1S, 2S & 6S Audit Checklist

AUDIT REPORT
Plant Name & Location - BG No. - Audit Dates -
AUDIT RESULT -
* Overall Safety Score of the Plant (Basic + Workplace Specific) =
* 1S, 2S Score
Shopfloor Area Office Area Miscellaneous Area Overall
* Total No. of Fugai's Observed in 1S, 2S & Safety=
MAJOR OBSERVATIONS -
* SAFETY -
* 1S, 2S -
(safety Head), BG (ME Head), BG Plant Head JBM Group - ME

Auditee Auditee Auditee Auditor
Fugai's Identified during 1S, 2S & Safety Audit
Auditor - (ME, JBM Group)
Obser. Category (S,
S. N. Area Zone No. Zone Leader No. of Fugai's No. Open Fugai's
1S/2S)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Total No of Fugai's 0 0
Status Updated on -
Plant Head ME Head & Safety Officer -BG BG Head

Status updated By Status Verified By Status Reviewed By
Fugai's List - Safety Audit
Auditor - (ME, JBM Group) Audit Dates -
Zone Area Zone
S. N. Category Fugai Description Action Planned Resp. Person Target Date Status
(O/S/M) No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Plant Head Safety Officer (BG) ME Head (BG) BG Head

Status updated By Status Verified By Status Verified By Status Reviewed By
Fugai's List - 1S, 2S Audit
Auditor - (ME, JBM Group) Audit Dates -
Zone Area Zone
S. N. Category Fugai Description Action Planned Resp. Person Target Date Status
(O/S/M) No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Plant Head ME Head (BG) BG Head

Status updated By Status Verified By Status Reviewed By
SAFETY AUDIT CHECKLIST
Plant - Main Area - Shopfloor
Auditor - (GM-ME, JBM Group) Auditee - (ME Head
Name of Zone
Auditee
Max.
S.N. SAFETY AWARENESS Marks A
Entire zone and sub zone is clearly defined with photo of zone & sub zone owner. Safety Zone Board is displayed. Zonewise Safety
1 Calendar is effectively displayed. 20
Health &Safety policy is prepared, displayed. 100% people are trained about Health & Safety Policy. It is Legible,
2 Understandable. 20
3 100% people are Trained (New), Retrained (Regular) about "Basic Safety" & "work specific Safety" requirements. 20
During shopfloor visit; 100% visitors, Transporters are using Safety Devices like protective glasses, gloves, Helmet, cap, ear plug,
4 apron, safety shoes etc. wherever required. 20
5 Name, Photo and Mobile Number of "Trained Emergency Response Team" is displayed areawise. 20
6 Zone Owner & Sub Zone Owner conduct frequent Audits in their area. Audit Result, Action Plan, Before/After photo are displayed. 20
BG Head, Unit Head, Safety Officer & Safety Committee conduct surprise Safety Audit. Audit Result, Action Plan, Before/After
7 photo are displayed. 20
8 100% people are involved, motivated to maintain Safety at their workplace. 20
Total of Safety Awareness 160 0 0

