5s Audit Checklist.69235402

5S + Safety Audit Form - Example
CATEGORY
CRITERIA
Sort
Distinguish between what is needed and not needed

Procedures are established to identify unnecessary items
Unneeded equip., storage, furniture, etc. exist
Sort Through &
Unneeded items on walls / bulletin boards, etc. exist
Discard Unused Items Aisles, stairways, corners etc. are free of items
Unneeded inventory, supplies, parts, or materials exist (drawers / cabinets /
work surfaces / storage areas)
Set in Order
A place for everything and everything in its place

All items have a specific location
Shared drawers, cabinets, work surfaces, and storage areas are clearly
Use Labels, Lines,
labeled and well organized
Signs & Colors to
Personal drawers, cabinets, desktops, and storage areas are clearly
identify Normal vs.
marked and/or well organized
Abnormal Conditions
All items are placed in the proper location
Aisleways, workstations, equipment locations are identified
Shine
Routine discipline maintaining a clean and organized workplace

Equipment, computers, work surfaces, and storage areas are clean
Cleaning is a Method of
Garbage and recyclables are collected and disposed correctly
Inspection, Look for
E-mails and paper are filed daily
Hidden Defects
Shared areas are cleaned and maintained regularly
Standardize
Preventing the area from having abnormal operating conditions

Specific cleaning and organizing tasks have been developed and assigned
for the work area
Standardize the Rules
Staff is trained and fully understands 5S procedures
to Make 5S a Habit
5S standards are clearly displayed
Visual management tools identify if work is complete
Sustain
Sustaining plans are
developed to ensure
accountability
Comments
Stick to the rules (self-discipline)

Everyone is involved in the improvement activities
Standardized cleaning and work procedures are followed
5S documentation and instructions are current
5S audits occur regularly
AUDIT PERIOD
1
SCORING SYSTEM
Scale / # Problems
High - 5 or more
3-4
2
1
Rating / Score
0
1
2
3
Low - None
SHEET SUMMARY
Average Scores
Sort
0.0
0.0
0.0
0.0
Set in Order
Shine
Standardize
Sustain
Total Average Score
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Average Scores
Sort
Set in Order
Shine
Standardized
Sustain
Area Audited:
Auditor:
Q1
Q2
Q3
Q4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Sort Through & Discard Unused Items
Code: A- Action; R - Recommendation; S - Statement

Status: O - Open; C - Complete
Item Current
Code
Description
#
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Resp
Primary
Start
Date
End
Date
Date
Closed
Status
Remarks / Comments
RED TAG
ISSUE OR PROBLEM:
TAG #

ACTION NEEDED (circle one and note comments if necessary):
1: Throw Away
2: Organize
3: Improve
4: Resolve
5: Other
DATE OF TAG:
CATEGORY (if appropriate):
DATE OF COMPLETION:
TAGGED BY:
ASSIGNED TO:
REVIEWED BY:
ACTION TAKEN:
RED TAG
ISSUE OR PROBLEM:
TAG #
ACTION NEEDED (circle one and note comments if necessary):

1: Throw Away
2: Organize
3: Improve
4: Resolve
5: Other
DATE OF TAG:
CATEGORY (if appropriate):
DATE OF COMPLETION:
TAGGED BY:
ASSIGNED TO:
REVIEWED BY:
ACTION TAKEN:
RED TAG ITEMS LOG

Tag
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Item Tagged
Reason for Tagging
Notes / Disposition
5S MATURITY LEVEL SUMMARY

MATURITY
LEVEL
Sort Through &

Discard Unused
Items
LEVEL 4
Focus on
Consistency
LEVEL 3
Make It Visual
SORT
Employees are continually
seeking improvement
opportunities.
#DIV/0!
A dependable documented
method has been established
to maintain a work area free of
unnecessary items.
#DIV/0!
All unnecessary items have

been removed from the work
area.
A dependable and documented

method has been established
to recognize, with a visual
sweep, if items are out of place
or exceed quantity limits.
#DIV/0!
LEVEL 2
Focus on Basics
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
5S schedules detailing tasks

