5s Check List Make

Score Condition Observed Score (check box)
0 1 2 3
4 Very Good (perfect condition)
3 Good (1-2 problems)
2 OK (3-4 problems)
1 Bad (5-6 problems)

Very Bad (above 7 problems),
0
or non existant
Date :_____________________________
Sort(Organization) Distinguish
Number Category between what is needed and Score
not needed
0 1 2 3
Whether Fire extinguishers, fire
exits clear, PPE, Smoke
detector , Hose pipes, Sand
1 Equipments-Health & Safety?
bag, Eye wash stations and
first aid equipment are
available in the floor
Are facility items in the area

2 Facilities
broken, damaged
Free of obstructions, fire exits

3 Floors & Gangways
clear
All information is current and

4 Visual Control System / Visual Mgt
necessary ?
Storage(trims Accessories , sessior No material storage areas are

5
& Trimmer ) overflowing
all information related to

6 Awareness Building awareness building are current
& Necessary?
No un-necessary items on
7 Workbenches & surfaces
workbenches or work surfaces
Are all Wires, Cabling & Hoses
item(Electrical panel board,
8 Wires , Cabiling & Hoses
Bus bar, Hoses) are current &
Necessary?
Machine Guards, Windows &

9 All interlocks are operational
Interlocks
10 Duty Technician
11 Emergency
12 Work Place Distribution
13 Sharp Tools
No Tools, fixtures & jigs on

14 Tooling, Fixtures, Jigs
workstations unless in use
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
check box)
4
PRODUCTION 5S CH
Au
dite
d
By
:__
___
___
___
Set in Order (Orderliness) A place ___ Shine(Cleanliness)Cleaning and
Score for everything and everything in its ___ Score looking for ways to keep it clean
place ___ and organized
4
___
0 1 2 3 4
__
All fire extinguishers are charged,
eye wash stations labelled, Smoke Are safety glasses & Hose Pipes
detector Hose pipe and first aid clean and in good condition
equipment available and labelled
Have items in the area been The area has floors swept,
identified that are broken or machinery clean and generally
damaged ? clean
Floor Marked per plant standard Clean (No Dirst, No Spills, No Oil)
Floor visual tracking board layout All postings are neat & orderly in
constant with plant standard appearance
All material storage areas are clearly Material storage areas only contain
designated and labeled WIP and/or pre-kitted items
All information are available All Information is orderly place able

according to their placement and Organize
Workbenches and work surfaces are Workbenches and work surfaces

organized are clean and in good condition
Are all Wires, Cabling & Hoses item
(Electrical panel board, Bus bar,
Hoses) are in Quarantine area
Guards and shields in place where All machine windows are cleaned
required regularly to area standard
Point of use Items have designated No tooling (measuring equipment,

and clearly organized storage torque wrenches, pressure gauges)
location in area out of calibration
5S CHECKSHEET Are
a
Aud
ited
:
___
___
___
___
Standardize (Adherence)
Score Maintain and monitor the first
___ Score
three categories ___
___
0 1 2 3 4 ___
0 1 2 3 4
_
Area plan identifies eye wash
stations, fire extinguishers, and
fire exits
Has maintenance request been

raised ?
Floor marking standard created

and posted in the area
Area standard exists and is

posted to define layout and
format
Area plan identifies location of

material storage
All information are monitored

according to SOP
Does a standard exist in the area

that describes what the
workbenches and surfaces
should require
Machine guards, interlocks have
planned maintenance standard
and schedule
Area plan identifies location of

tooling, fixtures & jigs
Sustain (Self-discipline) “Make
Score
habit of obedience to the rules”
0 1 2 3 4
Are PPE and safety standards

being adhered to by all
employees in the area
Does an area have a planned

maintenance schedule for all
facilities issues ?
Daily checksheet in place with

sign off & date with improvement
action items
Are all visual tracking board

standards adhered to at all
times ?
Items are returned to designated

area when not in use
Are all workbenches & surfaces

standards adhered to at all
times ?
Machine guards, interlocks are
maintained to planned
maintenance standard
Are all tooling standards adhered

to at all times ?
Standarization - Checkl
Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very

1st 3 pillar 4th pillar- stan
TWICE PER DAY

CONTINOUSLY
SET IN ORDER
SHINE
SORT
5S JOBS
SI- No
1 Keep trolley are in correct place
2 Keep Machice in Right Angle
3 Keep machine cables in Proper hanging position
4 Keep Trimmers Hook To sewing Machine
Keep Work Place Area Clean (Machine, Helpers
5
table
Keep ,Accessories
iron Table, Under machine)
cup boar clean & keep
6
materials in allocated space
7 Keep Passage Free
8 Keep Trolley Clean
keep cutting loading trolley clean & Pieces to be
9
in proper
Isolate place
The old style materials & keep in
10
respective area
11 Keep Production Document In Proper place
12 keep Clean the operation waste tag
Keep Operators Launch bags In Respective racks
13
& Clean
14 keep
Keep Necessary
Proper InfoInformation In QC pieces
like Style sample table , OB
15 layout , Trims card, Critical Operations Moke up &
Bundle integrity in Display
16 Keep Drinking Water Tank Clean
17 Keep Floor & Window & Cabins Clean
18 Keep Toilet Clean
Standarization - Checklist
ad, 1-Ok, 2- Good, 3-very Good Month

