5S Checksheet

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					                       Score                Condition Observed           Score (check box)
                                                                          0   1    2      3   4                                                                                                                                                                                  To calculate 5S score

                                                                                                          PRODUCTION 5S CHECKSHEET
                          4           Very Good (perfect condition)                                                                                                                                                                                                              1. Add up each column
                          3           Good (1-2 problems)                                                                                                                                                                                                                        2. Add each column together to get total
                          2           OK (3-4 problems)                                                                                                                                                                                                                          3. Divide total by 280
                          1           Bad (5-6 problems)                                                                                                                                                                                                                         4. Multiply this score by 5
                                      Very Bad (above 7 problems),
                                             or non existant
                                                                                                                                                                                                                                                                                 5. This is now your 5S score

          Date :_____________________________                                                                                      Audited By :_________________________                                                                                 Area Audited : _________________________

                                                                                                          Straighten                                                 Shine
                                                                                                  (Can be defined as arranging                             (Means sweeeping floors,
                                                Sort                                              items so that they are easy to                           wiping off machinery, and                                                Standardise                                                 Sustain
                                      (Means removing from the                                    use and labelling them so that                           generally making sure that                                (It is the state that exists when                           (Making a habit of properly
                                      workplace all items that are not                            they are easy to find and put                            everything in the factory stays                           the first three S's are being                               maintaining correct
 Number Item                          needed for current production)              Score           away)                                    Score           clean)                                    Score           maintained)                                 Score           procedures)                              Score
                                                                          0   1    2      3   4                                    0   1    2      3   4                                     0   1    2      3   4                                       0   1    2      3   4                                    0   1    2      3   4
                                                                                                  All fire extinguishers are
                                      Are there fire extinguishers,
                                                                                                  charged, eye wash stations                                                                                         Area plan identifies eye wash                               Are PPE and safety standards
                                      fire exits clear, PPE available,                                                                                     Are safety glasses clean and
    1     H&S                                                                                     labelled and first aid                                                                                             stations, fire extinguishers,                               being adhered to by all
                                      eye wash stations and first aid                                                                                      in good condition
                                                                                                  equipment available and                                                                                            and fire exits                                              employees in the area
                                      equipment available
                                                                                                                                                                                                                                                                                 Employees in the area are
                                      Are recyclable materials in non-                            Each area has specified                                  All outside surfaces of                                   Waste disposal standards
    2     Environmental                                                                                                                                                                                                                                                          using the containers to
                                      recyclable containers                                       recycling containers                                     recycling containers are clean                            exist and are displayed

                                                                                                  Have items in the area been                              The area has floors swept,                                                                                            Does an area have a planned
                                      Are facility items in the area                                                                                                                                                 Has maintenance request
    3     Facilities                                                                              identified that are broken or                            machinery clean and generally                                                                                         maintenance schedule for all
                                      broken, damaged                                                                                                                                                                been raised ?
                                                                                                  damaged ?                                                clean                                                                                                                 facilities issues ?

                                                                                                                                                                                                                                                                                 Daily checksheet in place with
                                                                                                  Floor Marked per plant                                   Clean (No Dirt, No Spills, No                             Floor marking standard
    4     Floors & Gangways           Free of obstructions                                                                                                                                                                                                                       sign off & date with
                                                                                                  standard                                                 Oil)                                                      created and posted in the area
                                                                                                                                                                                                                                                                                 improvement action items

                                      Does Duty technician rota &                                                                                          Is rota board clean / good                                Duty technician standard                                    Duty technician rota is being
    5     Duty Technician                                                                         Rota is displayed and labelled
                                      standard exist                                                                                                       condition                                                 exists for the area                                         carried out to standard

                                                                                                                                                           No tooling (measuring
                                                                                                  Point of use Items have
                                      No Tools, fixtures & jigs on                                                                                         equipment, torque wrenches,                               Area plan identifies location of                            Are all tooling standards
    6     Tooling, Fixtures, Jigs                                                                 designated and clearly
                                      workstations unless in use                                                                                           pressure gauges) in area out                              tooling, fixtures & jigs                                    adhered to at all times ?
                                                                                                  organized storage location
                                                                                                                                                           of calibration
                                                                                                  Are all Wiring , cabling and                             Are all hoses, cabling & wires                                                                                        Are all wires, cabling & hose
                                      No un-used wiring, & hoses                                                                                                                                                     Area plan identifies location of
    7     Wires , cabling & Hoses                                                                 hoses organised and                                      clean, in good condition and                                                                                          standards adhered to at all
                                      present or trailing                                                                                                                                                            wires, cabling & hoses
                                                                                                  identified?                                              blanked (hoses only) ?                                                                                                times ?
                                                                                                                                                                                                                     Does a standard exist in the
                                                                                                                                                           Workbenches and work                                                                                                  Are all workbenches &
                                      No un-necessary items on                                    Workbenches and work                                                                                               area that describes what the
    8     Workbenches & surfaces                                                                                                                           surfaces are clean and in good                                                                                        surfaces standards adhered to
                                      workbenches or work surfaces                                surfaces are organized                                                                                             workbenches and surfaces
                                                                                                                                                           condition                                                                                                             at all times ?
                                                                                                                                                                                                                     should require
                                                                                                  Department visual tracking                                                                                         Area standard exists and is                                 Are all visual tracking board
                                      All information is current and                                                                                       All postings are neat & orderly
    9     Visual tracking boards                                                                  board layout constant with                                                                                         posted to define layout and                                 standards adhered to at all
                                      necessary ?                                                                                                          in appearance
                                                                                                  plant standard                                                                                                     format                                                      times ?

                                                                                                  Red Tag area is designated
                                      Are there items requiring red                                                                                                                                                  Area plan identifies red tag                                Red tag area is maintained to
   10     Red Tag                                                                                 and labeled, all items tagged                            Red tag area to be clean
                                      tags within the area                                                                                                                                                           area                                                        correct procedure
                                                                                                  with date placed in area

                                                                                                  Storage locations for mobile
                                      No un-necessary mobile                                                                                               All are free of debris and none                           Area plan identifies location                               Mobile equipment is located in
   11     Mobile Equipment                                                                        equipment are designated and
                                      equipment present                                                                                                    are damaged                                               mobile equipment                                            correct area when not in use

                                                                                                                                                           Material storage areas only                                                                                           Items are returned to
                                      No material storage areas are                               All material storage areas are                                                                                     Area plan identifies location of
   12     Storage                                                                                                                                          contain WIP and/or pre-kitted                                                                                         designated area when not in
                                      overflowing                                                 clearly designated and labeled                                                                                     material storage
                                                                                                                                                           items                                                                                                                 use

                                                                                                  Cleaning standards & cleaning                            Cleaning equipment is stored
                                      Cleaning standards and or                                                                                                                                                      Cleaning standards exist and                                Daily cleaning standards are
   13     Cleaning Standards                                                                      station are designated and                               in correct location and in good
                                      cleaning station exist                                                                                                                                                         have daily sign off and date                                adhered to
                                                                                                  labelled                                                 condition

                                                                                                                                                           All machine windows are                                   Machine guards, interlocks                                  Machine guards, interlocks are
          Machine Guards, Windows &                                                               Guards and shields in place
   14                                 All interlocks are operational                                                                                       cleaned regularly to area                                 have planned maintenance                                    maintained to planned
          Interlocks                                                                              where required
                                                                                                                                                           standard                                                  standard and schedule                                       maintenance standard

               SECTION TOTALS :                                                        / 56                                                     / 56                                                      / 56                                                        / 56                                                     / 56
                                                                                                                                                                                                                                                                                   GRAND TOTAL                              / 280
C:\Docstoc\Working\pdf\[42aad460-4aba-4738-8a9b-c335d8074d71.xls]5S Checksheet

                                                                                                                                                                                                                                                                                 5S SCORE
                                                                                       PRODUCTION 5S AUDIT COMMENTS SHEET
          Date :_____________________________                                                                           Audited By :_________________________                                                                     Area Audited : _________________________

                                                                                                           Straighten                                            Shine
                                                          Sort                          (Can be defined as arranging items so that they     (Means sweeeping floors, wiping off machinery,                           Standardise                                            Sustain
                                      (Means removing from the workplace all items that are easy to use and labelling them so that they are and generally making sure that everything in the   (It is the state that exists when the first three S's   (Making a habit of properly maintaining correct
 Number Item                          are not needed for current production)            easy to find and put away)                          factory stays clean)                               are being maintained)                                   procedures)

                                                         Comments                                            Comments                                           Comments                                            Comments                                               Comments

    1     H&S

    2     Environmental

    3     Facilities

          Floors, Walkways &

    5     Duty Technician

    6     Tooling, Fixtures, Jigs

    7     Wires , cabling & Hoses

    8     Workbenches & surfaces

    9     Visual tracking boards

   10     Red Tag

   11     Mobile Equipment

   12     Storage

   13     Cleaning Standards

          Machine Guards, Windows &

C:\Docstoc\Working\pdf\[42aad460-4aba-4738-8a9b-c335d8074d71.xls]5S Checksheet

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