Y/N 0,1,2,3 or 4

Checklist item Criteria Exist? Rating Comments

Sort - SEIRI
Cabinets and shelves No irrelevant reference materials, documents, drawings, etc.
Desks and tables No irrelevant reference materials, documents, etc.
Drawers No excess pieces of equipment, documents, etc.
Other storage area Storage area is defined to store unneeded items and out-dated documents
Standards for disposal Standards for eliminating unnecessary items exist and are being followed
Set in order - SEITON
Desks, shelves & cabinets Desks and cabinets are free of accumulations of papers and other objects
Tools and equipment All tools and equipment are stored in a fixed place
Easy of take and return Tools and equipment are well organized for ease of take and return
Storage labels Labeling of cabinets, shelves and files allows immediate identification
Documents Documents are filed in accordance with the Record Retention Guidelines
Display areas Displays are tidy, free of clutter, labeled and up-to-date
Safety Safety equipment easily accessible and in good condition
Shine - SEISO
Floor The floor is kept clean and no signs of damage
Building structure Walls and ceilings are in good condition and free from dirt/dust
Racks and cabinets Racks and cabinets are kept clean and in good condition
Equipment and tools Equipment and tools are kept clean and in good condition
Furniture Desks, tables and other furniture are kept clean
Lighting Lighting is enough & the angle and intensity of illumination are appropriate
Ventilation Good movement of air exist through the room
Trash containers Trash containers are emptied on a regular basis
Standardize - SEIKETSU
Display boards Visual controls and display boards are used and regularly updated
Procedures Procedures for maintaining the first three S's are being displayed
5S documentation 5S checklists, schedules and routines are defined and being used
Responsibilities Everyone knows his responsibilities, when and how
Regular Audits Regular audits are taking place using checklists and measures
Sustain - SHITSUKE
5S System 5S seems to be the way of life rather than just a routine
Success stories Success stories are being displayed (i.e. before and after pictures)
Rewards and recognition Rewards and recognition is part of the 5S system

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