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5S Evaluation Checklist

Date: _________________
Location: ______________ Good: 3
Evaluator: _____________ Needs Improvement: 2
Not Good: 1

Category Check Item Evaluation Criteria Evaluation


Materials, Excessive reagents; unnecessary kits; defective kits retained in area;
Specimens extra parts; specimens piling up
Sort Unused instruments in the lab?
Removing from Equipment Transport equipment stored in work cell?
the area items
that are not Unnecessary tables, cabinets, files, shelves etc. present?
Tools Unnecessary tools? Everything in its place?
needed for
production or Extra gloves, tape, pipet tips, test tubes, etc stored in work area?
clerical Supplies Withdrawal kanbans in place and being utilized?
operation.
Extra/duplicate forms, office supplies clutter area; absence/obsolete
Documents standard work sheets; obsolete procedure manuals
Parts and reagent containers labeled?
Containers Cabinets, files, shelves, etc. labeled?
Storage locations marked? Safety equipment accessible and
Locations identified? Outsider can understand workflow and process visually?
Items can be located immediately?
Designated and clearly marked?
Stabilize Aisles, Floors Clear of obstructions?
Arranging New Properly stored?
needed items Specimens, Quality standards visible and clear?
so that they are SIP, Designated location for each item visually defined?
easy to use and Completed Designated locations for untested, tested, and completed specimens?
labeling them Specimens
so that they are Clearly marked and accessible?
easy to find and Equipment, Easy to locate/replace for anyone?
put away. tools, supplies Supplies maintained and controlled?
Min/max levels marked and visible?
Designated posting areas?
Documents,
Visible to operators?
standards,
Visible to anyone auditing the work cell?
charts,
Continual evaluation of methods and process to implement
instructions
improvements?
Equipment clean and orderly?
Equipment Cleaning performed regularly and recorded?
Specimens put away in timely fashion?
Shine Specimens Spills properly addressed?
Clean work
areas improve Supplies maintained and properly labeled?
Supplies Supplies kept separate from specimens?
employee
morale and Counter tops clean and orderly? Spill kits available?
keep unneeded Work areas Disinfectant bottles filled? Paper towels available?
materials out of All tools clean and properly stored?
the workcell. Tools Tools cleaned on a regular basis? Cleaning recorded?
Documents are clean and serum-free?
Documents Cleaning records are well maintained?

2004 Twenty-First Century Laboratory Consulting, LLC | M. S. Stegall & Associates, LLC
5S Evaluation Checklist
(continued)
Date: _________________
Location: ______________ Good: 3
Evaluator: _____________ Needs Improvement: 2
Not Good: 1

Category Check Item Evaluation Criteria Evaluation


Materials are stored and handled according to standard
Materials procedures?
Equipment is maintained and operated according to standard
Standardize Equipment procedures?
Everybody
The right tool is used at the right time?
performs all Tools Tools are properly stored?
operations the
same way Supplies used properly and as intended?
Supplies
every time.
Documentation of standard procedures is visible in the work cell.
Documents Results are promptly reported.
New methods are continually proposed and tested.
Clean and unobstructed?
Workspace Everything in its place?
Sustain
All workers in All personnel have read and understand standard work?
Laboratorians Personnel are actively pursuing process improvements?
the cell
understand Specimen All specimens are handled in a safe manner?
where things Handling Specimens are properly and promptly stored when complete?
go, what to do,
and when to do Documents, Operators understand and utilize the documents posted in the work
it. standards, cell. Scheduled maintenance is performed and documented. Work
charts, improvement processes have been implemented. Results are
instructions promptly reported.

2004 Twenty-First Century Laboratory Consulting, LLC | M. S. Stegall & Associates, LLC