1 of 4

Date:
S1 SORT
10
8
5S Area Audited: 6 S2 STRAIGHTEN
SAFETY
4
2

Auditor: 0

Area Representative: S5 SUSTAIN

S3 SHINE

S4 - STANDARDIZE

# Yes No Notes / comments

1
Are empty boxes, old rags or cleaning supplies properly stored?
(designated areas)

2
Is inventory (WIP and FG) properly identified and stored in
designated areas? (tooling/ Set up carts)

3
Postings, signs and notices are current with date noted and file
location if required? (unnesc. documentation)

4
Are area work instructions, and prints organized and accessible?
(current & up to date / Clean books & sheets)
SORT

5
Are kanbans organized and used in the work area? ( cards in
tubs/proper location on spinner)

6
Are unnecessary and obsolete inventory, tools and scrap removed
from the work area? ( Hand tools reduced to min)
Are disposition areas designated for unnecessary inventory / tools,
7 scrap, warranty, etc.? (samples identified and dated, with next
steps documented)
Are disposition areas being actively reviewed for causes and
8 countermeasures with last review date noted? (NMR completed
w/in 48 hours and dated)

Total for Sub Category

1
Are positions of main corridors, aisles, clearly marked in yellow?
( items in aisle)

2 Are all material drop zones clearly marked and aisles clear?

3
Are tool shadow boards in use and utilizing best current practices
and effectively located?
STRAIGHTEN

4 Are material handling supplies properly stored and identified?

5
Are inspection gauges, tools, fixtures, sorted, classified and
labeled?

6
Are equipment checklists in use, clearly marked, dated and stored
near the machine?

7
Are stock locations, including POU point of use tooling and set up
kits, labeled by part number or family?

8
Are work stations clearly marked and easily accessible to place
incoming and outgoing work?

Total for Sub Category

1
Are walls, floors and columns clean? Inclusive of turntables and
area fans

2 Are area cleaning supplies easily accessible and identified?

3 Are the light bulbs in operating condition (not burned out)?

4
Are work surfaces, (TOOLS,) inspection gauges and settings
CLEAN and visible?
SHINE

5 Are the display boards and visual controls clean and readable?

6
Are the machines' EXTERIOR free of oil, dirt, dust and debris?
(windows)

7
Are the machines' INTERIOR free of oil, dirt, dust and debris?
(windows)

8
Are trash and pallets removed at proper intervals, maintained
below maximum fill levels?

Total for Sub Category

***** Note Form Continued on Other Side *****

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 2 of 4

# Yes No Notes / comments

1 Are 5S responsibilities assigned?

2
Are all storage/equipment areas marked and labeled consistently
and understandably?

3
Does everything have a designated place and are items in the
designated place?
STANDARDIZE

4
Is visual management standardized? (HHBS color codes / shadow
boards)

5 Are proper supply levels indicated in the storage areas?

6
Are tool carts and boxes organized? (inclusive of set up kits, and
POU)

7
Is necessary information available for how Sort, Store and Shine
are to be performed?

8 Is WIP stored and labeled in a standardized manner?

Total for Sub Category

1 Does the area have a clean, organized appearance?

2
Are abnormal conditions visually identifiable by the use of
ANDONs

3
Are improvements being incorporated as a result of Kaizen event
action and (RESULTS) Visually tracked in area?

Are (SQDIP) countermeasures defined and clearly communicated?

SUSTAIN

5
Is a process in place to frequently review progress on action items
and provide feedback

6
Are monthly audit scores above target, or if not, is the score
improving over the past 3 months?

7
Are 5S procedures clearly defined with local ownership and
understood by all?

8
Are key metrics and countermeasures identified, tracked, visually
displayed and reviewed regularly?

Total for Sub Category

1 MSDS documentation present and accessible?

2
Equipment lockout locations and procedures present and
accessable?

3 Is a process in place to review progress on area safety items?

4
Are floors and aisles free from oil, water or any type of protrusion
SAFETY

that may cause a fall?

5 Are safe work practices being followed?

6
Are electrical wires and extension cords off the floor, neat and
secured ? Are extension cords labeled with 60 day removal date?

