5 ‘S’ Checklist for Shop Floor Audit Date:

Current Audit Status

Area/Section: Clearing Up Organising Cleaning Standardise Self-Discipline
Name of Auditee:
Name of Auditor:
S. Self Audit by
5S Item Description Evaluation Criteria Score
No Audit HOD
1 Team Team responsible for 5S implementation or facilitation is identified in each
Formation 1.1 department / sub area as applicable 2
and review
1.2 Findings of the 5S implementation /facilitation team are reviewed regularly 2

1.3 Necessary and Un-necessary Items have been identified and listed 2
Remove
Un-necessary 1.4 Necessary items are stored as per degree of need, frequency of use. 2
Items 1.5 Retention period is mentioned for all documents and records 2
Un-necessary Items have been kept separate in centrally defined area,
1.6 2
affixing 5S Red Tag
Role identification and Clearing

Disposal schedule is chalked out for un-necessary and rejected Items and
Define are disposed as per schedule (scrap / unwanted components, tools, gauges,
1.7 desks, benches, fixtures, machines etc.) 4
retention
period
2 Floor Oil, chemical, powder, water, dirt, unwanted items etc are not observed on
2.1 2
Cleaning floor
Floors are in safe working condition (non-slippery, epoxy-floor peel off, pits
2.2 2
on floor etc.)
3 Bulletin Bulletin Boards are displayed at prominent places and are in clean
3.1 2
Boards condition. Old outdated Bulletins are not displayed
4 Emergency Emergency equipment like fire extinguishers, water hoses relevant to
4.1 2
equipment section are available (appropriate fire extinguishers are available)
Emergency equipment is stored in prominent place, easy to locate and
4.2 2
considering accessibility.
Circuit breakers , emergency stops are colour coded for visibility and
4.3 2
identification
Adherence to safe work practices by all (safety shoes, goggles, machine
4.4 2
guards, authorized personnel operating forklift, etc.)
1‘S’ Score upto 15 =Red, Between 16 to 27 = Yellow, Between 28 to 30 = Green Total 30
Note : If Audit Score of 1 ‘S’ is less than or equal to 15 i.e in Red; then please do not proceed further on audit

5 Material/ Identification and place specified for raw material, semi finished goods, 2
5.1
Fixture/Tools finished goods, solvents, Documents, sample bottles, tools, PPEs etc.
storage Items are stored in storage arrangement considering quantity, mix-up, FIFO
arrangement 5.2 2
concept (First In First Out)
6 Equipment 6.2 Critical machines/ equipment have been identified 2
maintenance
Organising

6.1 Machines and equipment are kept clean by daily care 2

Critical points of daily maintenance checks are clearly marked on machines
6.3 2
and equipment (oil levels, pressure levels, etc.).
Machine and equipment check sheets are displayed and adhered to
6.4 2
(machine cleaning, coolant change, oil filling, etc.)
7 Aisleways 7.1 Aisleways are clean and clearly demarked 2
Aisleways are free of encroachment (material, trolleys, bins etc not on
7.2 2
aisleways)

2‘S’ Score upto 8 =Red, Between 9 to 14 = Yellow, Between 15 to 16 = Green Total 16

Note : If Audit Score of 2 ‘S’ is less than or equal to 8 i.e. in Red; then please do not proceed further on audit
% Area covered 0 % to 50% 51 % to 90% 91 % to 100 %
Score 0 1 2
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 5 ‘S’ Checklist for Shop Floor Audit Date:
S. Self Audit by
5S Item Description Evaluation Criteria Score
No Audit HOD
8 Machines and Proper guards and deflectors are being used to avoid chemical, powder, water
Equipment 8.1 2
etc falling on floor
storage 8.2 All hoses, cabling & wires clean, in good condition 2
8.3 Fool proofing (Poka-Yoke) done to avoid mistakes 2
All outside surfaces of change room containers/ dust bins/ racks/ almirah are
8.4 2
clean
8.5 No Dirt, No Spills, No Oil in the area 2
Cleaning

9 Tools and 9.1 Tools, jigs and fixtures, gauges are clean and kept at identified place 2
Gauges 9.2 Measuring instruments with valid calibrations are only used and stored 2
Calibration frequency and schedule displayed for Tools, Jigs, fixtures and
9.3 2
gauges
10 Documents Documents are stored in orderly manner (labeled clearly as to contents,
10.1 2
responsibility for control and revision)
10.2 Document control schedule is displayed and adhered 2
10.3 All postings are neat & orderly in appearance 2
3‘S’ Score upto 11 =Red, Between 12 to 19 = Yellow, Between 20 to 22 = Green Total 22
Note : If Audit Score of 3 ‘S’ is less than or equal to 11 i.e in Red; then please do not proceed further on audit
11 5 ‘S’ Control Assigned responsibility & system is in place for maintaining Clearing Up,
11.1 4
and Organizing and cleaning
Standardise

Maintenance 5'S' Audit conducted Internally and periodically (internal audit : at least
11.2 4
quarterly)
Review of 5’S’ Action Plan takes place and actions are taken on the suggested
11.3 4
improvements during the internal / external audits
11.4 Evidence of Progress Trend ( 5’S’, Downtime, Rejection and Quality) 4
4‘S’ Score upto 8 =Red, Between 9 to 14 = Yellow, Between 15 to16 = Green Total 16
Note : If Audit Score of 4 ‘S’ is less than or equal to 8 i.e in Red; then please do not proceed further on audit
12 Orderliness PPE and safety standards being understood and adhered to by all employees in
12.1 the area. Injury on work cases, no. of accidents, accident frequency rate, 4
accident severity rate show declining trend.
Self Descipline

Mobile equipment is located in correct area when not in use and Items are
12.2 4
returned to designated area when not in use
Evidence of learning / Sharing and replication of 5 ‘S’ improvements of the
12.3 4
section from / to other areas/locations
Improvements is carried out for 5 ‘S’ practices, on continuous basis and Spirit of
12.4 4
5S is seen with enthusiasm and actions
5‘S’ Score upto 8 =Red, Between 9 to 14 = Yellow, Between 15 to16 = Green Total 16
Score is less than 50 = Red, Between 51 to 90 = Yellow, Between 91 to100= Green Grand Total 100
Audit Detail Date Marks
Maximum Marks: 100
Self Audit
When self audit>90%, call Unit Incharge
Audit by Unit Incharge
When Unit Incharge audit>85%, call SFTI Site Head
Audit by SFTI Site Head
Observations:

(Auditor Signature) (Auditee Signature)

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