7

8
9
10
Business:
(Enter business name / location)
(Select Department to be Audited)
(Enter date of audit)
Audit Team:
Department:
Audit Date:
(Enter names of Audit Team)
0
1
2
3
4
5
Sort
Simplify
Shine
Standar
dize
Sustain
Department: Date: (Enter date of audit)
Audit Team:
Evaluation Form
Level
1
Initial Effort
0.00
Level
2
Awareness of Need
0.00
Level
3
Understanding
0.00
Level
4
Commitment
0.00
Level
5
Habit
0.00
0.00
Total Sort Score
Comments / Suggestions:
Obsolete materials are routinely
removed from the area. Preventive
measures are in place to keep
unnecessary items, reports, etc, from
entering the work place
Have sources of unnecessary items been identified?
Is sorting done according to the schedule?
Has action been taken to prevent un-necessary items from entering the area?
Fractional score for any given level can only be awarded once full compliance is obtained for all preceding levels.
All material is sorted according to what
will be worked on and when. Materials,
tooling, files, and reports are routinely
reviewed for necessity
Only documents and tools necessary to
the work area are stored at the work
stations and are stored in an orderly
manner.
Needed and unneeded items are
identified and unneeded items are
removed from the area. Nothing is
placed on top of machines, cabinets,
etc.
Are unnecessary items Red Tagged within work stations and common areas?
Is action register (PCSAM, PCC, Kaizen forms, CIP) active and current for the departement?
Are sources (causes) of unnecessary items identified and documented on an action register? Eg. Delivery boxes,
obsolete equip, out-dated documentation.
Is a sorting schedule and responsibility documented for the area?
Are items organized based on frequency of use?
Action register follow-through with management support?
Are actions taken to correct the sources of unnecessary items? Eg. Parts containers discarded immediately.
5S
Can team members generally identify items as necessary or unnecessary within their work area?
SORT
...within common work area?
Team has identified items in the work
area.
Are Red Tagged items removed from work stations and common areas according to the plan?
Is there a documented plan for removing these items from the department?
(Select Department to be Audited)
(Enter names of Audit Team)
Are necessary items organized in an orderly manner?
Do Red Tag procedures exist?
Do team members know how to use Red Tag system?
Does Red Tag area exist for the department?
Do standards exist for personal items?
Do work stations meet standards for personal items?
5.1
Yes No
5.2
Yes No
5.3
Yes No
5.4
Yes No
1.1
Yes No
1.2
Yes No
1.3
Yes No
1.4
Yes No
4.1
Yes No
4.2
Yes No
4.3
Yes No
4.4
Yes No
3.1
Yes No
3.2
Yes No
3.3
Yes No
3.4
Yes No
2.1
Yes No
2.2
Yes No
2.3
Yes No
2.4
Yes No
Department: Date: (Enter date of audit)
Audit Team:
Evaluation Form
Level
1
Initial Effort
0.00
Level
2
Awareness of Need
0.00
Level
3
Understanding
0.00
Level
4
Commitment
0.00
Level
5
Habit
0.00
0.00
Total Simplify Score
5S
Are there visual indicators for the proper locations of necessary items? Labeling, outlines, shadow boards, etc
For multiples, are the planned quanitites identified? Min/max for Kanbans, etc
Are necessary items minimized? No extras.
Are all items organized so more frequently used items are closer to point of use? Arranged based on retrieval
frequency?
Are storage locations appropriately labeled and visual?
Are incoming and outgoing areas clearly designated?
Are there only necessary items in the work area? Labeling, outlines, or shadow boards are not required.
Are all necessary items stored in designated locations?
Are all storage locations neat and orderly?
Are incoming and outgoing areas actively utilized?
Are unnecessary items minimized and labeled?
Are all cords, boxes, rugs, and other potential hazards stored correctly?
Are exits and fire extinguishers clearly labeled and unobstructed?
Is department free of general clutter?
Comments / Suggestions:
Are labels concise and easy to read?
Does immediate work area contain only those items currently in use?
Could anyone walk into the area and easily locate work and tools by priority?
Fractional score for any given level can only be awarded once full compliance is obtained for all preceding levels.
Has storage space and distance to necessary items been minimized?
(Select Department to be Audited)
(Enter names of Audit Team)
Simplify
Needed items can be retrieved in 30
seconds or less. Anyone can walk into
the work area and easily identify what is
currently being worked on. Corrective
action measures are in place to
address abnormal conditions.
All needed items are present in the
work area. It is not difficult to
determine items currently in-use or their
priority. Aisles and walkways are
clearly marked and unobstructed.
