3S - Audit Sheet (Office)

Zone Name : Zone Leader Name :

Audit Level (Pl Tick on Audit Level) 1st □ 2nd □ 3rd □
5'S' Committee / Section TPM Steering Committee /
Audit By Self Team
Head Dept. Head
Audit Frequency Weekly Fortnightly Monthly
Audit Qualifying Score More Than 90 Points More Than 85 Points More Than 80 Points
Audit Date
No. Check Items Score Audit Observations Actions Planned Resp. Target Date

Is daily sweeping and mopping of the floor & aisles carried out
1
at pre-fixed time intervals ?

Are all toilets are mopped, cleaned and disinfected as per

2
prefixed time intervals ?

3 Is pantry area cleaned & free from dust, dirt ?

Are all office equipments (fax, zerox, scanner, telephones etc.)

4
cleaned & free from dust ?

5 Are PC cleaned ?

6 Is desk table cleaned ?

Are all office's shelves, stands, filing cabinets, tables cleaned

7
and free from dust and dirt ?

Are all visiting rooms, conference halls, reception areas

8
cleaned & free from dust ?

9 Are all windows, pillars, beams cleaned ?

Are all light bulbs, tubes, fans, switches cleaned and free from
10
dust and dirt ?

Are all pipelines (water, gas) and electrical lines cleaned and
11
free from dust and dirt ?

12 Is there no dust on display boards, documents, files ?

13 Are all dust-bins cleaned inside as well outside ?

Are all ventilation facilities (fans, exhaust fans, suction/cooling

14
hoods, ducts) cleaned ?

Are all exterior walls of building are clean and

15
painted/whitewashed ?

Are all warning lamps, Andon lamps, various indicators cleaned

16
?

Are all switches, limit switches, press buttons, cleaned from

17 outside (Only outside persons should clean the insides of such
switches) ?

Are all cleaning tools (cotton, broom, mopper, vaccum cleaner,

18
cleaning agents/ liquid etc.) available at appropriate places ?

Are cleaning personnel well informed & trained for cleaning

19
areas & schedule ?

Is there availability of cleaning check sheets at appropriate

20
places with defined responsibility & followed by ?

Total

Audit Result Points (Pass - Yes /No)

Auditor Name & Sign.

Points Evaluation Criteria 1=Poor, 2=Average, 3=Good, 4=Very Good, 5=Excellent

MQS/TPM/3S/3S Audit Sheet-Office/F/06 Rev. No.: 00 1

Rev. Date : 10th April'2013