5S Audit Check sheet

Area Area Owner:

Zone No. Zone Owner:

Auditee Auditor:
Audit Cycle : Weekly Audit Date:
OK Not OK
Activity Pt.No Checkpoint Observation

1 Is Zone layout available & displayed. YES

2 Are there unwanted items within Zone/ Sub Zone YES

1S
(SEIRI)
Sorting Out
3 Is bimonthly 1S activity record available? YES

Is Rejection /Rework rules clearly displayed &

4 YES
understood?

5 Are Dust Bins containing only prescribed Items? YES

Is codification of machine ,equipment ,tools,guage

1 YES
item done?

Is there a system of setting things order & is it

2 YES
followed (2S activity Sheet)?

Are all the machine / equipment /Item positioned as

3 YES
per layout.
2S Gangways are marked & clearly visible and no
(SEITON) 4 YES
material is in gangway.
Systematic
Arrangement
Do the necessary materials have labels, configured
5 homes and min/max indicators /Are material storage YES
for Incoming material working properly .

Are all items inside the racks/ drawer / Almirahs stored

6 YES
properly and item list displayed.

Is place for keeping rejection & rework fixed and

7 YES
rejection & rework placed in defined place.

Is there a system of cleaning (SEISO Responsibility)

1 YES
and is it being followed?

2 Floor cleanliness - free from dust , oil etc. YES

3S
(SEISO) Dust free machines, equipments, tools gauges, Jigs,
Cleanliness 3 YES
pallets, bins, etc.

4 No part/ Item/ component on floor. YES

5 No dust above machines, panels, Almirahs,racks. YES

Is Display board properly organized and list of

1 YES
Displays visible?
4S
Are all work instructions & quality documents correct,
(SEIKETSU) 2 YES
Standardization accessible & appropriate?

Is 5S Audit - Sheet displayed and action on gaps/

3 YES
pending evident.

All employees are in defined dress code (i.e. Uniform

1 YES
Apron ,Cap, Shoes etc.).

All employees are wearing Safety devices/PPE

2 YES
5S wherever defined in OGS/ W.I.
(SHITSUKE)
Self Discipline
3 All employees are wearing neat & clean Uniform. YES

4 Does awareness exists about 5S ? YES

PERCENTAGE OF SCORE = (NUMBER OF YES /TOTAL NO. OF OBSERVATIONS) 96% Last Audit Score -

5 S Status Green Yellow Red Status -YELLOW

(> 80%) (65 - 80%) (<
(Tick in appropriate
column) 65%)

Auditor Sig. Auditee Sig. Receiving Date: