12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Go digital today!
Convert your paper checklists into digital forms
Scan this QR code to use this paper checklist on your smartphone or
tablet or visit https://safetyculture.com/

Title Page

Client / Site

Conducted on (Date and Time) 

Inspected by

Location 

Use these score criteria for your inspection:

3 - There is an ability to maintain it.

2 - This is being complied with more systematically.
1 - It is done but not systematically.
0 - Not at all.
N/A - Not Applicable

SORT OUT - SEIRI

Is the floor area free of unwanted items?

3 2 1 0 N/A

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 1/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Are tops and insides of all cupboards, shelves, tables, etc. free of unwanted items?

3 2 1 0 N/A

Are items stored according to frequency of use?

3 2 1 0 N/A

Are walls free of old posters, calendars, pictures , notices etc.?

3 2 1 0 N/A

Is there a general clutter free appearance?

3 2 1 0 N/A

Capture photo\(s) of red tagged items 

SET IN ORDER -SEITON

Are direction indications available to all facilities from the entrance onwards?

3 2 1 0 N/A

Do all items of equipment have identification labels?

3 2 1 0 N/A

Are all rooms, cubicles and similar areas clearly numbered or named?

3 2 1 0 N/A

Are specific areas demarcated for garbage/rejects/waste, etc.?

3 2 1 0 N/A

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 2/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Are switches, fan regulators, controls, etc. labeled?

3 2 1 0 N/A

Are all cables, wires, pipes etc. neat and straight?

3 2 1 0 N/A

Is colour coding used effectively for easy identification?

3 2 1 0 N/A

Is there a general appearance of orderliness?

3 2 1 0 N/A

Is it easy to find any item/document without delay?

3 2 1 0 N/A

Identify and allocate a place for all the materials needed for your work.

SHINE-SEISO

Are cleaning schedules available and displayed?

3 2 1 0 N/A

Are floors, walls, windows doors etc. maintained at a high level of cleanliness?

3 2 1 0 N/A

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 3/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Is use of adequate cleaning tools evident?

3 2 1 0 N/A

Are machines, equipment, tools, furniture maintained at a high level of cleanliness and
their maintenance schedules displayed?

3 2 1 0 N/A

Is there a general appearance of cleanliness all round?

3 2 1 0 N/A

STANDARDIZE - SEIKETSU

Is a daily checklist used to standardize 5s procedures?

3 2 1 0 N/A

Are standard check lists used to regularly inspect 5S?

3 2 1 0 N/A

Are labels, notices etc. standardized?

3 2 1 0 N/A

Do isles/gangways have a standard size and colour?

3 2 1 0 N/A

Are pipes, cables etc. colour coded?

3 2 1 0 N/A

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 4/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

SUSTAIN - SHITSUKE

Is there a system for how and when the 5S activities will be implemented?

3 2 1 0 N/A

Does management provide support to 5S programme by recognition, resources and

leadership?

3 2 1 0 N/A

Have first 3S become a part of the daily work?

3 2 1 0 N/A

Do employees show positive interest in 5S activities?

3 2 1 0 N/A

Are 5S posters and 5S points of work reminders displayed?

3 2 1 0 N/A

Are trainings and other programs implemented to sustain workplace organization?

3 2 1 0 N/A

SAFETY

Click + Add to add a Job Step of the task being assessed

Step

Enter job step description

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 5/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Potential risk or hazard identified while task is being performed (select all that apply)

Explosion
Chemical (Chemical Electrical Ergonomics Excavation Fall Fire Mechan
(Toxic, Reaction, Over (Shock, (Strain, (Collapse) (Slip, (Mecha
Flammable, Pressurization) Short Sprains, Trip) Failure,
Corrosive) Circuit, Human Stuck
Fire, Error) betwee
Static, objects)
Loss of
Power)

Enter other potential risk/s identified

Rate risk/ hazard before control measures

Extremely High Risk High Risk Moderate Risk Low Risk

Take a photo of step/ activity (Optional) 

Hazard Control Measures

Engineering Administrative Personal Protective

Controls Controls Equipment Other

Engineering Controls

Administrative Controls

Personal Protective Equipment

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 6/7
12/18/23, 12:02 PM 6S Lean Safety Checklist - SafetyCulture

Other preventive measures

COMPLETION

Recommendation

Overall Rating

Passed Failed

Full Name and Signature of the Inspector 

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's
solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.

https://public-library.safetyculture.io/products/6s-lean-safety-checklist?amp_dev=cf3f43d9-31c9-48c8-997e-588ed136aa25&sid=1702880466745 7/7