5s Audit Check Sheet
5s Audit Check Sheet
5s Audit Check Sheet
DEPARTMENT: DATE:
AUDITOR: TIME:
0 = No Compliance 1 = Very Little Compliance 2 = Some Compliance 3 = Significant Compliance 4 = Total Compliance
Comments/Action
Determine what is the needed and remove the rest. 0 1 2 3 4
to be taken
SORT
Have all the unnecessary items (tools, machines, boxes, etc.) been
removed from the work place.
Does the inventory include any parts that are not required?
SORT
ease?
Is information to carry out daily work routine clear and in use?
Are improvement ideas being generated and regularly acted on?
Are the standards for the first 3S's clear and up to date?
Comments/Actio SUSTAI
Maintain high standards and consistently seek to improve 0 1 2 3 4 n to be taken N
Are checklist available and being used?
SUSTAIN
Q25: KNOWLEDGE - Ask 4 employees of the 5 Benefits of 5S (-1 point for each person that
cannot explain)
DIFFERENCE (+/-) - Compare this months score to previous month to see if improvements DIFFERENCE
are being made. SCORE
(+/-)
Prepared by: Ma. Kristina N. Pozon - Nurse Supervisor
Criteria Adopted from Ganeshmrgn/ A Technical Knowledge (Reference: https://ganeshmrgn.wordpress.com/)