Max.
FIRE FIGHTING Marks A
Name of Zone
Auditee
1 Appropriate No./Type of First Aid Boxes, Fire Extinguishers etc. are available. Survey done by competent Authority. 20
All Fire Extinguishers are fixed at height of 750 mm Max. from ground level. They are kept under shed (for the fire extinguishers
2 kept outside the building). 20
All Fire Extinguishers are properly marked, Labelled. Locations of Fire Extinguisher are legibly marked, indicated. They are available
3 at fixed location. They are in working condition. 20
100 % People are aware Fire Extinguisher, Emergency Exit & Emergency Meeting Point. Areawise Layout incorporates Fire
4 Extinguisher, Emergency Exit location. 20
5 100% People are able to use Fire fighting equipment. 20
6 On site Emergency Preparedness Plan is prepared, displayed & followed. 20
7 Mock drill is conducted once in 6 months. Actions elements from Mock drill are followed & Closed in time. 20
Name of Zone
Auditee
Total of Fire Fighting 140 0 0
Max.
SAFE MATERIAL HANDLING Marks A
Material trolley, Racks are kept as per appropriate height. They are tested for Max. Load Carrying Capacity. Rated Load Capacity
1 is displayed. Racks are Grouted. 20
Lifts are tested for Max. Load Carrying Capacity. Rated Load Capacity is displayed. Safety Checklist is made, displayed & followed
2 for Lift. 20
3 Safe Staking Height of Coils is identified & visually marked. 20
4 Material is not overflowing from trolley. Dies, Fixtures, RM is kept properly in Racks to avoid any damage or accident. 20
100% people are Trained (New), Retrained (Regular) on Safety requirements for handling, Loading, U/L of material, dies, fixtures,
5 machines etc. They are using Safety Devices (PPE) like Helmet, Safety shoes, Hand Gloves etc. whenever required. 20
100% people are Trained (New), Retrained (Regular) on Safety requirements for handling, Loading, U/L of scrap, hazardous
6 material etc. They are using safety equipments (PPE) like shoes, Hand gloves, masks etc. 20
100% Drivers are Trained (New), Retrained (Regular) on OCP. They are using safety equipments (PPE) like shoes, Hand gloves etc.
7 Only Authorised Drivers are operating Fork Lift. 20
All Material handling Equipments are equipped with Rear Horn, Zebra Painting Flasher Lamp, Brakes, Hydraulic System etc. They
8 are working. The Design of MHE is safe. 20
All Material Handling Equipments e.g. Forklifts, Cranes, Transporters etc. are tested from Competent Authority for Max. Load
9 Carrying Capacity. Rated Capacity is visibly marked. 20
Name of Zone
Auditee
10 OCP is prepared and displayed for all material handling equipments. 20
11 OCP is prepared, displayed & followed at Scrap Yard. 20
12 No Driver entering company without valid license & are verified that is not drunk. 20
Total of Safe Material Handling 240 0 0
Max.
SAFE WORKING ENVIRONMENT Marks A
No Zig-Zag Gangways. Gangways are clearly marked, free of material, parts ,trolleys, empty bins etc. Gangways used for man and
1 material movement only. 20
2 Floor is free from pits and is NOT irregular. 20
3 Shopfloor Temperature level is OK. Enough no. of Exhaust Fans are provided. They are in working condition. 20
Pollution from operations is taken care. 100% machines are provided with Fume Exhaust. They are effective and are in good
4 condition. 20
Noise Level & Light Level is regularly checked, displayed at workplace and is within norms. No harsh or blind light sources. No
5 Blind. 20
No open, loose, broken wiring, panels, switches etc. Bus bar trunking, air and water lines & all cable connections are at right
6 angle. Fans are fixed at appropriate place. 20
First Aid boxes have necessary medicines. Is kept at right place. The location of First Aid Box, Hazardous Gas Cylinder etc. is
7 incorporated in Shop Layout. 20
Name of Zone
Auditee
Visual Indicators for Electrical Cabinets, Direction of rotating motors, other equipments, Control Boxes, Safe and Unsafe Zone
8 etc. 20
9 OCP is prepared, displayed & followed for 100% Utilities e.g. DG Set, Electric Panel, Compressor Air etc. It is updated one. 20
10 No material is accumulated in front of Electrical distribution box, Fire extinguishers, Emergency Exit etc. They are easily
accessible. 20
11 Direction boards are effectively displayed for Emergency Exit, dispensary, Hazardous Areas etc. Caution boards are effectively
displayed. They are Legible, Understandable. 20
12 Ladders & Stairs are as per Factory Act Requirement. e.g. Length, width, both side Railing etc. 20
13 M/C top, Top Floor used for material is storage etc. is with fencing to avoid accident to man, material fall. 20
14 Appropriate Size of Convex Mirrors are fixed at blind turns. 20
15 Machine specific safety checklist is developed & used for 100% machines. Daily Check is effective. 100
16 While working on machine, 100% people are using Safety Devices (PPE) like protective glasses, gloves, Helmet, cap, ear plug,
apron, safety shoes etc. where ever required. They are actively involved in maintaining Safety Requirements. 20
17 Access to moving machine parts is protected by railings, guards, coverings etc. Work with hand tools on a rotating areas is
limited. Emergency stop devices are installed wherever there is risk. 20
18 Adequate space for operator & maintenance staff movement to observe safety while operating, servicing & cleaning the
equipments. 20
Name of Zone
Auditee
19 Risk Assessment (HIRA) is done for 100% machines. It covers OHSAS requirements in full scale. It is updated one. 20
20 Corrective Actions are planned, Reviewed & completed for Risk Assessment (HIRA) Elements. 20
21 OCP is prepared & displayed for 100% workplace in Production. It is updated one. 20
22 OCP is followed at 100% workplace in Production. 20
Name of Zone
Auditee
23 Lock Out, Tag Out Procedure is made & displayed to carry out Machine Maintenance Activity. 100% people are Trained (New),
Retrained (Regular) on this. It is followed. 20
24 Major & Minor Accident in depth Analysis is done. 20

