Name:___________________________ Function:____________________ Shift:____________

Checked zone:__________________________
Date:____/________/_________

5S Check list
S5=Shitsuke=Self-discipline=Let behave
Make habit of obedience to the rules
Table 1. Check results for step S5
#
Yes No
Check list for step S5
1
Are you doing the daily cleaning checking?
2
Are the daily reports correctly done and n due time?
2
Do you wear a appropriate labor protection clothing?
3
Do you wear badges and helmet when necessary?
4
Are the modular group members fulfilling the meetings schedules?
5
Is everyone adequately trained in standard procedures?
6
Are tools and parts being stored correctly?
7
Are stock controls being adhered to?
8
Are procedures up-to-date and regularly reviewed?
9
Are activity boards up-to-date and regularly reviewed?
10

Table 2. Observations, comments, improvement suggestions found during S5 step check

#
Observations, comments, improvement suggestions found during S5 step check

Notes:
1. Check and note in table 1 with Yes or No every in table element associated with S5
2. Complete free rows in table 1 for new checking directions specifics for S5
3. Note positions in table 1 for your observations, comments, improvement suggestions, using for that table 2
4. Your evaluation is useful for working place improvement
5. Keep the check list for group analysis
6. Your observations and improvement suggestions are well come in our suggestion system