5S Standard Work Checklist Form
Use this 5S Standard Work Checklist Form to track and document completion of 5S standard work steps. Ensure each area is reviewed and all steps are followed for optimal workplace organization and efficiency.
Area or Workstation
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Person Responsible
*
First Name
Last Name
Sort (Seiri) – Are unnecessary items removed?
*
Completed
Partially Completed
Not Completed
Set in Order (Seiton) – Are items organized and labeled?
*
Completed
Partially Completed
Not Completed
Shine (Seiso) – Is the area clean and free of debris?
*
Completed
Partially Completed
Not Completed
Standardize (Seiketsu) – Are standards and procedures visible and followed?
*
Completed
Partially Completed
Not Completed
Sustain (Shitsuke) – Is the 5S process being maintained?
*
Completed
Partially Completed
Not Completed
Issues Identified
Corrective Actions Taken
Additional Comments
Submit Checklist
Should be Empty: