Office 5S Checklist

PLS Office 5S + Safety Audit Form - Draft
CATEGORY
Sort
Sort useful and waste
Items
CRITERIA
Distinguish between what is needed and not needed
Work Table is full of not required items/documents
Unwanted stationary/documents/items filled in drawers
Unneeded certificates, documents etc displayed on dept. boards
Product/samples/furniture which are no longer needed
Set in Order
A place for everything and everything in its place

All items (Stationary, documents etc) have a specific location
Shared drawers, cabinets, work surfaces, and storage areas are clearly
labeled and well organized
Keep needed items in
Personal drawers, cabinets, desktops, and storage areas are clearly
correct place
marked and/or well organized
All items are placed in the proper location
Furniture, workstations, equipment locations are identified
Shine
Keep workplace neat
and clean
Standardize
Method by which 5s
becomes a habit
AUDIT PERIOD
1
4
5
5
5
5
4
SHEET SUMMARY
Average Scores
4
4
4
Sort
Set in Order
Shine
Standardize
Sustain
Total Average Score
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
4.0
3.2
0.0
3.0
0.0
2.0
Preventing the area from having abnormal operating conditions

Specific cleaning and organizing tasks have been developed and assigned
for the work area
Staff is trained and fully understands 5S concept
Visual management tools identify if work is complete
4
4
4
4
Average Scores
Sort
Set in Order
Shine
Standardized
Sustain
4
Area Audited:
Auditor:
Comments
Rating / Score
0
1
2
3
4
Routine maintaining a clean workplace

Equipment, computers, work surfaces, and storage areas are clean
Garbage and recyclables are collected and disposed correctly
E-mails and paper are filed daily
Shared areas are cleaned and maintained regularly
Sustain
Stick to the rules (self-discipline)
Everyone is involved in the improvement activities
Maintain and follow the
Standardized cleaning and work process is followed
defined method
5S audits occur regularly
SCORING SYSTEM
Scale / # Problems
High - 5 or more
3-4
2
1
Low - None
Q1
0
Q2
0
Q3
0
Q4
20
0
0
0
0
0
0
0
0
0
0
0
0
16
0
12
0
Office 5S A
There are
open action items
Objective :
Code: A- Action; R - Recommendation; S - Statement

Status: O - Open; C - Complete
Item Current
Code
Description
#
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Office 5S Action Plan
Resp
Primary
Start
Date
End
Date
Date
Closed
Status
Remarks / Comments
RED TAG
ISSUE OR PROBLEM:
TAG #
ACTION NEEDED (circle one and note comments if necessary):

1: Throw Away
2: Organize
3: Improve
4: Resolve
5: Other
DATE OF TAG:
CATEGORY (if appropriate):
DATE OF COMPLETION:
TAGGED BY:
ASSIGNED TO:
REVIEWED BY:
ACTION TAKEN:
RED TAG
ISSUE OR PROBLEM:
TAG #
ACTION NEEDED (circle one and note comments if necessary):

1: Throw Away
2: Organize
3: Improve
4: Resolve
5: Other
DATE OF TAG:
CATEGORY (if appropriate):
DATE OF COMPLETION:
TAGGED BY:
ASSIGNED TO:
REVIEWED BY:
ACTION TAKEN:
RED TAG ITEMS LOG

Tag
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Item Tagged
Reason for Tagging
Notes / Disposition
5S MATURITY LEV
MATURITY
LEVEL
SORT
SET IN ORDER
Employees are continually

seeking improvement
opportunities.
LEVEL 5
Focus on
Prevention
LEVEL 4
Focus
on Consistency
LEVEL 3
4.0
A dependable documented
method has been established
to maintain a work area free of
unnecessary items.
4.0
All unnecessary items have

been removed from the work
area.
Make It
Visual
Anyone can walk into the work

area and easily locate items.
Abnormal conditions are
visually obvious and corrective
action measures are in place.
A dependable and
documented method has been
established to recognize, with
a visual sweep, if items are out
of place or exceed quantity
limits.
SHINE
3.2
Necessary and un-necessary

items are separated.
#DIV/0!
5S schedules detailing tasks

and responsibilities are
understood and practiced.
3.2
Designated locations are

marked to make organization
more visible.
4.0
Area employees have devised

a dependable and
documented method of
preventive cleaning and
maintenance. Work area
cleanliness and organization
are a way of life.
#DIV/0!

and responsibilities are
developed and utilized.
3.2
A designated location has

been established for all items.
#DIV/0!
Workplace areas are cleaned

on a regularly scheduled basis.
LEVEL 2
Focus
on Basics
LEVEL 1
Just
Beginning
4.0
Necessary and unnecessary

items are mixed together in the
work area.
3.2
Tools, supplies, books and

materials are randomly
located.
4.0
#DIV/0!
Workplace areas are dirty and

disorganized.
3.2
#DIV/0!
ATURITY LEVEL SUMMARY

STANDARDIZE
Employees are continually
seeking the elimination of
waste, all changes are
documented and information is
shared with employees.
SUSTAIN
Employees maintain consistent
standards in compliance with
the 5S program.
3.0
Workplace method
improvements are visible and
understood by all employees.
#DIV/0!
Checklists exist showing that

employees follow through on
5S schedules.
3.0
Workplace method
improvements are being
incorporated and documented.
#DIV/0!

and responsibilities have been
developed and are utilized.
3.0
Workplace methods are being

improved, but changes have
not been documented.
#DIV/0!
A recognized effort has been

made to improve the condition
of the work environment.
3.0
No attempt is being made to

document or improve current
processes.
#DIV/0!
Minimal attention is spent on

housekeeping.
3.0
#DIV/0!
RY
IMPROVEMENT INITIATIVES
Trend Data
Period
1
2
3
4
Goal
Rating
0.0
0.0
0.0
2.0
Fill in your goals for each period
Office 5S
Sort
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Standardize
Set in Order
2.5
Average Rating
Sustain
5S Perfromance
Shine
2
1.5
1
0.5
0
1
Period
Goal
Current Average Score
0.00
Rating
Office 5S
Sort
5S + Safety
FY05 Perfromance Trend
Standardize
2.5
Set in Order
Shine
Average Rating
Sustain
2
1.5
1
0.5
0
1
Period
Goal
0.00
Rating
Office 5S
Sort
5S + Safety
Standardize
2.5
Set in Order
Shine
Average Rating
Sustain
2
1.5
1
0.5
0
1
Period
Goal
0.00
Rating
Office 5S
Sort
5S + Safety
Standardize
Set in Order
Shine
Average Rating
2.5
Sustain
2
1.5
1
0.5
0
1
Period
Goal
Rating
2.04

Office 5S Checklist

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Office 5S Checklist

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PLS Office 5S + Safety Audit Form - Draft

A place for everything and everything in its place

Preventing the area from having abnormal operating conditions

Routine maintaining a clean workplace

open action items

Code: A- Action; R - Recommendation; S - Statement

Office 5S Action Plan

ACTION NEEDED (circle one and note comments if necessary):

CATEGORY (if appropriate):

ACTION NEEDED (circle one and note comments if necessary):

CATEGORY (if appropriate):

RED TAG ITEMS LOG

Reason for Tagging

Employees are continually

All unnecessary items have

Anyone can walk into the work

Necessary and un-necessary

5S schedules detailing tasks

Designated locations are

Area employees have devised

5S schedules detailing tasks

A designated location has

Workplace areas are cleaned

Necessary and unnecessary

Tools, supplies, books and

Workplace areas are dirty and

ATURITY LEVEL SUMMARY

Checklists exist showing that

5S schedules detailing tasks

Workplace methods are being

A recognized effort has been

No attempt is being made to

Minimal attention is spent on

Fill in your goals for each period

Current Average Score

Current Average Score

Current Average Score

Current Average Score

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