7 Machine operator controls properly identified?

Are containers, drums, pails, bottles, etc. identified/labeled with

8 the contents and stored properly? (HMIS policy violations
forwarded to Safety office)

Total for Sub Category

Grand Total
Grand total / 6 = score

***** Note Form Continued on Other Side *****

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 3 of 4

Date:
S1 SORT
10
8
5S Area Audited: 6 S2 STRAIGHTEN
SAFETY
4
2

Auditor: 0

Area Representative: S5 SUSTAIN

S3 SHINE

S4 - STANDARDIZE

# Yes No Notes / comments

1
Are all unecessary items removed from the workcenter or work
station?

2
Are the Bulletin Board notices current (no outdated, torn or soiled
notices displayed)?

3
Are all documents and files stored appropriately (not underneath
desks or workstations)?

4 Only documents which are used today are in the work area.
SORT

5 Is the evacuation map up-to-date and visually posted?

6
Are any confidential papers and controlled documents filed and
controlled appropriately?

7
Are dry-erase and / or communication boards accessible, current,
and presentable?

8
Are there any unnecessary items taped to the walls, glass,
computer, or monitor?

Total for Sub Category

1 Are positions of main corridors and aisles clear and not blocked?

2
Are all furniture, equipment, partitions and cabinets neatly
arranged and convenient?

3 Are documents, binders, catalogs, etc. stored neatly?

STRAIGHTEN

4
Are shelves, work stations, and storage cabinets easily accessible
to place incoming work?

5 Are tops of equipment or cabinets free of material and papers?

6
Are document binders clearly labeled as to content and
responsibility for control and revision?

7 Are cleaning supplies stored in a designated area?

8
Are computer cables and electrical cords neatly bound and
organized?

Total for Sub Category

1 Are walls, floors and columns clean?

2 Are the light bulbs, reflectors or shades clean?

3 Are the light bulbs in operating condition (not burned out)?

4 Are work surfaces, gauges and settings clean and visible?

SHINE

5 Are the display boards and visual controls clean and readable?

6 Are the machines free of oil, dirt, dust and debris?

7
Are empty pallets and bins removed from the work areas at
frequent intervals?

8
Are trash and recycle bins emptied at proper intervals, maintained
below maximum fill levels?

Total for Sub Category

***** Note Form Continued on Other Side *****

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 4 of 4

# Yes No Notes / comments

1
Are 5S + S responsibilities for common areas (break, mail, copy,
reception rooms) assigned?

2
Are all storage/equipment areas marked and labeled consistently
and understandably?

3
Does everything have a designated place and are items in the
designated place?
STANDARDIZE

4 Is visual management standardized?

5 Are proper supply levels indicated in the storage areas?

6
Are visual controls evident to maintain sort, straighten, and scrub
criteria?

7 Are work instructions current?

8
Is there evidence that a schedule exists to maintain all Sort,
Straighten and Scrub criteria?

Total for Sub Category

1 Does the area have a clean and organized appearance?

2 Are abnormal conditions visually identifiable?

3 Are improvement action plans defined and clearly communicated?

Is a process in place to create countermeasures for problems and

SUSTAIN

4
challenging tasks?

5
Are planning, performance and other measures being
communicated through visual controls?

6
Are procedures clearly defined, understandable, and updated as
changes occur?

7
Can someone not familiar with the area understand the process /
status without assistance?

8
Has progress on overall 5S+S initiatives been made since last
review?

Total for Sub Category

1
Are all the emergency exits clearly visible, not blocked and
illuminated?

2
Are all extinguishers and emergency equipment visible (red),
mounted and accessible?

3 Are electrical cords, power strips, or other items correctly stowed?

4
Is there any evidence of tripping hazards such as torn carpet,
SAFETY

loose tile, loose thresholds, etc.

5 Are there any fire hazards, space heaters, etc. in the area?

6
Are extension cords and temporary electrical runs identified with a
"remove by" date (60 days)

7
Is the A.E.D. (Automated External Defibrillator) and first aid cabinet
properly identified and accessible?

8 Are sharp objects (for example, paper cutters) properly guarded?

Total for Sub Category

Grand Total
Grand total / 6 = score

***** Note Form Continued on Other Side *****

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