Title Page

  • Conducted on

  • Prepared by

  • Week

  • Base number

  • Location

AREA 1

  • Specify area 1:

  • Take a picture area 1

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

AREA 2

  • Specify area 2:

  • Take a picture area 2

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

AREA 3

  • Specify area 3:

  • Take a picture area 3

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

AREA 4

  • Specify area 4:

  • Take a picture area 4

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

AREA 5

  • Specify area 5:

  • Take a picture area 5

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

Area 6

  • Specify area 6:

  • Take a picture area 6

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

Area 7

  • Specify area 7:

  • Take a picture area 7

1S: Sort

  • There are no unnecessary tools, materials, papers or similar at the workplace (deviations are given pr. unnecessary items in the area)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

2S: Set in order

  • Places are marked for all tools, materials, storage areas and similar (Deviations are given pr. un-marked area for items etc. that are supposed to be marked)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

3S: Shine

  • The workspace and tools are clean, tided up and functioning (Deviations are given pr. area that is not clean, and pr. tools and equipment not functioning)

  • Deviations in area

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

4S: Standardize

  • The pictures and rules are up to date and the standards are placed correctly (Deviations are given pr. un-updated picture and rules, and standards that are not fastened properly and maintained)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

5S: Sustain

  • Markings are given pr. broken markings, not properly fastened standards and rules and best practices followed)

  • Deviations in area:

  • Comments and improvements:

  • If Non-Compliant, take a picture of the non-compliance

  • Score:

Score and Devitions

  • 5. No Deviations in the area

  • 4. 1 deviation in the area

  • 3. 2 to 3 deviations in the area

  • 2. 4 to 5 deviations in the area

  • 1. More than 5 deviations in the area

OVERALL AVERAGE - 5S score

  • Sum of scores / 5

Completion

  • Enter your name, sign en complete the audit. Email the audit to the responsible person and make sure the audit is uploaded to your Service Excellence folder on the Global Public (S:) drive for your station. Please contact Global Network if you need more area pages on your audit template.

  • Name

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.