5s Audit Form
Name
*
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Department
*
SORT: Sort through your belongings to see what's important and what's not. Items that are no longer needed or used should be removed from the area (for example, the general area, workstations, personal storage places, desk drawers, filing cabinets, PC electronic files, and the safe). Â
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
The items/supplies on the surfaces have been separated, distinguishing the necessary (often used) from the unnecessary (used infrequently or not at all)
1
2
3
4
Items/supplies in bookcases or on shelves have
been sorted, separating needed from unneeded
(available electronically or not needed at location)
5
6
7
8
Items in cupboards or drawers, including desk and
file drawers, have been sorted, separating needed
from unneeded (electronic version accessible or not required on site)
9
10
11
12
All cords have been safely controlled, and items on the floors have been sorted, separating needed from superfluous items to eliminate floor mounds.
13
14
15
16
To reduce motion waste, needed items (in cupboards, drawers, bookshelves, on surfaces, or floors) have been placed closest to where they are used the most.
17
18
19
20
The work space has been cleared of unnecessary stuff.
21
22
23
24
Work agreements for the aforementioned are documented, and all employees are aware of where they can access them.
25
26
27
28
Score
SET IN ORDER: There should be a place for everything, and everything should be easy to find.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
The locations of needed goods are identified, and the objects are in their proper places.
29
30
31
32
The required amounts for needed objects, including things in desk drawers and bookshelves, are established (par levels).
33
34
35
36
Moveable item locations are labeled, and things are placed in the appropriate positions (a white board, laminated card, or wall label might be utilized).
37
38
39
40
The following visual controls and indicators are in place: a posted map of the region, including individual room maps.
41
42
43
44
The contents of drawers and cupboards are clearly labeled (a new person should be able to locate without assistance).
45
46
47
48
Score
SHINE: Maintain a clean and ready-to-use work environment. Regularly inspect to ensure that the sort and order are maintained.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Work areas and equipment are consistently stocked and organized in accordance with 5S agreements and timetables.
49
50
51
52
On a daily basis, members of the work group adhere to the 5S agreements.
53
54
55
56
All employees document the sources and frequency of 5S issues as part of their daily work.
57
58
59
60
Dust and trash are removed from all surfaces.
61
62
63
64
Shine duties are identified using checklists, and the status of these is kept up to current.
65
66
67
68
Score
STANDARDIZE: Maintain the first three S's and be conscious of your neatness.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
There is a 5S agreement in place and all employees know where it is located.
69
70
71
72
The importance of 5S can be explained by leadership.
73
74
75
76
The importance of 5S can be explained by any member of the team.
77
78
79
80
The training and orientation of new employees to the 5S system follows a regular procedure.
81
82
83
84
Unnecessary goods are not allowed to "sneak" back into the work area, thanks to a system in place.
85
86
87
88
Score
SUSTAIN: The 5S Discipline is ingrained to the point where it has become a way of life. 5S is no more a one-time event, but rather a daily occurrence.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
The 5S plans and action updates are visible and up to date.
89
90
91
92
Success stories are showcased and verified for future development.
93
94
95
96
The 5S functions of employees are clearly defined.
97
98
99
100
Department audits and improvement plans are posted and kept up to date.
101
102
103
104
Are job instructions and procedures reviewed and updated on a regular basis in the workplace?
105
106
107
108
Are display boards, activity charts, notice boards, and other similar items up to date and examined on a regular basis?
109
110
111
112
Score
Total Score
Submit
Should be Empty: