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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 1 S 0 Special Remarks if any
Individual performance
3-4 2 S 0
Rating

5-6 3 S 0 %
7-8
as per all 4 "S" 4 S 0
9 - 10 TOTAL 0

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