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Checklist for 5S Audit:
Version– 00
Format No- HSE/INTC /TSB /5SA
Date of Audit:
Members Present:
Area: SN
Check Point
1S - SEIRI (SORT OUT) 1
No unwanted things lying on M/c, table, selves etc.
2
Things which are not in use are not kept.
3
No spare component, tools, files, papers etc. are lying unnecessarily.
4
All notice boards and displays of information are arranged properly.
5
Is there a general clutter free appearance?
2S - SEITON (SET IN ORDER) 6
Specified place for keeping components, tools and files.
7
Everyone is keeping things at decided place.
8
Arrangement of rest room is good.
9
Bench, table, chair, computer, printer, telephone and cups are kept properly.
10
The identification system of the entire above is good.
3S - SEISO (SHINE / CLEANING) 11
No Scrap, dust, oil leakage, water leakage at workplace
12
Cleaning of machine is good.
13
No dirt, dust, cobweb, oil spillage in the room/workplace.
14
Scrap bin/dust bin are not overflowing.
4S - SEIKETSU (STANDERDIZE)
Yes
No
Action Taken
15
Places for keeping component, tools, gauge and file are specified.
16
Are standard checklist used to inspect 5S system on a regular basis?
17
Are labels, notices etc standardized?
18
Are indications easy to see?
19
The machine are being inspected and maintained in good condition.
20
Indications are easy to see or not.
5S - SHITSUKE (SUSTAIN) 21
Does management provide support to 5S program by recognition, resources and leadership?
22
Are all workers using required PPE?
23
People are not smoking /spitting at workplace.
24
Dust bins for waste materials are kept in place.
25
Do employees show positive interest in 5S activities?
Signature of Audit team member (INDUTECH):