5S Implementation Audit Checklist

Instruction: Auditors shall use the scoring table below to rate the progress of the auditee
with respect to 5S implementation. The score will be totaled and will be checked against the
Assessment Report table at the end.

Date & Time of Audit:

Division / Section / Unit:

Chief or Head of Division / Name: _______________________________

Section / Unit : Signature: ____________________________

Designated (1) Name: _______________________________

Representative(s): Signature: ____________________________

(2) Name: _______________________________

(Please use the back of this Signature: ____________________________

page if more space is needed.) (3) Name: _______________________________

Signature: ____________________________

(4) Name: _______________________________

Signature: ____________________________

Auditor(s): (1) Name: GLENDA C. ALMA

Signature: ____________________________

(Please use the back of this (2) Name: JULIE ANNE PRINCESS A. CIAR

page if more space is needed.) Signature: ____________________________

(3) Name: _______________________________

Signature: ____________________________

(4) Name: _______________________________

Signature: ____________________________

DIAGNOSTIC CHECKLIST FOR 5S

 1
.0 SORT OUT SEIRI
SCORE
REQUIREMENT REMARKS
*
1.1 Are there any items, materials,
boxes, left on the floor?
1.2 Are all frequently used objects
sorted, arranged, stored and labeled?
Are the frequently used objects
1.3
within the reach of the employee who is
going to used them?
1.4 Has the team identified the not
frequently used items?
Is there an identified location for
1.5
these not frequently used items, clearly
marked and labeled?
1.6 Is it obvious which items have been
marked as unnecessary?
Does the inventory or in-process
1.7
inventory include any unneeded
materials?
Are there any unused equipment,
1.8
computer, UPS, printer, barcode readers
or similar items around?
Is there an agreed standard on the
1.9 personal items that should be allowed in
the workplace? Is everyone in the team
familiar with this standard?
1.10 Are the personal items clearly
separated from the office items?
1.11 Is there an identified location for the
supplies that are needed by the team?
1.12 Does everyone in the team know
where these supplies are located?
2
.0 SET IN ORDER SEITON
SCORE
REQUIREMENT REMARKS
*
Are access hallways, storage areas,
2.1
working areas/ places and equipments
surroundings clearly defined?
2.2 Are the fire extinguishers location
clearly marked and labeled?
Is there anything too close to the
2.3
fire extinguisher enough to block access
to it?
2.4 Does the floor have any cracks,
drops or variation n level?
2.5 Are shelves, drawers and other
storage areas clearly marked/labeled?
2.6 Do the shelves have signboards
showing which items go where?
Are the maximum and minimum
2.7
allowable quantities for supplies
indicated?
Are white lines or other markers
2.8
used to clearly indicate walkways and
storage areas?
 2.9 Are the locations of trash bins
clearly marked on the floor?
Are the computer/printer
2.10
electrical/network wires properly
harnessed?
3
.0 SHINE-SEISO
SCORE
REQUIREMENT REMARKS
*
3.1 Are cleaning schedules available and
displayed?
3.2 Are floors, walls, windows doors etc.
maintained at a high level of cleanliness?
3.3 Is use of adequate cleaning tools
evident?
Are machines, equipment, tools,
3.4furniture maintained at a high level of
cleanliness and their maintenance
schedules displayed?

3.5 Is there a general appearance of

cleanliness all round?

4
.0 STANDARDIZE - SEIKETSU
SCORE
REQUIREMENT REMARKS
*
4.1
Are all 5S procedures standardized?
4.2 Are standard check lists used to
regularly inspect 5S?
4.3
Are labels, notices etc. standardized?
4.4 Do isles/gangways have a standard size
and color?
4.5
Are pipes, cables,etc. color coded?

5
.0 SUSTAIN SHITSUKE
SCORE
REQUIREMENT REMARKS
*
5.1 Is there a system for how and when the
5S activities will be implemented?
Does management provide support to
5.2
5S program by recognition, resources and
leadership?
5.3 Have first 3S become a part of the daily
work?
5.4 Do employees show positive interest in
5S activities?
5.5 Are 5S posters and 5S points of work
reminders displayed?

TOTAL SCORE
ASSESSMENT REPORT

SCORE PERCENTAGE MATURITY LEVEL ASSESSMENT

SCORE PERCENTAGE MATURITY LEVEL ASSESSMENT

Less than 30 Less than 25% Lack of Unaware about the
awareness usefulness of 5S
More than More than 25% No formal Randomly practicing 5S
30 and less than and less than 50% approach
60
More than More than 50% Formal approach On the right track. If
60 and less than and less than 75% score is close to 90 then the
90 first 4S have been fully
implemented. At this stage,
the work place should have
a general appearance of
orderliness and cleanliness
More than More than 75% Sustaining Management is
90 and up to 120 and up to 100% approach committed to maintain 5S
and employees are showing
positive interest in 5S
activities