5S Workplace Assessment Checklist Form
Evaluate your workplace's 5S implementation using this concise checklist. Assess each category and add comments where needed.
5S Assessment Checklist
*
Rows
Compliant
Partially Compliant
Non-Compliant
Sort (Seiri)
1
2
3
Set in Order (Seiton)
4
5
6
Shine (Seiso)
7
8
9
Standardize (Seiketsu)
10
11
12
Sustain (Shitsuke)
13
14
15
Overall 5S Implementation Rating
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Observed strengths in 5S implementation
Areas for improvement
Immediate actions required (if any)
Submit Assessment
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