Team members can easily determine
what items are currently in-use and
their priority. Visual controls are in
place to indicate normal versus
abnormal conditions.
A priority system has been established
to highlight the order in which duties
are performed. All necessary items
have designated locations.
Needed items are organized according
to use, including production tooling,
hand tools, and work procedures.
Incoming and outgoing areas are
clearly designated and utilized
Is proper storage of all items a habit across the department?
Can all necessary items be retrieved within 30 seconds?
5.1
Yes No
5.2
Yes No
5.3
Yes No
5.4
Yes No
1.1
Yes No
1.2
Yes No
1.3
Yes No
1.4
Yes No
4.1
Yes No
4.2
Yes No
4.3
Yes No
4.4
Yes No
3.1
Yes No
3.2
Yes No
3.3
Yes No
3.4
Yes No
2.1
Yes No
2.2
Yes No
2.3
Yes No
2.4
Yes No
Department: Date: (Enter date of audit)
Audit Team:
Evaluation Form
Level
1
Initial Effort
0.00
Level
2
Awareness of Need
0.00
Level
3
Understanding
0.00
Level
4
Commitment
0.00
Level
5
Habit
0.00
0.00
Total Shine Score
Comments / Suggestions:
Work area housekeeping is a routine
way of life. Preventative measures are
in place to address cleanliness issues. Does all equipment meet company paint standards?
Have preventative measures been implemented?
Is a TPM program defined and in use?
Fractional score for any given level can only be awarded once full compliance is obtained for all preceding levels.
Work area housekeeping
responsibilities are established and
being followed on a scheduled basis.
Problems are identified and
documented.
Cleanliness expectations have been
established and items may be found in
defined locations. Area communication
tools are current.
Initial cleaning was performed. All
machines and equipment are clean in
appearance (no repainting required).
Workbenches and desks are free of
unnecessary objects.
Are walls and equipment adequately painted? Including wall paint or paper.
Does the department as a whole appear visually pleasing during initial walk-through (condition/quality of carpets, walls,
work spaces, etc)?
Are the inspections, cleaning, and organizing done according to the schedule?
Are potential problems documented? FMEA, action register, etc..
Is a documented problem / cause documentation practice available to all employees and utilized? (dash-boards,
PCSAM, CIP, department performance metrics)
Is responsibility being assigned to corrective actions, inspections, and solutions?
Are 5S performance metrics posted and up to date?
5S
Do work areas display general cleanliness and organization?
Shine
Is there adequate lighting?
Area cleaning is performed on a
random basis.
Are posted metrics current? (dash-boards, PCSAM, CIP, department performance metrics)
Are items stored in their designated places?
(Select Department to be Audited)
(Enter names of Audit Team)
Are 5S performance standards established and documented within the department? Photos, diagrams, floor plans, etc..
Are appropriate cleaning supplies accessible and available for use?
Do common areas display general cleanliness and organization?
Is there a schedule of regular inspections, cleaning, and organizing? Clean as you go.
Are all unnecessary items removed from the work area?
Is all equipment well-cleaned (equipment, desks, computers, tools, etc)
5.1
Yes No
5.2
Yes No
5.3
Yes No
5.4
Yes No
1.1
Yes No
1.2
Yes No
1.3
Yes No
1.4
Yes No
4.1
Yes No
4.2
Yes No
4.3
Yes No
4.4
Yes No
3.1
Yes No
3.2
Yes No
3.3
Yes No
3.4
Yes No
2.1
Yes No
2.2
Yes No
2.3
Yes No
2.4
Yes No
Department: Date: (Enter date of audit)
Audit Team:
Evaluation Form
Level
1
Initial Effort
0.00
Level
2
Awareness of Need
0.00
Level
3
Understanding
0.00
Level
4
Commitment
0.00
Level
5
Habit
0.00
0.00
Total Standardize Score
5S
Do methods exist to promote continuous improvement as new best practices are discovered (KIR form/guidelines, Kaizen
recording)?
Are process work instructions available and closely followed? (30-second rule applies)
Has the area achieved level 5 ratings in Sort, Simplify and Shine
Are operating rules and work instructions available within the department?
Do all work stations follow department 5S standards?
Is the work area layout displayed? Visual flow, area names / process descriptions, photos, diagrams.
Are controls (eg. Kanbans, red tagging) documented? (Area notebook, Kanban operating rules, work instructions)
Has the area achieved level 3 ratings in Sort, Simplify and Shine
Can team members identify specific standards for labeling, quantities and controls? (All shifts included)
Is the basic work area layout common within the department?
