[PDF] 5s checklist (example) 5S Audit Checklist. Score (1





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5s checklist (example)

5S Audit Checklist. Score (1 to 5). Area : 1 - Very poor. Auditee : 5 - Very Good (Best Practise). Auditor : Date : Time : First (1S) Audit Checklist.



Manual for Implementation of 5S in Hospital Setting

of checklists during this stage of 5S would contribute to strengthen the 5S audit. Internal audits on the hospital quality im provem ent conducted.

5S Audit Checklist

ABC

Sdn. Bhd.

Page 1 of 2

5S Audit Checklis

tScore (1 to 5)

Area : _____________________________

1 - Very poor

Auditee :___________________________

5 - Very Good (Best Practise)

Auditor :____________________________

Date : ______________________ Time :___________________

First (1S) Audit Checklist

Review surrounding area Score Remarks

No unnecessary objects on the floor, in corners, or behind or in cupboar ds

Waste bins are available

Machines

No unused machines

Tools Inventory of all necessary tools has been drawn up

Correct tools are available

Additives, spare parts, and conversion parts

Inventory is available

Correct materials/pieces are available

Manuals, drawings, and instructions

Inventory is available

Correct documents are where they should be

Second (2S) Audit Checklist Score Remarks

Surrounding area

Zones and passages are set and marked

Machines

Supply and exit points of the machine are marked

Tools All have a fixed place and are divided in logical classes (routine, con version, and measurement tools)

Additives and spare parts

All necessary materials are available in sufficient quantities and are o rganized (heavy underneath, safely stacked, not too high)

Bulletin boards/communications

Defined and clear

5S Audit Checklist

ABC

Sdn. Bhd.

Page 2 of 2

Third (3S) Audit Checklist

The workspace and surrounding area Score Remarks

Workspace: clean at the end of the shift

Passages are free and clear of clutter and obstruction

Floor is cleaned regularly

Shelves and racks are in good condition (doors can be - and are - clo sed)

Machines and tools

Gliding or rotating parts: no accumulation of dirt, not too much/too lit tle lubrication End switches and photocells: no dust, free of damage

Parts, nuts, and bolts: not loose, not missing

Protections and guards: in good condition

Alarms and signals: no false alarms, broken lamps, unreadable indication s

4S Audit Checklist Score Remarks

Surrounding area and machines: sources of contamination Identified (leaks, overflows, waste during handling) Removed or are enclosed (avoid spreading, intrusion of dust)

Housekeeping rules are drawn up

Cleaning lists (who, what, when, frequency, how)

Triggers for cleaning

Preventive maintenance plan is drawn up

Documentation is up to date and organized

Follow-up forms are available

Standard procedures/instructions are available

Stock level and resupply

Separation of "to repair" and "repaired"

5S Audit Checklist Score Remarks

Responsible person per zone

Clear designation of a person who understands his or her role in 5S

Standard procedures/instructions

Followed by the employees in the zone with periodic auditing

Safety measures

Available to all employees and visitors to the zone

Observed by all who work and interact in the zone

Environmental instructions

Known to all who work in the zone

Observed by all

Improvement proposals

Visible means of collecting ideas

Visible summary of actions and decisions made on the ideas

Total Score

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