and responsibilities have been
developed and are utilized.
#DIV/0!
Workplace methods are being

improved, but changes have
not been documented.
#DIV/0!
#DIV/0!
A recognized effort has been

made to improve the condition
of the work environment.
#DIV/0!
No attempt is being made to

document or improve current
processes.
#DIV/0!
#DIV/0!
Checklists exist showing that

employees follow through on
5S schedules.
Workplace method
improvements are being
incorporated and documented.
Workplace areas are dirty and

disorganized.
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
IMPROVEMENT INITIATIVES
SUSTAIN
Employees maintain consistent
standards in compliance with
the 5S program.
Workplace method
improvements are visible and
understood by all employees.
Workplace areas are cleaned

on a regularly scheduled basis.
Tools, supplies, books and

materials are randomly
located.
STANDARDIZE
Employees are continually
seeking the elimination of
waste, all changes are
documented and information is
shared with employees.
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

and responsibilities are
developed and utilized.
A designated location has

been established for all items.
Necessary and unnecessary

items are mixed together in the
work area.
SHINE
Area employees have devised
a dependable and documented
method of preventive cleaning
and maintenance. Work area
cleanliness and organization
are a way of life.

and responsibilities are
understood and practiced.
Designated locations are

marked to make organization
more visible.
Necessary and un-necessary

items are separated.
LEVEL 1
Just Beginning
SET IN ORDER
Anyone can walk into the work
area and easily locate items.
Abnormal conditions are
visually obvious and corrective
action measures are in place.
#DIV/0!
Minimal attention is spent on

housekeeping.
#DIV/0!
#DIV/0!
Trend Data
scard Unused Items
Period
1
2
3
4
Goal
Rating
0.0
0.0
0.0
0.0
Fill in your goals for each period
hrough & Discard Unused Items

Office 5S
Sort
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Standardize
Set in Order
1.0
Shine
Average Rating
Sustain
5S Perfromance
0.5
0.0
1
Period
Goal
Current Average Score
0.00
Rating

Office 5S
Standardize
Sort
5S + Safety
FY05 Perfromance Trend
Set in Order
1.0
Shine
Average Rating
Sustain
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
0.5
0.0
1
Period
Goal
0.00
Rating

Office 5S
Standardize
Sort
5S + Safety
Set in Order
1.0
Shine
Average Rating
Sustain
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
0.5
0.0
1
Period
Goal
0.00
Rating

Office 5S
Standardize
Sort
5S + Safety
Set in Order
1.0
Shine
Average Rating
Sustain
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
0.5
0.0
1
Period
Goal
Rating
0.00

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5S + Safety Audit Form - Example

Distinguish between what is needed and not needed

A place for everything and everything in its place

Routine discipline maintaining a clean and organized workplace

Preventing the area from having abnormal operating conditions

Stick to the rules (self-discipline)

5S + Safety Audit Form - Example

Code: A- Action; R - Recommendation; S - Statement

5S + Safety Audit Form - Example

Sort Through & Discard Unused Items

CATEGORY (if appropriate):

ACTION NEEDED (circle one and note comments if necessary):

CATEGORY (if appropriate):

5S + Safety Audit Form - Example

RED TAG ITEMS LOG

Reason for Tagging

5S + Safety Audit Form - Example

5S MATURITY LEVEL SUMMARY

Sort Through &

All unnecessary items have

A dependable and documented

5S schedules detailing tasks

Workplace methods are being

A recognized effort has been

No attempt is being made to

Checklists exist showing that

Workplace areas are dirty and

Workplace areas are cleaned

Tools, supplies, books and

5S schedules detailing tasks

A designated location has

Necessary and unnecessary

5S schedules detailing tasks

Designated locations are

Necessary and un-necessary

Minimal attention is spent on

5S + Safety Audit Form - Example

scard Unused Items

Fill in your goals for each period

5S + Safety Audit Form - Example

hrough & Discard Unused Items

Current Average Score

5S + Safety Audit Form - Example

Current Average Score

5S + Safety Audit Form - Example

Current Average Score

5S + Safety Audit Form - Example

Sort Through & Discard Unused Items

Current Average Score

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