4th pillar- standardize POINTS
ONCE PER TWO DAYS
ONCE PER MONTH
ONCE PER ORDER

ONCE PER WEEK
ONCE PER DAY
RESPONSIBLE
2ND WEEK
3RD WEEK
4TH WEEK
1ST WEEK
Operators/ Feeding helper/ IE
M/c/ Operators / IE
Electrician/ Machine/ IE
Operators
Operators/ Supervisor
Feeding Helper/ Supervisor/ IE
Supervisor/ IE
Feeding helper / Supervisor
Feeding helper
Operators
Operators
QC
IE/ Supervisors/ QC
House Keeping
House Keeping
House Keeping
TTL
OINTS
5TH WEEK
Record Sheet
Zone Date
Leader Member
Item Necessity
Ref Code Inventory Item Requirement Physical Area Needed Red tag
Necessity
Un needed
Visual Requirements For Seiton
Organize flow & connect Workers
Champion
Team Leaders
Start
Due
Factory:
Visuals/3s for the Floor Team
Design poka-yoke (Mistake Proffing) To Ensure That Workers follow 3s
1
2
3
4
5
6
7
a
b
c
d
e
f
g
8
a
b
c
d
e
9
10
11
12
13
14
15
16
17
18
19
20
21
Visual Requirements For Seiton
Organize flow & connect Workers
Visuals/3s for the Floor Team

Design poka-yoke (Mistake Proffing) To Ensure That Workers follow 3s
All tables must be at same sight
All Trimmers/ Scissors / Pencils Must be attached To the machine
Design an area to post the necessary instruction on machines the same way
Allocating a place for the side tables (painted)
Marking the kanban level on the side table (Minimum & Maximum)
Implement Pipeline Table for feeding parts at same frequency
Modular have to have a designated place & visually identified to;
Keep the folders
Keep tools such as (screw drivers, extra foots etc)
Keep input (Name what will be there)
Keep packed cartons
Keep empty cartons
Keep maintenance log book
Keep the key drivers visually
At each work station
Planning the point-of-use boards with simbala instructions needed for each work station
Organize the machine lockers (A place to keep the extra Bobbin ect)
A place to keep thing needed for clean up activities
A place to keep a scrap materials to adjust the machine
A place to put the size tag
Display Decesion making support cadre allocated for the floor
Display the leaders role / members role in local language (Convert into a pledge)
Display the lean objectives with regard to the new floor
Display Picture of the team
A list of all colors used unside the floor (Legend for size colors, other indications used)
Floor name board and picture , style, buyer, and number of weeks style is in process
2 Bulbs for Break-down and input kanban indentiofication (Make sure you name it)
Machine should have a identification no related to TPM
A bin for putting rejects at the end line and a place allocated for keeping it ( Separate the bin for 5 types of rejects )
Audit can use Visual controls for indicating the pass/fail
Allocate a parking area for the trolley
Display 'Meters'
Cover- Up Wires / Nuts etc
Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very Good

1st 3 pillar 4th pillar- standardize
ONCE PER TWO DAYS
ONCE PER MONTH

ONCE PER ORDER
ONCE PER WEEK
TWICE PER DAY
ONCE PER DAY
SET IN ORDER
CONTINUESLY
SHINE
SORT
5S JOBS
SI- No
1Keep Yarn & fabric in correct place
2Keep fabric according to style & Dia wise
3Keep machine cables in Proper hanging position
4Keep Secissors in hanging Position
5 table , Uner Table, Under machine)
Keep machine , Globes & Clips in Allocated Space

6
7 Keep Passage Free
8 Keep Table clean
keep cutting loading trolley clean & Bundle to be in
Proper place
Isolate The old style Fabric & keep in respective
9 area
Keep Workers Launch bags In Respective racks &
12 Clean
13 keep Necessary Information In QC table
Keep Proper Info like Style , fabric quality fabric
14 Composition & quality Check Description
klist
RESPONSIBLE
Month
1ST WEEK
2ND WEEK
3RD WEEK
POINTS
4TH WEEK
5TH WEEK

ONCE PER TWO DAYS
ONCE PER MONTH

ONCE PER ORDER
ONCE PER WEEK
TWICE PER DAY
ONCE PER DAY
SET IN ORDER
CONTINUESLY
SHINE
SORT
5S JOBS
SI- No
1Keep fabric in correct place
2Keep fabric according to style wise

6
7 Keep Passage Free
8 Keep Table clean
Proper place
9 area
12 Clean
cklist
Month
POINTS
RESPONSIBLE
2ND WEEK
3RD WEEK
4TH WEEK
5TH WEEK
1ST WEEK

M/c/ Operators / IE
Operators

Supervisor/ IE

Feeding helper
Operators
Operators
QC
IE/ Supervisors/ QC
House Keeping
House Keeping
House Keeping
TTL