Corrective Actions (against all Major & Minor Accidents and Near Miss cases) are planned for Prevention, Detection, System &
25 monitoring. Corrective Actions are reviewed regularly. 100% Actions are closed in time. 20
26 Yokatene - Corrective Actions are Horizontally deployed for all Major, Minor Accident & Near Miss cases. 20
27 Safety Committee is formed. They meet on regular basis. Major focus area is identified and actions are planned. 20
28 OCP is prepared & displayed for Maintenance & Fabrication work activities. It is updated one. 20
29 100% people are Trained (New people) & Retrained (Regular People) on Safety requirements during Maintenance & Fabrication
work activities. They are following OCP, using Safety Devices (PPE) like Goggles, Safety Belt etc. 20
30 OCP is prepared, displayed & followed for construction work activities. It is updated one. 20
Construction Contractors are following Safe Work Permit System. 100% people are Trained (New people) & Retrained (Regular
31 People) on Safety requirements during construction work activities. They are following OCP, using Safety Devices (PPE) like 20
Goggles, Safety Belt etc.
32 Hazardous Gas Cylinders are stored as per Safety Norms. e. g. Taken care for not falling, equipped with Non return valve etc. 20
Name of Zone
Auditee
33 High Explosive & Flammable material is stored and maintained as per Safety Norms.e.g. Maintained Fire Hoses, Stand Pipes 20
properly. Safety Signage, OCP is displayed, equipped with Non Return Valve etc.
34 ETP, STP area is maintained as per OHSAS Requirements. e.g. Slug Storage tank Restricted Entry, PPE use etc. 20
35 Canteen Area is maintained as per OHSAS Requirement. e.g. Waste Disposal, pit control, bio gas, 100% People are using PPE.
Gases storage, Have Emergency Exit etc. 20
36 Legal Compliance Calendar is made. Compliance is followed. No overdue case. 20
Work Permit is obtained from Competent Authority before starting the production. Operation is running as per Legal
37 Requirements. 20
38 Company Layout/construction (temporary, permanent) etc. is approved by Competent Authority. 20
Total of Safe Working Environment 840 0 0
Total Of Safety 1380 0 0
Safety Score% 0.0 0.0
OVERALL SAFETY SCORE OF THE PLANT = %

SCORING CRITERIA -
Level 1 - If the zone has not started the particular activity.
Name of Zone
Auditee
Level 2 - If the zone has done the particular activity in one sub-zone.
Level 3 - If zone has done the particular activity throughout the area. Actions are taken on 25% elements identified during HIRA & Near Miss. Mistake Proofing prov
accidents cases in last 6 months. Sustained for 3 months w/o Minor Accident & 6 months w/o Major Accident.
Level 4 - If the zone has total focus on corrective actions. Mistake Proofing provided for all the Major & Minor accidents cases in last 1 year. Actions are taken on 75
HIRA & Near Miss. Sustained for 6 months w/o Minor Accident & 1 year w/o Major Accident.
Level 5 - If the zone has total focus on prevention. Mistake Proofing provided for all the Major & Minor accidents happened in last 3 years. Actions are taken on 100
HIRA & Near Miss. Sustained for 1 year w/o Minor Accident & 3 years w/o Major Accident. Whole factory is made Accident Free.
UDIT CHECKLIST F/MGT./06/02/00
Main Area - Shopfloor Audit Date -
Auditee - (ME Head,BG) Auditee - (Plant Head)
Element
Avg.
Score
ACTUAL SCORE
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0 0 0 0 0.0
ACTUAL SCORE
Element
Avg.
Score
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Element
Avg.
Score
0 0 0 0 0.0
ACTUAL SCORE
Element
Avg.
Score
0 0 0 0 0.0
ACTUAL SCORE
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Element
Avg.
Score
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Element
Avg.
Score
0.0
0.0
0.0
0.0
Element
Avg.
Score
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Element
Avg.
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
Marks
0
Element
Avg.
Score
5
elements identified during HIRA & Near Miss. Mistake Proofing provided for all the Major & Minor
Major Accident. 10
Major & Minor accidents cases in last 1 year. Actions are taken on 75% elements identified during
15
& Minor accidents happened in last 3 years. Actions are taken on 100% elements identified during
ole factory is made Accident Free. 20
1S, 2S AUDIT CHECKLIST
Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)
Name of Zone
Auditee
Max.
S. N. 1S - SEIRI (Sorting Out) Marks ACTU
Entire zone and sub zone is clearly defined with photo of zone & sub zone owner. 5S Zone Board is
1 displayed. 20
2 Visual Display is created for 1S & 2S. 100% people are Trained (New), Retrained (Regular) about 1S& 2S. 20
3 List of Essential Items with Quantity needed is available & regularly updated. 20
4 No oil, water, gas or air leakage. Floor is free from scrap, pit, oil & water. 20
5 No items on floor, window sill (e.g. hand gloves, paper tags, cigarette pouches, parts etc). 20
6 Fans, Lights, Clocks, Switches, Table are dust free and are in working condition. Calendar & Clocks visible. 20
7 No Cracked Wall. No Broken/Damaged Pipes, Door, Window, Table, Chairs, Drawers, Racks etc. 20
8 No Document pasted on wall, Jig, machine, under the table, on the glass etc. 20
No Unwanted Item inside Drawers, Racks, Working Table. Nothing on Top of Rack, Under the table. (e.g.
9 material, component, file & documents). Rack Height - Max. 6 Ft. is maintained. 20
10 No unused machines, equipments, drawings, documents parts etc. around. 20

