Date:_____________________

5S Workplace Checklist Rating Level

Level 3 Mostly
Level 2 50/50
Conformance

Conformance
Conformance

Conformance

Conformance
Work Area: Facility:

Level 1 Little
conformance

Level 4 Full
Level 0 No

and Safe
Auditor: Total =

Level 5
8

in
#1 SORT
#1 Score
When in doubt sort it out!!
0 1 2 3 4 5
Distinguish between the needed and not needed. Auditor comments:
Excess/unneeded equipment, containers, tools removed from area
Corners, walkways, aisles etc. free from blockages and material
Trip hazards and obstructions eliminated from area
Unnecessary parts, materials, inventory removed from area
Are obselete/unneeded labels etc. on walls equipments boards etc.
#2 Score

#2 Set in Order 0 1 2 3 4 5
A place for everything and everything in its place!
0 1 2 3 4 5
Organize the cell for easy access and identification. Auditor comments:
Are all work area boundaries clearly marked
Are storage places for all work in progress designated and marked
Are storage places for tools and equipment designated and marked
Are machines and items labelled as they should be
Are all cables, lines, controls and gauges identified and labelled.
#3 Score

#3 SHINE 0 1 2 3 4 5
Inspection through cleaning!! 0 1 2 3 4 5

To remove all dirt, grime, dust, garbage, etc. from cell. Auditor comments:
Is the area free from general rubbish and dirt
Are signs, labels, lines, clean, clear and easy to see
Are the floor, walls, parts, machinery free from all foreign material
Are sources of dust, dirt, spills and foreign material under control
Are there any other cleaning problems of any kind present
#4 Score
#4 STANDARDIZE 0 1 2 3 4 5
Everything in a state of readiness!! Form a daily habit and prevent
setbacks of the first 3 S's. 0 1 2 3 4 5

Maintain and monitor #1 through #3 Auditor comments:

Are cleaning and checking schedules available and in documented use
Are all bins, parts, machinery properly identified and labelled
Are up to date work instructions, forms, travellers available and in use
Are all items required for procedures readily available in location
Are any required safety checks being carried out and documented
#5 Score

#5 SUSTAIN 0 1 2 3 4 5
Training reinforcement & measurement. Maintain discipline through
systems and a supportive culture. 0 1 2 3 4 5

Always follow Standard Procedures and Standard Work. Auditor comments:

Is there a plan for sustaining the first 4 S's?
Are all unused parts tools, equipment properly stored and free from dirt
Are all materials and work in progress labelled as such and properly stored
Are all personnel fully trained in the tasks they are responsible for
Regular auditing to verify compliance with production & safety systems
#6 Score
#6 SAFETY
Look over every aspect of the cell and the methods used to make the 0 1 2 3 4 5
product. Be sure ALL aspects are being done in a safe manner. 0 1 2 3 4 5
Please keep in mind housekeeping is a safety issue.

Make sure ALL work areas and conditions are safe. Auditor comments:
Safety information is displayed and up to date.
Daily inspection sheet is posted and up to date.
Employees wearing proper PPE.
Any safety concerns that haven't been addressed.
Is monthly safety training being given to employees.
Best score possible = 30

AJD 08 Dec 2008

AJD 08 Dec 2008
AJD 08 Dec 2008
 FMEA Number
Confidential
Item Process Responsibility Prepared By

Model Year(s)/ Vehicles (s) Key Date FMEA Date (Orig.) Rev

Core Team

Process Action Results

Function C O D
Potential Responsibility
N Potential S l c Current Process Current Process e R
Potential Cause(s)/ Recommende & Target S O D R
o Effect(s) of e a c Controls Controls t P
Failure Mode v Mechanism(s) of u e N d Actions Completion Actions Taken e c e P
. Failure s Prevention Detection
Failure r c Date v c t N
s
Requirements

AJD 08 Dec 2008

 FMEA Number

Confidential
Item Process Responsibility Prepared By

Model Year(s)/ Vehicles (s) Key Date FMEA Date (Orig.) Rev

Core Team

Process Action Results

Function C O D
Potential Responsibility
N Potential S l c Current Process Current Process e R
Potential Cause(s)/ Recommende & Target S O D R
o Effect(s) of e a c Controls Controls t P
Failure Mode v Mechanism(s) of u e N d Actions Completion Actions Taken e c e P
. Failure s Prevention Detection
Failure r c Date v c t N
s
Requirements

