5S Workplace Scan Checklist

Department: Date: Scored By:

Place an "x" in the appropriate box based on number of issued observed.

Number of Observations >>

1-2 3-4 5-6

X X X X X

>6

Distinguish between what is needed and not needed

1 2

Unneeded equipment, tools, furniture, etc. are present Unneeded items are on walls, notice boards, etc Items are present in walkways, stairways, corners, fire exits etc. Unneeded inventory, supplies, parts, or materials are present Safety hazards (water, oil, chemical, machines) exist Subtotal >>
0 1

Sort

3 4 5

A place for everything and everything in it's place

1

Set in Order

Correct places for items are not obvious Items are not in their correct places Walkways, workstations, equipment locations are not indicated Items are not put away immediately after use Height and quantity limits are not obvious Subtotal >>
0 X 1

X X X X

2 3 4 5

Cleaning, and looking for ways to keep it clean and organised

1

Floors,walls stairs, and surfaces are free of dirt, oil, and grease Equipment is not kept clean and free of dirt, oil, and grease Cleaning materials are not easily accessible Lines, labels, signs, etc are not clean and unbroken Other cleaning problems of any kind are present Subtotal >>
0 X X 2 X

X X

Shine

2 3 4 5

Maintain and monitor the first three categories

1

Standardize

Necessary information is not visible All standards are not known and visible Checklist don't exist for all cleaning and maintenance jobs All quantities and limits are not easily recognizable How many items can't be located in 30 seconds Subtotal >>
0 X 1

X X X X

2 3 4 5

Stick to the rules

1

How many workers understand the 5s principals How many times last week was daily 5s not performed Number of times that personal belongings are not neatly stored Number of times job aids are not available or up to date Number of times last week daily 5s inspection were not performed Subtotal >> Total >> Grand Total 5S Score
0 0 X 1 6 0 16 6 24 X X

X X

Sustain

2 3 4 5

8 8

54

5S Workplace Summary
Department: Date:

Department 3 September, 2008

1 2
Scored by:

An "x" represents the total number of observed instances

John Smith

Number of Observations >>

1-2 3-4 5-6

X X X X X

>6

Monthly 5S Overview
1 - Sort
20 15 10

Distinguish between what is needed and not needed Unneeded equipment, tools, furniture, etc. are present Unneeded items are on walls, notice boards, etc Items are present in walkways, stairways, corners, fire exits etc. Unneeded inventory, supplies, parts, or materials are present Safety hazards (water, oil, chemical, machines) exist

Sort

3 4 5

Subtotal >> A place for everything and everything in it's place

1 2 3 4 5

11

5 - Sustain

5 0

2 - Set in Order

Set in Order

Correct places for items are not obvious Items are not in their correct places Walkways, workstations, equipment locations are not indicated Items are not put away immediately after use Height and quantity limits are not obvious
X

X X X X

Subtotal >> Cleaning, and looking for ways to keep it clean and organised
1

11

4 - Standardize
X X X X X

3 - Shine

Floors,walls stairs, and surfaces are free of dirt, oil, and grease Equipment is not kept clean and free of dirt, oil, and grease Cleaning materials are not easily accessible Lines, labels, signs, etc are not clean and unbroken Other cleaning problems of any kind are present

Shine

2 3 4 5

Monthly Audit Results

Subtotal >> 6
100 90
X X X X

Maintain and monitor the first three categories

1

Standardize

Necessary information is not visible All standards are not known and visible Checklist don't exist for all cleaning and maintenance jobs All quantities and limits are not easily recognizable How many items can't be located in 30 seconds
X

80 70 60
50

2 3 4 5

65

60

55

60 51 45 54 46 46

Subtotal >> Stick to the rules

1

11
X X

40 30
20

How many workers understand the 5s principals How many times last week was daily 5s not performed Number of times that personal belongings are not neatly stored Number of times job aids are not available or up to date Number of times last week daily 5s inspection were not performed
X X X

Sustain

2 3 4 5

10 0
Jan-06 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Subtotal >> Total Score >>

15 54
Month Score 65 60 55 60 45 51 46 46 54 Goal 30 30 30 30 30 30 30 30 30 30 30 30

Department 1 Department 2 Department 3

Department 4 Department 5 Department 6 Department 1 Department 2 Department 3 Department 4 Department 5 Department 6

January, 2008 February, 2008 March, 2008 April, 2008 May, 2008 June, 2008 July, 2008 August, 2008 September, 2008 October, 2008 November, 2008 December, 2008

1 - Sort 2 - Set in Order 3 - Shine 4 - Standardize 5 - Sustain

11 11 6 11 15

Jan-06 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

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