Trolleys, Bins, Containers, Pallets are Clean, free from Dust, Damage. No Unwanted, Overflow items.
11 Trolley Height - Max. 6 Ft. is maintained. 20
No mix up of scraps (Polythene, strips, dry, oily hand gloves etc.). All disposable items have disposable
12 system. Adherence to Dustbins (Yellow / Blue). 20
Name of Zone
Auditee
Non Confirming Material (Suspected, Unwanted parts, Rejection, Rework) is kept separately from regular
13 supply. Identified & disposed at regular freq. No Part Mix up. 20
Zone Owner & Sub Zone Owner conduct frequent 1S, 2S Audits in their area. Audit Result, Action Plan,
14 Before/After photo are displayed. Audit is effective. 20
BG Head, Unit Head conduct surprise 1S, 2S Audit. Audit Result, Action Plan, Before/After photo are
15 displayed. Audit is effective. 20
‘Central Red Tag Area’: is defined. Disposal decision taken twice in a month. Red Tag area is in good
16 condition. Transfer unwanted items to the central red tag area. 20
Total of 1S 320 0 0 0 0
Name of Zone
Auditee
Max.
2S - SEITON (Systematic arrangement) Marks ACTU
1 Display Boards are neat & clean. Name of Display Board, Owner & Updating Frequency is specified. 20
Gangways are clearly marked..They free of any material, parts, trolley, empty bins etc. Gangways used for
2 man and material movement only. 20
Equipments: There are no open, loose, broken wiring, panels, switches etc. Bus bar trunking, air and water
3 lines are at right angle. 20
W.I. are near workplace & easily readable. W.I. displayed in neat & clean manner within the board. All
4 Notice, Work Instruction are displayed in neatly and within the board. 20
5 No working done on floor. Operator is not sitting on floor while doing job and also during interval time. 20
6 1S, 2S is started for all the machines. Checklist is made & followed. 20
7 Adequate space for operator & maintenance staff movement while servicing & cleaning the equipments. 20
8 Place for Everything - Machines, Equipments etc. They are identified. 20
9 Place for Everything - Jigs, Fixtures, Maintenance Tools etc. They are identified. 20
10 Everything in Place - Machines, Equipments, Jigs, Fixtures, Maintenance Tools etc. 20
11 Place for Everything - Fans, Lights, Doors etc. They are identified. 20
12 Place for Everything - Bins, Racks, Trolleys etc. They are identified. 20
Name of Zone
Auditee
13 Everything in Place - Fans, Lights, Doors, Bins, Racks, Trolleys etc. 20
14 Pipe lines (air, water, gas, oil etc.), direction of flow or rotation are clearly visible with different color. 20
15 Minimum, Maximum Inventory Level is marked is visually indicated. Count Free. 20

