6S ASSESSMENT SHEET

Date Site
Inspected By Zone
Result #DIV/0! Potential Points 0

Non conformités 0 1 2 3 4 >5

Score 5 4 3 2 1 0

Sort - Distinguish between what is needed and not needed NA 0 1 2 3 4 >5

Unneeded equipment, tool, furniture, etc are present
Unneeded items are on walls, bulletin boards, etc.
Items are present in aisle ways, stairways, corners, etc
Unneeded inventory, supplies, parts, or materials are present
Safety hazards (water, oil, chemical, machines) exist
0 Total 0

Set in Order - A place for everything and everything in its place NA 0 1 2 3 4 >5
Correct places for items are not obvious
Items are not in their correct places
Aisle ways, workstations, equipment locations are not indicated
Items are not put away immediately after use
Height and quantity limits are not obvious
0 Total 0

Shine - Cleaning and looking for ways to keep it clean and organized NA 0 1 2 3 4 >5
The cleaning schedule is not visible or monitored (responsibilities, tasks, date)
Floors, walls, stairs, and surfaces are not free of dirt, oil, 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
0 Total 0

Standardize - Maintain and monitor the first 3 categories NA 0 1 2 3 4 >5

Necessary information is not visible
All documents (posters, schedules, tables, standards) are monitored and updated
Checklists don’t exist for all cleaning and maintenance jobs
All KanBan quantities and limits are not easily visible or up to date
How many items can’t be located in 30 seconds
0 Total 0

Sustain - Stick to the rules NA 0 1 2 3 4 >5

How many workers have not had 5S training?
How many times, last week, was daily 5S not performed?
Number of times that personal belongings are not neatly stored
The color code and display rules are respected (documents, lines, KPI, etc.)
The results (KPI) 5S evaluations and job performance / team are displayed and follow-up (months)
0 Total 0

Safety NA Yes No
All PPE requirements are met
The work environment is ergonomically correct (noise, temperature, humidity
There is no risk of falling (congestion, slippery, etc.)
The manual handling techniques are followed (methods, equipment, tools)
Safety rules are respected (nesting cylinders, site rules, etc.)

Total 0

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