5S ChecksheetScoreCondition ObservedScore (check box)PRODUCTION 5S CHECKSHEET01234To calculate 5S score4Very Good (perfect condition)1. Add up each column3Good (1-2 problems)2. Add each column together to get total2OK (3-4 problems)3. Divide total by 2801Bad (5-6 problems)4. Multiply this score by 50Very Bad (above 7 problems), or non existant5. This is now your 5S scoreDate :_____________________________Audited By :_________________________Area Audited : _________________________NumberItemSort(Means removing from the workplace all items that are not needed for current production)ScoreStraighten (Can be defined as arranging items so that they are easy to use and labelling them so that they are easy to find and put away)ScoreShine(Means sweeeping floors, wiping off machinery, and generally making sure that everything in the factory stays clean)ScoreStandardise (It is the state that exists when the first three S's are being maintained)ScoreSustain (Making a habit of properly maintaining correct procedures)Score01234012340123401234012341H & SAre there fire extinguishers, fire exits clear, PPE available, eye wash stations and first aid equipment availableAll fire extinguishers are charged, eye wash stations labelled and first aid equipment available and labelledAre safety glasses clean and in good conditionArea plan identifies eye wash stations, fire extinguishers, and fire exitsAre PPE and safety standards being adhered to by all employees in the area2EnvironmentalAre recyclable materials in non-recyclable containersEach area has specified recycling containersAll outside surfaces of recycling containers are cleanWaste disposal standards exist and are displayedEmployees in the area are using the containers to standard3FacilitiesAre facility items in the area broken, damagedHave items in the area been identified that are broken or damaged ?The area has floors swept, machinery clean and generally cleanHas maintenance request been raised ?Does an area have a planned maintenance schedule for all facilities issues ?4Floors & GangwaysFree of obstructionsFloor Marked per plant standardClean (No Dirt, No Spills, No Oil)Floor marking standard created and posted in the areaDaily checksheet in place with sign off & date with improvement action items5Duty TechnicianDoes Duty technician rota & standard existRota is displayed and labelledIs rota board clean / good conditionDuty technician standard exists for the areaDuty technician rota is being carried out to standard6Tooling, Fixtures, JigsNo Tools, fixtures & jigs on workstations unless in usePoint of use Items have designated and clearly organized storage locationNo tooling (measuring equipment, torque wrenches, pressure gauges) in area out of calibrationArea plan identifies location of tooling, fixtures & jigsAre all tooling standards adhered to at all times ?7Wires , cabling & HosesNo un-used wiring, & hoses present or trailingAre all Wiring , cabling and hoses organised and identified?Are all hoses, cabling & wires clean, in good condition and blanked (hoses only) ?Area plan identifies location of wires, cabling & hosesAre all wires, cabling & hose standards adhered to at all times ?8Workbenches & surfacesNo un-necessary items on workbenches or work surfacesWorkbenches and work surfaces are organizedWorkbenches and work surfaces are clean and in good conditionDoes a standard exist in the area that describes what the workbenches and surfaces should requireAre all workbenches & surfaces standards adhered to at all times ?9Visual tracking boardsAll information is current and necessary ?Department visual tracking board layout constant with plant standardAll postings are neat & orderly in appearanceArea standard exists and is posted to define layout and formatAre all visual tracking board standards adhered to at all times ?10Red TagAre there items requiring red tags within the areaRed Tag area is designated and labeled, all items tagged with date placed in areaRed tag area to be cleanArea plan identifies red tag areaRed tag area is maintained to correct procedure11Mobile EquipmentNo un-necessary mobile equipment presentStorage locations for mobile equipment are designated and labeledAll are free of debris and none are damagedArea plan identifies location mobile equipmentMobile equipment is located in correct area when not in use12StorageNo material storage areas are overflowingAll material storage areas are clearly designated and labeledMaterial storage areas only contain WIP and/or pre-kitted itemsArea plan identifies location of material storageItems are returned to designated area when not in use13Cleaning StandardsCleaning standards and or cleaning station existCleaning standards & cleaning station are designated and labelledCleaning equipment is stored in correct location and in good conditionCleaning standards exist and have daily sign off and dateDaily cleaning standards are adhered to14Machine Guards, Windows & InterlocksAll interlocks are operationalGuards and shields in place where requiredAll machine windows are cleaned regularly to area standardMachine guards, interlocks have planned maintenance standard and scheduleMachine guards, interlocks are maintained to planned maintenance standardSECTION TOTALS :/ 56/ 56/ 56/ 56/ 56J:\Continuous Improvement Group\01 Continuous Improvement Council\ELSS\5S\5S Documents for Updating Boards\[5S audits check sheet and comments sheet -issue2.xls]5S ChecksheetGRAND TOTAL/ 2805S SCORE

5S Comments & Actions FormPRODUCTION 5S AUDIT COMMENTS SHEETDate :_____________________________Audited By :_________________________Area Audited : _________________________NumberItemSort(Means removing from the workplace all items that are not needed for current production)Straighten (Can be defined as arranging items so that they are easy to use and labelling them so that they are easy to find and put away)Shine(Means sweeeping floors, wiping off machinery, and generally making sure that everything in the factory stays clean)Standardise (It is the state that exists when the first three S's are being maintained)Sustain (Making a habit of properly maintaining correct procedures)CommentsCommentsCommentsCommentsComments1H & S2Environmental3Facilities4Floors, Walkways & Gangways5Duty Technician6Tooling, Fixtures, Jigs7Wires , cabling & Hoses8Workbenches & surfaces9Visual tracking boards10Red Tag11Mobile Equipment12Storage13Cleaning Standards14Machine Guards, Windows & InterlocksJ:\Continuous Improvement Group\01 Continuous Improvement Council\ELSS\5S\5S Documents for Updating Boards\[5S audits check sheet and comments sheet -issue2.xls]5S Checksheet