Area: Team: Date: 1. Is unused equipment and machinery eliminated from the area 2.

Is the floor clear of all tools, spare parts and materials 3. Are the floors in 'common areas' free of trash and debris 4. Is obsolete inventory and raw material eliminated from the area 5. Is the work in process organized so as to reduce travel time and other forms of waste 6. Is the work in process inventory reduced to the least possible amount 7. Are aisles, doorways, electrical panels, and fire extinguishers free from material and blockages 8. Are tripping hazards and obstructions eliminated from the area 9. Are work areas, storage areas and equipment surroundings clearly labeled, marked, and/or footprinted if necessary 10. Are storage places for tools and equipment designated and marked 11. Are storage places for work in process designated and marked 12. Is machinery, storage equipment and columns identified and numbered 13. Are all pipes, controls and gauges identified and labeled to show function or purpose 14. Are team boards/bulletin boards current and in good order 15. Are recycling bins located as necessary with trash and recycling being cotrolled in the area 16. 5S holding and dispo areas are well maintained 17. Are slot locations free of empty pallets and trash 18. Are machines clean, well kept and in good repair 19. Are slot locations in pick ready condition 20. Are slot locations free of hanging shrink wrap and/or banding 21. Floors and equipment in the area are free of dirt / grease/ or fluids 22. Are shine maps available and employees aware of responsibilities 23. Is standard work in place, including quality checks, and in use at all work stations 24. Are bins and parts properly identified and labeled 25. Are supplies labeled and in their place 26. Are footprinted and labeled areas adhered to 27. Are visual safety signs and floor markings used to identify hazards in the area 28. Are all start-up safety checks carried out and documented 29. Is everyone within the area wearing proper personal protective equipment 30. Are unused tools, equipment, raw materials and work properly stored 31. Are emergency plans, labels and equipment visible and properly stored in area 32. Are corrective actions from 5S audit identified and adhered to 33. Are employees receving weekly feedback on their 5S efforts 34. Is there evidence of the 5S daily checklist being used and updated 5S audit scores on the teamboard

No 0

Yes Auditor: Weekly Monthly 5 Comments; Action Plans - Completion Dates

Sustain

Standardize

Shine

Set in Order

Sort

Column Total
x0 x1 x2 x3 x4 x5

Total of all columns

Multiplied Column Total divide by 34

Scoring method: 0 = No, where the only choice is 0 or 5, otherwise it means not at all 1 = Some evidence of a plan, but very little conformance 2 = Less than half the area and in the majority of instances there was non-conformance 3 = More than half the area is in conformance but greater than 2 issues. 4 = Instances noted were mostly in conformance, but 1 or 2 issues were found 5 = Yes, where the only choice is 0 or 5, otherwise complete conformance with no problems noted

Area 5S score