5 S CHECK SHEET

DEPTT. S1 S2 S3 S4 S5
1ST RESPONSIBILITY 2ND RESPONSIBILITY

DATE:

0 1 2 3 4 5
UNACCEPTABLE. NO ACTIVITY STARTED WIDESPREAD ACTIVITY MINIMUM ACCEPTABLE LEVEL VERY GOOD RESULTS WORLD CLASS EXAMPLE
TO BE RATED ON SCALE OF 0 TO 5 EVIDENCE OF THIS ITEM SLIGHT EVIDENCE OF MANY OPPRTUNITIES SUSTAINED FOR ATLEAST SUSTAINED FOR ATLEAST SUSTAINED FOR ATLEAST
THIS ITEM FOR IMPROVEMENTS ONE MONTH THREE MONTHS SIX MONTHS

5S NO. ITEM POINTS AIMED AT 0 1 2 3 4 5 TOTAL

1 THINGS SHOULD NOT BE KEPT WHICH ARE NOT IN USE. CHECK WHETHER THERE ARE UNNECESSARY THINGS LAYING ON THE
ARRANGEMENT

M/C, TABLE, SHELF ETC.

2 PLACE FOR KEEPING GOODS AND CORRIDOR SHOULD BE SECTIONS AND LINES ARE DRAWN CLEARLY OR NOT.
DISTINCTLY MENTIONED.
S1

3 THERE SHOULD NOT BE ANY SPARE COMPONENT,TOOL, BINS,
FILES AND PAPERS ETC.
4 CHECK THAT ALL THE NOTICE BOARDS AND DESPLAYS OF
INFORMATION ARE ARRANGED PROPERLY OR NOT.
1 SPECIFY THE PLACES FOR KEEPING COMPONENTS,TOOLS,
GAUGES AND FILEES ETC.
ORDERLINESS
CHECK WHETHER THINGS WHICH CAN NOT BE USED ARE REMOVED OR
NOT.
CHECK WHETHER IT IS IN STRAIGHT LINE & RIGHT ANGLE AND WHETHER IT
IS UNEVEN & IRREGULAR.
CHECK WHETHER IT COULD BE UNDERSTOOD EASILY OR NOT.

2 CHECK WHETHER EVERYONE IS KEEPING THINGS AT DECIDED CHECK WHETHER THE IDENTIFICATION IS GOOD OR NOT.
PLACE.
S2

3 THINGS SHOULD NOT BE LEFT OFTEN USED IN IRREGULAR CHECK WHETHER THE REQUIRED THINGS CAN BE TAKEN IMMIDIATELY
MANNER. OR NOT.
4 CHECK WHETHER THE ARRANGEMENT OF REST PLACE IS GOOD BENCH, TABLE, CHAIR, COMPUTER, PRINTER, TELEPHONE AND CUPS ARE
OR NOT. KEPT PROPERLY OR NOT.
1 CHECK WHETHER THERE IS SCRAP, DUST, OIL LEAKAGE. AIR LEAK CHECK WHETHER THERE IS DIRT, DUST, COBWEBS AND OIL OR NOT.
OR WATER LEAK.
2
CLEANING

CHECK WHETHER MACHINES ARE BEING REPAIRED OR NOT. CHECK WHETHER THE INSIDE OF M/C OR RACK IS CLEAN OR NOT AND
SOUND, SMELL, VIBRATION AND TEMPRATURE IS OK OR NOT.
S3

3 CHECK WHETHER THE CLEANING IS OK OR NOT.
4 CHECK WHETHER THE PLACE FOR KEEPING OIL AND OIL CONTAINER
RACKS , ALMIRAHS AND TABLE IS CLEAN OR NOT.
1 CHECK WHETHER THE SHELF AND PLACE FOR KEEPING THINGS
ARE NEAT AND TIDY.
2 CHECK WHETHER THE WORK AREA IS DIRTY.
TIDINESS
CHECK WHETHER DIRT, DUST, COBWEBS ETC HAVE BEEN PROPERLY
REMOVED OR NOT.
CHECK WETHER OIL, DUST AND DIRT IS ACCUMULATED OR NOT.
CHECK WETHER IT IS KEPT IN STRAIGHT LINE AND IN RIGHT ANGLE AND
CHECK THERE ARE ABUNDANT THINGS.
CHECK WHETHER THERE IS WASTE GLOVES, TOOLS, PAPERS, AND SCRAP

OR NOT.
S4

3 CHECK WHETHER THE MACHINE AND GAUGES ETC. ARE DIRTY. CHECK WETHER INDICATIONS ARE EASY TO SEE OR NOT.

4 CHECK WHETHER THE MACHINE ARE BEING INSPECTED CHECK WHETHER THE CUTTING OIL, LUBRICATING OIL, PRINTING AND
(OVERHAULED) OR NOT. PHOTOCOPY QUALITY IS OK OR NOT.
1 CHECK WETHER THE NAME PLATE, BATCH AND DRESS ARE OK WHETHER IT IS BEING WORN PROPERLY WITH PROPER PATTERN OR NOT.
OR NOT.
DISCIPLINE

2 CHECK WHETHER PERSONS ARE WEARING SAFETY AIDS. CHECK WHETHER THEY ARE WEARING OR NOT AND THEY ARE WEARING
SHOSE OR NOT AND FOR LOOSE WIRES.
S5

3 CHECK WHETHER PEOPLE ARE SMOKING/SPITTING AT SMOKING PLACE FOR THROWING TOBACCO ASH IS CLEAN OR NOT.
PLACE ONLY OR NOT.
4 CHECK WHETHER WORKING ATTITUDE IS GOOD OR NOT. HOW ARE Q.C. CIRCLE AND SUGGESTIONS WORKING.

G.TOTAL

ORANGE: 0-39% YELLOW: 40%-74% GREEN: 75%- 100%

FORMATE NO:- P&A/FO/5S-01

Rev. No. 00
Issued date 02-11-2000