5S OBSERVATION FORM

NAME__________________________ AREA___________________________
OBSERVATIONS
SCORING 1-5
(Very weak = 1, Excelle! = 5"
Re#$l!
(1-5"
IM%ROVEMENTS Re#$l!
(1-5"
1. Removing
unnecessary
items
All items not necessary for performing
work are removed from the workplace;
only tools and products are present at
workstations.
2. Storage of
cleaning
equipment
All cleaning equipment is stored in a
neat manner; handy and easily
available when needed.

. !loor cleaning All floors are clean and free of debris"
oil and dirt.
#. $ulletin $oard %o outdated" torn or soiled
announcements are displayed. All
bulletins are arranged in a straight and
neat manner.
&. 'mergency
access
!ire hoses and emergency equipment
are unobstructed and stored in a
prominent easy(to(locate manner.
Stop switches and breakers are
marked or colour coded for easy
visibility.
). *tems on floor. +ork(in(progress" tools and any other
material are not left to sit directly on
the floor. ,arge items are positioned
on the floor in clearly marked areas
delineated by painted lines.
-. Aisleway
marking
Aisles and walkway are clearly
delineated and can be identified at a
glance" lines are straight and at right
angles with no chipped or soiled paint.
.. Aisleway
maintenance.
Aisles are always free of material and
obstructions; nothing is ever placed on
the lines and ob/ects are always
placed at right angles to the aisle
lines.
0. Storage and
arrangement
Storage of bo1es" containers and
material are always neat and at right
angles. +hen items are stacked" they
are never crooked or in danger of
toppling over.
12. 'quipment
painting.
All machines and equipment are
painted and kept clean3 by routine
daily care; there are no places in the
plant less than two metres high that
are unpainted.
11. 'quipment (
4leanliness.
5achines and equipment are kept
clean and unsoiled by daily care3 glass
6windows7 and work surfaces are kept
clean and polished.
12. 'quipment (
maintenance.
4ontrols of machines are properly
labelled and critical points for daily
maintenance checks 6e.g. fluid and
lubrication levels7 are clearly marked.
'quipment check sheets are neatly
displayed and kept clean and updated.
File name = 246792068.doc 1 of 2 Date printed = 08/10/14 11:20
5S OBSERVATION S&EET
OBSERVATIONS
SCORING 1-5
(Very weak = 1, Excelle! = 5"
Re#$l!
(1-5"
IM%ROVEMENTS Re#$l!
(1-5"
1. 'quipment (
storage.
%othing is placed on top of machines"
cabinets and equipment3 nothing leans
against the walls or columns. 8uards
and deflectors are used to keep chips
and oils from falling on the floor.
1#. 9ocuments
(storage.
:nly documents necessary to the work
are stored at workstations; such
documents and binders are stored in a
neat and orderly manner.
1&. 9ocuments (
control.
All documents are labelled clearly as
to contents and responsibility for
control and revision. %o unlabelled
binders;documents are present.
:bsolete or unused documents are
routinely purged.
1). <ools =
8auges
(arrangement
<ools" /igs and fi1tures are arranged
neatly and stored in a way that they
are kept clean and free of any risk of
damage.
1-. <ools =
8auges
(convenience.
<ools" /igs and fi1tures are arranged so
they can be easily accessed when
changeovers or set(ups are made (
thus facilitating productivity. <he
same for gauges and measuring
equipment used to monitor quality.
1.. Shelves"
$enches =
9esks (
arrangement.
<hese are arranged" divided and
clearly labelled such that it is obvious
where things are stored and where
they should be returned.
10. Shelves"
$enches =
9esks
(4ontrol.
<hese are kept fee of unused ob/ects"
including files and documents. <ools
and fi1tures are cleaned before being
replaced to proper position.
22. &S 4ontrol
and
5aintenance
<here is a disciplined system of
control and maintenance to ensure
that each of the above item be
maintained at the highest possible
level. *t is the responsibility of
management to maintain this system
TOTA' O(T OF 1))*
File name = 246792068.doc 2 of 2 Date printed = 08/10/14 11:20