Optimise-GB provides you with a free 5S audit template. This template helps you organise your work area in a way that is clean, tidy and organised so that you do not spend your valuable time looking for things because of clutter or items going missing. 5S is the name of a workplace organisation methodology that uses a list of five Japanese words which are seiri, seiton, seiso, seiketsu and shitsuke. Transliterated or translated into English, they all start with the letter "S". The list describes how items are stored and how the new order is maintained. The decision-making process usually comes from a dialogue about standardisation which builds a clear understanding among employees of how work should be done. It also instils ownership of the process in each employee. Please contact me should you have any questions on simon@optimise-gb.com and visit www.optimise-gb.com for more details. Many thanks Simon Misiewicz

1. 5 S Audit Sheet
Template
Simon Misiewicz

2. 0
Location:
1
5S Audit Program Date:
3
Auditors:
5
Scoring criteria's: 0 = not relevant, 1 = "poor" , 3 = "Medium" , 5 = "Good"
5S Audit elements Criteria's Score: Scale of Evaluation
Stock room shelves (food) Unwanted items removed, rubbish cleared, clean surfaces 1 > 90% World Class 5S
Stock room fridges (food)
Stock room shelves (paper work)
Stock room (desk)
Unwanted items removed, rubbish cleared, clean surfaces
Unwanted items removed, rubbish cleared, clean surfaces
Unwanted items removed, rubbish cleared, clean surfaces
1
1
1
80% - 90% Very Good
60% - 79% Medium
< 60% Poor
20 L
Fridge Unwanted items removed, rubbish cleared, clean surfaces 1
SORT
20
Freezer Unwanted items removed, rubbish cleared, clean surfaces 1 Result by 5S Elements
Cleaning cupboard Unwanted items removed, rubbish cleared, clean surfaces 1
25
Kitchen Area Drawers Unwanted items removed, rubbish cleared, clean surfaces 1
Kitchen Area Cupboards Unwanted items removed, rubbish cleared, clean surfaces 1
Cupboard with the till Unwanted items removed, rubbish cleared, clean surfaces 1
Stock room shelves (food) Arranged in right place, unique products for each row, labelled 1
Stock room fridges (food) Arranged in right place, unique products for each row, labelled 1
Stock room shelves (paper work) Arranged in right place, unique products for each row, labelled 1
Stock room (desk) Arranged in right place, unique products for each row, labelled 1 20
Fridge Arranged in right place, unique products for each row, labelled 1
Freezer Arranged in right place, unique products for each row, labelled 1
SET IN ORDER
Cleaning cupboard Arranged in right place, unique products for each row, labelled 1
Kitchen Area Drawers Arranged in right place, unique products for each row, labelled 1
20
Kitchen Area Cupboards Arranged in right place, unique products for each row, labelled 1
Cupboard with the till Arranged in right place, unique products for each row, labelled 1 15
Reserved parts and tools Arranged in right place, unique products for each row, labelled 1
Tools and accessories Arranged in right place, unique products for each row, labelled 1
Material of packing Arranged in right place, unique products for each row, labelled 1
Containers of garbage and chemical Arranged in right place, unique products for each row, labelled 1
Hoses / wires Arranged in right place, unique products for each row, labelled 1
Lighting Arranged in right place, unique products for each row, labelled 1
Store room Clean! No dust, or residual 1 10
Cleaning cupboard Clean! No dust, or residual 1
SHINE
20
Toilets Clean! No dust, or residual 1
Kitchen Clean! No dust, or residual 1 SORT 20
Uniforms Fit and clean 1 SET IN ORDER 20
STANDARDISE
Equipment Hooks in place to store items in correct place 1 SHINE 20
Health & Safety manual Visible in the correct place 1 STANDARDISE
5 20
20
Operational manuals Visible in the correct place 1 SUSTAIN 20
Markings Are shelves marked clearly for people to know where to store items 1
Visual control (labels, instructions) Pictures of well presented shelves on walls 1
Cleaning schedule Cleaning according to plan 1
Waste book They are recording regularly 1
SUSTAIN
Temperature checks They are recording regularly 1 20
Excess materials/objects They are removed 1 0
SORT SET IN ORDER SHINE STANDARDISE SUSTAIN
Material inventory level / food stocks Exist only in necessary amount 1
Propose Improvement Actions WHO Due Date
1
2
3
4
5
6
7 Sign and agreed by: Date: