NAME OF COMPANY - 5S Audit Checklist
DATE:
PLANT / AREA : MAINTENANCE
AUDITOR :
Leader : Dy. Leader : Auditee :
Score Total Action Resp. Closure
Sr
.N Audit Check Point Permissible Qty. Audit Observation 1 2 3 Out of 4 "S" Out Out Taken and Sign.
o. "S" "S" "S" 30 1 "S" 2 "S" 3 "S" of 30 of 60 Y/N Date
No unwanted material lynig in the
1 No unwanted material
workshop/Control rooms.
2 All material available in dept is identified. Material identified.
Entire working area are Specified &
3 Area Specified & Identified.
identified or not.
Scrap area specified and identified or Scrap area specified &
4
not. identified.
Enitre area without cotton
5 Entire area is neat & clean . waste, oil, grease, dust ,
pieces of metals,etc.
Area for Tools and other Material are is
6 Area is specified
specified or not
Qty. of Material/Waste Specified &
7 Qty. Specified & Identified.
Identified or not
Cable standerd size is attached with alls
8 Attached cable size
cable (Area is specified or not)
9 Cable area is clean without any materials Clean area
Area for OK/Ready to use material is
10 Area is specified
specified or not.
Area for OK/Ready to use material is
11 Area is specified
Identified or not.
All spaners are in cupboard &
12 Spaners are at specified location or not
kept separate with size
Page No.: of 1
NAME OF COMPANY - 5S Audit Checklist
DATE:
PLANT / AREA : MAINTENANCE
AUDITOR :
Leader : Dy. Leader : Auditee :
Score Total Action Resp. Closure
Sr
.N Audit Check Point Permissible Qty. Audit Observation 1 2 3 Out of 4 "S" Out Out Taken and Sign.
o. "S" "S" "S" 30 1 "S" 2 "S" 3 "S" of 30 of 60 Y/N Date
Area for worker's cloth/Lunchbox should Location is specified &
be Speficified & identified or not Identified
Location for daily reports should be Location is specified &
13
Specified & identified or not. Identified
Required documents should be displayed Documents are displayed on
14
& updated. notice board
W. I. for cleaning method and frquency
15 Display of W. I.
to be displayed at different work centres.
TOTAL MARKS
0-2 1S #REF! Special Remarks if any
Individual performance
3-4 2S #REF!
Rating
5-6 3S #REF! %
7-8
as per all 4 "S" 4S #REF!
9 - 10 TOTAL #REF!
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