ONCE PER TWO DAYS
ONCE PER MONTH

ONCE PER ORDER
ONCE PER WEEK
TWICE PER DAY
ONCE PER DAY
SET IN ORDER
CONTINUESLY
SHINE
SORT
5S JOBS
SI- No
1Keep Yarn & fabric in correct place
2Keep fabric according to style & Dia wise

6
7 Keep Passage Free
8 Keep Table clean
Proper place
9 area
12 Clean
klist
Month
POINTS
RESPONSIBLE
2ND WEEK
3RD WEEK
4TH WEEK
5TH WEEK
1ST WEEK

M/c/ Operators / IE
Operators

Supervisor/ IE

Feeding helper
Operators
Operators
QC
IE/ Supervisors/ QC
House Keeping
House Keeping
House Keeping
TTL
Zone: Sewing Team: T-13
5S JOBS
SI- No
1 Lockers No irrelevant reference materials, such as documents, drawings, meeting materia
2 Desk No excess pieces of equipment or reference materials on desk or in
3 Visual Control rrelevan items or documents can be identified at a glance.
4 Standards for Disposal Standards are fixed for disposal of documents and equipment.
5 Exhibits Displays are up-to-date, tidy, and well-balanced.
6 Storage labels Labeling of lockers and equipment allows immediate identification.
7 Labels for documents and eq Everything is clearly identified.
8 Ease of use Storage is designed for ease of use.
9 Orderly storage Everything is stored in a fixed place.
10 Aisles and display areas All dividing lines and bulletin boards are clearly indicated
11 Floor The floor is clean
12 Dust and Dirt Windows, window sills and shelves are clean
13 Cleaning responsibilities There is a rotation or shift system for cleaning
14 Wastebaskets There is a system for getting rid of dirt and waste paper
15 Habitual cleaning Sweeping and dusting are regarded as habitual activities
16 Ventilation The air is clean, odorless, and free of cigarette smoke
17 Lighting The angle and intensity of illumination are appropriate.
18 Uniforms No body is wearing a dirty uniform.
19 Environment The general environment is good, including color, air, lighting, etc.
20 The first 3 steps There is a system for maintaing clearing up, organizing, and cleaning.
21 Clothing rules The rules are adhered to.
22 Interaction of people There is a pleasant general atmoshere, people exchange greetings, etc.
23 Meeting times and break timeEveryone makes an effort to be punctual.
24 Telephone Manners Everyone states their business clearly, politely, and succinctly.
25 Rules and Regulations All rules and regulations are strictly observed.
nd cleaning.
eetings, etc.
SORT
SET IN ORDER
arization - Checklist
SHINE
CONTINUESLY
TWICE PER DAY
wings, meeting materials, etc.

ONCE PER DAY
ONCE PER TWO
DAYS
ONCE PER
WEEK
ONCE PER
MONTH
ONCE PER
ORDER
0-Bad, 1-Ok, 2- Good, 3-very Good
RESPONSIBLE
Month
1ST WEEK
2ND WEEK
3RD WEEK
POINTS
4TH WEEK
5TH WEEK
Red tag Evaluation Sheet
Red tag Item Movement
Ref Item name Mnf No When To where Which Purpose How many By Whom

5s Check List Make

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5s Check List Make

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Score Condition Observed Score (check box)

4 Very Good (perfect condition)

3 Good (1-2 problems)

1 Bad (5-6 problems)

Are facility items in the area

Free of obstructions, fire exits

All information is current and

Storage(trims Accessories , sessior No material storage areas are

all information related to

Machine Guards, Windows &

12 Work Place Distribution

No Tools, fixtures & jigs on

All information are available All Information is orderly place able

Workbenches and work surfaces are Workbenches and work surfaces

Point of use Items have designated No tooling (measuring equipment,

Has maintenance request been

Floor marking standard created

Area standard exists and is

Area plan identifies location of

All information are monitored

Does a standard exist in the area

Area plan identifies location of

Are PPE and safety standards

Does an area have a planned

Daily checksheet in place with

Are all visual tracking board

Items are returned to designated

Are all workbenches & surfaces

Are all tooling standards adhered

Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very

TWICE PER DAY

ad, 1-Ok, 2- Good, 3-very Good Month

ONCE PER MONTH

ONCE PER ORDER

Visuals/3s for the Floor Team

Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very Good

ONCE PER TWO DAYS

ONCE PER MONTH

Keep machine , Globes & Clips in Allocated Space

Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very Good

ONCE PER TWO DAYS

ONCE PER MONTH

Keep machine , Globes & Clips in Allocated Space

Operators/ Feeding helper/ IE

Feeding Helper/ Supervisor/ IE

Feeding helper / Supervisor

Feeding helper / Supervisor

Zone: Sewing Team: T-13 0-Bad, 1-Ok, 2- Good, 3-very Good

ONCE PER TWO DAYS

ONCE PER MONTH

Keep machine , Globes & Clips in Allocated Space

Operators/ Feeding helper/ IE

Feeding Helper/ Supervisor/ IE

Feeding helper / Supervisor

Feeding helper / Supervisor

Zone: Sewing Team: T-13

wings, meeting materials, etc.

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