16 FIFO is followed for all the material kept in Bin, chute, WIP, RM ,BOP, FG etc. 20
17 PEEP - Inspection Area, Inspection Table, Gauges, Instruments etc. 20
18 Place for Everything - almirah, racks etc. They are indentified. 20
19 Place for Everything - Departments, Individual members etc. They are identified. 20
20 Place for Everything - Shelves, Table, Chair, Desktop, all elements on Table etc. They are identified. 20
Everything in Place - almirah, rack, Departments, Individual Board, Table, Chair, Desktop, all elements on
21 Table etc. 20
22 Files, Document, other storage etc. is identified. Location is displayed. Retrieval Time - 30 Sec. 20
23 Steering Committee in place to Fast Track 1S, 2S activities. 20
24 100% people are involved and motivated to maintain 1S, 2S at their workplace. 20
Total of 2S 480 0 0 0 0
Total 1S, 2S Score 800 0 0 0 0

Name of Zone
Auditee
1S, 2S Score% 0 0 0 0
OVERALL 1S, 2S SCORE OF SHOP FLOOR = % 0
SCORING CRITERIA -
Level 1 - 0 Marks - If the zone has not started the particular activity.
Level 2 - 5 Marks - If the zone has done the particular activity, partially.
Level 3 - 10 Marks - If the zone has done the particular activity in 50% of sub zones OR 50% Area.
Level 4 - 15 Marks - If the zone has done the particular activity in 75% of sub zones.
Level 5 - 20 Marks - If the zone has done the particular activity throughout the zone.
T CHECKLIST
Audit Date -
Auditee - (Plant Head)
Element
Avg.
Score
ACTUAL SCORE
0
0
0
0
0
0
0
0
0
0
T CHECKLIST
Audit Date -
Element
Avg.
Score
0 0 0 0
T CHECKLIST
Audit Date -
Element
Avg.
Score
ACTUAL SCORE
0
0
0
0
0
T CHECKLIST
Audit Date -
Element
Avg.
Score
0
0
0
0 0 0 0
0 0 0 0 0
T CHECKLIST
Audit Date -
Element
Avg.
Score
0 0 0 0 0
0
Plant - Main Area - Office Area
Auditee - ,(ME Hea
Auditor - (GM-Group ME) ,BG)
Name of Zone
Auditee
Max.
S. N. 1S - SEIRI (Sorting Out) Marks
1 Entire zone and sub zone is clearly defined with photo of zone & sub zone owner. 5S Zone Board is displayed. 20
2 Visual Display is created for 1S&2S. 100% people are Trained (New), Retrained (Regular) about 1S & 2S. 20
3 List of Essential Items with Quantity needed is available & regularly updated. 20
4 Boards are Clean. No Torn or Soiled Notices, Name Plates etc. are displayed. 20
5 No oil, water, gas or air leakage. Floor is free from scrap, pit, oil & water. 20
6 No items on floor, window sill (e.g. hand gloves, paper tags, cigarette pouches, parts etc). 20
7 Fans, Lights, Clocks, Switches, Table are dust free and are in working condition. Calendar & Clocks visible. 20
8 No Cracked Wall. No Broken/Damaged Door, Window, Table, Chairs, Drawers, Racks, Bins etc. around. 20
9 No Document pasted on wall, under the table, on the glass etc. 20
10 No unused drawings, documents, equipments, parts etc. around. 20
No Unwanted Item inside Drawers, Racks, Working Table. Nothing on Top of Rack, Under the table. (e.g. material,
11 component, file & documents). Rack Height - Max. 6 Ft. is maintained. 20
12 All Soft Files in computer are categorised in folder. Mail box is sorted out. Desktop has minimum items. 20
No mix up of scraps (Polythene, strips, dry, oily hand gloves etc.). All disposable items have disposable system.
13 Adherence to Dustbins (Yellow / Blue). 20
Zone Owner & Sub Zone Owner conduct frequent Audits in their area. Audit Result, Action Plan, Before/After photo
14 are displayed. Audit is effective. 20
Auditee - ,(ME Hea
Name of Zone
Auditee
BG Head, Unit Head conduct surprise Safety Audit. Audit Result, Action Plan, Before/After photo are displayed. Audit
15 is effective. 20
‘Central Red Tag Area’: is defined. Disposal decision taken twice in a month. Red Tag area is in good condition.
16 Transfer unwanted items to the central red tag area. 20
Total of 1S 320 0
Auditee - ,(ME Hea
Name of Zone
Auditee
Max.
2S - SEITON (Systematic arrangement ) Marks
1 Display Boards are neat & clean. Name of Display Board, Owner & Updating Frequency is specified. 20
Gangways are clearly marked. They are free of any material, parts etc. Gangways used for man and material
2 movement only. 20
Equipments: There are no open, loose, broken wiring, panels, switches etc. Bus bar trunking, air and water lines are
3 at right angle. 20
W.I. are near workplace & easily readable. W.I. displayed in neat & clean manner within the board. All Notice, Work
4 Instruction are displayed in neatly and within the board. 20
5 No working done on floor. Staff is not sitting on floor while doing job and also during interval time. 20
6 PEEP - Fans, Lights, Doors, A/C etc. They are identified. 20
7 Place for Everything - almirah, racks etc. They are indentified. 20
8 Place for Everything - Department Board, Individual member Board etc. They are identified. 20
9 Place for Everything - Shelves, Table, Chair, Desktop, all elements on Table etc. They are identified. 20
10 Everything in Place - Departments, Individual Board, Table, Chair, Desktop, all elements on Table etc. 20
11 Retrieval Time 30 Sec. - Files, Document, other storage etc. is identified and location is displayed. 20
Direction boards are effectively displayed for Emergency Exit, dispensary, Hazardous Areas etc. Caution boards are
12 effectively displayed. 20
Auditee - ,(ME Hea
Name of Zone
Auditee
Pipe lines (air, water, gas, oil etc.), Hazardous material, direction of flow or rotation are clearly visible with different
13 color. 20
Visual Indicators for Electrical Cabinets, Direction of rotating motors, other equipments, Control Boxes, Safe and
14 Unsafe Zone etc. 20
15 Minimum, Maximum Inventory Level is marked is visually indicated. Count Free. 20

