste containers are clearly labeled and footprints marked.


  • Equipment is clean, wiped down, and free of chips and debris.

  • Floors are swept and clean of all debris.

  • Waste containers are emptied regularly.

  • Cleaning equipment is available when needed.

  • Unsafe conditions are identified and labeled.


  • Staging locations for in-coming and out-going work materials are utilized.

  • Up-to-date standard operating procedures are posted in departments.

  • Improvement ideas are documented on department white boards.

  • Regular cleaning schedules are posted and updated daily.

  • All standard 5S supplies are available.


  • Previous audit scores are posted on department white boards.

  • Improvement suggestions are being acted on.

  • A training matrix of required skills per role is posted and up-to-date.

  • Everyone can explain the benefits of 5S.

  • Exceptional performance is recognized.

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.