Can team members generally identify standard processes to perform work? (All shifts included)
Are any work instructions documented and available? (ISO, Engineering Standards, AQL, Routings)
Has the area achieved level 2 ratings in Sort, Simplify and Shine?
Are best practices for work stations, labels, quantities and controls utilized across departments?
Comments / Suggestions:
Has the area achieved level 4 ratings in Sort, Simplify and Shine
Are arrangements and practices based on uniform methods (each team member performs tasks uniformly)?
Is facility function/department layout displayed at common visitor entrance(s)?
Fractional score for any given level can only be awarded once full compliance is obtained for all preceding levels.
Are arrangements and controls based on benchmarks or best practices?
(Select Department to be Audited)
(Enter names of Audit Team)
Standardize
A system of improving work methods
and work area controls is clearly being
utilized throughout the organization.
Possible for visitors to tell what work is
performed and where in all cases.
Work methods are documented in some
cases. Employees generally know what
type of work is performed and where.
Team is utilizing standard work methods
and work area controls on a routine
basis. Possible for visitors to recognize
standardization practices.
Team has documented needed items,
work methods, and work area controls
and has made them available in the
work area.
Team has agreed on needed items,
work methods, and work area controls.
Possible for visitors to tell what work is
performed and where in some cases.
Are standards for labeling, quantities and controls agreed upon and documented? Colors, fonts, font size, label material
Are the arrangements and controls shared with other areas?
5.1
Yes No
5.2
Yes No
5.3
Yes No
5.4
Yes No
1.1
Yes No
1.2
Yes No
1.3
Yes No
1.4
Yes No
4.1
Yes No
4.2
Yes No
4.3
Yes No
4.4
Yes No
3.1
Yes No
3.2
Yes No
3.3
Yes No
3.4
Yes No
2.1
Yes No
2.2
Yes No
2.3
Yes No
2.4
Yes No
Department: Date: (Enter date of audit)
Audit Team:
Evaluation Form
Level
1
Initial Effort
0.00
Level
2
Awareness of Need
0.00
Level
3
Understanding
0.00
Level
4
Commitment
0.00
Level
5
Habit
0.00
0.00
Total Sustain Score
Comments / Suggestions:
Information on the control board is
meaningful and influences the daily
decisions of the work area. Root
causes of problems are eliminated and
actions focus on preventive methods.
Have future problems been documented?
Have corrective actions reduced the number and/or severity of problems?
Have preventative measures been put in place?
Fractional score for any given level can only be awarded once full compliance is obtained for all preceding levels.
Team routinely checks to maintain 5S.
Information on the control board is
meaningful to the work area. Source
and frequency of problems are
documented and corrective action
taken.
A general understanding for 5S need
and direction exists. Control board is
present, visible and maintained.
Team members have knowledge of and
are employing some aspects of 5S.
Has the area achieved level 3 ratings in standardize?
Has the area achieved level 4 ratings in standardize?
Does the control board promote continuous improvement through problem / cause / solution methods?
Do all team members understand and abide by the 5S department standards?
Are actions taken to correct the causes?
Has the area achieved level 5 ratings in standardize?
Are results of internal checks posted on problem/cause board and analyzed to determine causes of problems?
5S
Does general 5S awareness exist within the department?
Sustain
Are the 5 S's posted within the department?
Some 5S awareness exists among
team members in the area.
Does the department post and maintain a control board including 5S expectations, standards, and performance?
Are internal self-checks of 5S controls conducted by employees or managers?
(Select Department to be Audited)
(Enter names of Audit Team)
Can employees explain the benefits 5S brings to the department? (All shifts included)
Has the area maintained or improved since the previous audit? (Check "no" if this is the initial audit)
Has the area achieved level 2 ratings in standardize?
Is 5S awareness included in new hire/new job orientation for the department?
Is the 5S audit score posted in the department?
Do the employees understand their role in 5S activities? (All shifts included)
5.1
Yes No
5.2
Yes No
5.3
Yes No
5.4
Yes No
1.1
Yes No
1.2
Yes No
1.3
Yes No
1.4
Yes No
4.1
Yes No
4.2
Yes No
4.3
Yes No
4.4
Yes No
3.1
Yes No
3.2
Yes No
3.3
Yes No
3.4
Yes No
2.1
Yes No
2.2
Yes No
2.3
Yes No
2.4
Yes No
Sort 0.00
Simplify 0.00
Shine 0.00
Standardize 0.00
Sustain 0.00