16 100% people are involved and motivated to maintain 1S & 2S at their workplace. 20
17 Steering Committed in place to Fast Track 1S & 2S activities. 20
Total of 2S 340 0
Total 1S, 2S Score 660 0
1S, 2S Score% 0
OVERALL 1S, 2S SCORE OF OFFICE AREA = %
SCORING CRITERIA -
Auditee - ,(ME Hea
Name of Zone
Auditee
0 Marks - If the zone has not started the particular activity.
Level 2 - 5 Marks - If the zone has done the particular activity, partially.
Level 3 - 10 Marks - If the zone has done the particular activity in 50% of sub zones OR 50% Area.
Level 4 - 15 Marks - If the zone has done the particular activity in 75% of sub zones.
Level 5 - 20 Marks - If the zone has done the particular activity throughout the zone.
CHECKLIST F/MGT./06/02/00
Main Area - Office Area Audit Dates -

Auditee - ,(ME Head
,BG) Auditee- ,(Plant Head)
Element
Average
Score
ACTUAL SCORE
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Auditee - ,(ME Head Auditee- ,(Plant Head)
,BG)
Element
Average
Score
0 0 0 0 0

Auditee - ,(ME Head
Auditee- ,(Plant Head)
,BG)
Element
Average
Score
ACTUAL SCORE
0
0
0
0
0
0
0
0

,BG)
Element
Average
Score
0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

,BG)
Element
Average
Score
5'S' Audit Check List (Miscellaneous Area) Date of Audit -
Plant Name: Auditee: Auditor :
5-S DESCRIPTION CHECK POINT MAX
MARKS
Roads, Roofs & Lawns No unwanted items 5
5 - Zero non compliance 3 - Two cases of non compliance. 0 - More than Two case of non compliance.
Security Gate, Parking No unwanted records. 5
SEIRI
Area, Medical Room

