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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!

5S schedules detailing tasks


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!

5S schedules detailing tasks


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

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

Current Average Score

0.00

Rating

Office 5S

Sort

5S + Safety
FY05 Perfromance Trend

Standardize

Set in Order

Shine

Average Rating

2.5
Sustain

2
1.5
1
0.5
0
1

Period
Goal

Current Average Score

Rating

2.04