5 - Zero non compliance 3 - One case of non compliance. 0 - More than one case of non compliance.
Toilets Availability of items such as soap, soap case as per Check Sheet 10
10 - Zero non compliance 5 - One case of non compliance. 0 - More than one case of non compliance. 20
Roads, Roofs & Lawns Adequate lighting at proper places. Proper condition of the boundary wall and installations in the area. 5
Security Gate, Parking Proper arrangement & condition of furniture. Proper lighting. Proper marking of parking area & proper parking 5
Area, Medical Room of vehicles in the marked areas.
SEITON
Canteen & Pantry Availability of Looking glass, Drinking glasses near water coolers. Proper condition of all equipments. 10
Utensils, raw and cooked food and other equipment placed at identified places. Proper storage of gas
cylinders
Toilets Condition of Taps - Metal shining, bent, mismatched/ symmetry, leakage. Glass/Mirror - Broken, Mutilated, 10
cleaning, clear visibility, properly framed. Proper lighting with Sensors.
10 - Zero non compliance 5 - Two cases of non compliance. 0 - More than Two case of non compliance. 30
Roads, Roofs & Lawns No oil / pit holes on Road. No piles of dust / garbage. No Water clogging. Clean drains 5
Security Gate, Parking Cleaning of floor, racks, tables. 5
Area, Medical Room
Canteen & Pantry Clean floors, chairs, tables, windows. No water accumulation on the floor. Nothing is kept on floor. Wash 5
SEISO
basins / cleaning arrangements are in place.

STP/ETP & Horticulture Proper upkeep of plants, trees, grass etc. 5
Toilets Washbasin - Choking, Leakage, Spiting marks, dust at corners. No water, spiting, crazy remarks on Walls, 5
doors & these are in proper condition
5 - Zero non compliance 3 - Two cases of non compliance. 0 - More than Two case of non compliance. 25
Roads, Roofs & Lawns Effluent treatment system is in place. 5
ETSU
Canteen & Pantry Personal upkeep / hygiene of canteen workers. Use of uniform including cap, apron and gloves. All eatables 10
SEIKETSU
and equipment are stored in hygienic condition. Pesticide treatment / fly catching arrangements are evident
are in place. Effective exhaust system. Suggestion box / book readily available.
Toilets Exhaust System - No suffocation, good condition. 5
5 - Excellent . 3 - Good . 0 - Poor 20
Security Gate, Parking Physical upkeep of guards. 5
SHITSUKE
Area, Medical Room

5 - Zero non compliance 3 - One case of non compliance. 0 - More than one case of non compliance. 5
5S SCORE OF MISCELLANEOUS AREA = %

Date of Audit -
Auditor :
Marks Obtained
0
0

1S, 2S &amp; 6S Audit Checklist

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1S, 2S &amp; 6S Audit Checklist

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AUDIT REPORT

Plant Name & Location - BG No. - Audit Dates -

* Total No. of Fugai's Observed in 1S, 2S & Safety=

(safety Head), BG (ME Head), BG Plant Head JBM Group - ME

Plant Head ME Head & Safety Officer -BG BG Head

Plant Head Safety Officer (BG) ME Head (BG) BG Head

Plant Head ME Head (BG) BG Head

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

8 100% people are involved, motivated to maintain Safety at their workplace. 20

Total of Safety Awareness 160 0 0

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

5 100% People are able to use Fire fighting equipment. 20

6 On site Emergency Preparedness Plan is prepared, displayed & followed. 20

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

3 Safe Staking Height of Coils is identified & visually marked. 20

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

11 OCP is prepared, displayed & followed at Scrap Yard. 20

Total of Safe Material Handling 240 0 0

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

24 Major & Minor Accident in depth Analysis is done. 20

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

38 Company Layout/construction (temporary, permanent) etc. is approved by Competent Authority. 20

Total of Safe Working Environment 840 0 0

Total Of Safety 1380 0 0

Safety Score% 0.0 0.0

OVERALL SAFETY SCORE OF THE PLANT = %

Auditor - (GM-ME, JBM Group) Auditee - (ME Head

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

0.0 0.0 0.0 0.0 0.0

Main Area - Shopfloor Audit Date -

Auditee - (ME Head,BG) Auditee - (Plant Head)

Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)

10 No unused machines, equipments, drawings, documents parts etc. around. 20

Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)

Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)

Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)

15 Minimum, Maximum Inventory Level is marked is visually indicated. Count Free. 20

Total 1S, 2S Score 800 0 0 0 0

Auditor - (GM-ME, JBM GROUP) Auditee - (ME Head,BG)

OVERALL 1S, 2S SCORE OF SHOP FLOOR = % 0

Auditee - (Plant Head)

Auditee - (Plant Head)

Auditee - (Plant Head)

Auditee - (Plant Head)

Auditee - (Plant Head)

15 Minimum, Maximum Inventory Level is marked is visually indicated. Count Free. 20

Total 1S, 2S Score 660 0

1S, 2S & 6S Audit Checklist

1S, 2S & 6S Audit Checklist