AJD 08 Dec 2008

 Prototype Planning Production Date (Orig.) Date (Rev.)
Control Plan Number:
Confidential
Part Number / Latest Change Level: Core Team: Customer Engineering Approval / Date (If Req'd):

Part Name / Description: Supplier / Plant Approval / Date: Customer Quality Approval / Date (If Req'd):

Supplier / Plant / Code Other Approval/Date (If Req'd): Other Approval / Date (If Req'd):

Characteristics Methods
Machine, Device, Sample
Part / Process Part / Process Product/Process Evaluation
Jig, Tools for Control Reaction Plan
Number Name No. Product Process SC Measuring
Manufacturing Method
Spec./Tolerance Technique Size Freq.

AJD 08 Dec 2008

 CONTINUOUS IMPROVEMENT PLAN
Control Plan No.
Product Code: Date(orig) Revision Date:
Key contacts:
Product Name:
Current Status:
Plant: Authors: Revision No.:
Customer:
Priority No. Action Status Program Category Responsible Completion Date Days Rem. Action Status
0 0 0
1 Incomplete
2 Incomplete
3 Incomplete
4 Incomplete
5 Incomplete
6 Incomplete
7 Incomplete
8 Incomplete
9 Incomplete
10 Incomplete
11 Incomplete
12 Incomplete
13 Incomplete
14 Incomplete
15 Incomplete
16 Incomplete
17 Incomplete
18 Incomplete
19 Incomplete
20 Incomplete
21 Incomplete
22 Incomplete
23 Incomplete
24 Incomplete
25 Incomplete
26 Incomplete
27 Incomplete
28 Incomplete
29 Incomplete
30 Incomplete
31 Incomplete
32 Incomplete
33 Incomplete
34 Incomplete
35 Incomplete
36 Incomplete
37 Incomplete
38 Incomplete
39 Incomplete
40 Incomplete
41 Incomplete
42 Incomplete
43 Incomplete
44 Incomplete
45 Incomplete
46 Incomplete
47 Incomplete
48 Incomplete
49 Incomplete
50 Incomplete
51 Incomplete

AJD 08 Dec 2008

 CONTINUOUS IMPROVEMENT PLAN
Control Plan No.
Product Code: Date(orig) Revision Date:
Key contacts:
Product Name:
Current Status:
Plant: Authors: Revision No.:
Customer:
Priority No. Action Status Program Category Responsible Completion Date Days Rem. Action Status
0 0 0
52 Incomplete
53 Incomplete
54 Incomplete
55 Incomplete
56 Incomplete
57 Incomplete
58 Incomplete
59 Incomplete
60 Incomplete
61 Incomplete
62 Incomplete
63 Incomplete
64 Incomplete
65 Incomplete
66 Incomplete
67 Incomplete
68 Incomplete
69 Incomplete
70 Incomplete
71 Incomplete
72 Incomplete
73 Incomplete
74 Incomplete
75 Incomplete
76 Incomplete
77 Incomplete
78 Incomplete
79 Incomplete
80 Incomplete
81 Incomplete
82 Incomplete
83 Incomplete
84 Incomplete
85 Incomplete
86 Incomplete
87 Incomplete
88 Incomplete
89 Incomplete
90 Incomplete
91 Incomplete
92 Incomplete
93 Incomplete
94 Incomplete
95 Incomplete
96 Incomplete
97 Incomplete
98 Incomplete
99 Incomplete
100 Incomplete
101 Incomplete
102 Incomplete

AJD 08 Dec 2008

 CONTINUOUS IMPROVEMENT PLAN
Control Plan No.
Product Code: Date(orig) Revision Date:
Key contacts:
Product Name:
Current Status:
Plant: Authors: Revision No.:
Customer:
Priority No. Action Status Program Category Responsible Completion Date Days Rem. Action Status
0 0 0
103 Incomplete
104 Incomplete
105 Incomplete
106 Incomplete
107 Incomplete
108 Incomplete

AJD 08 Dec 2008

0

AJD 08 Dec 2008

0

AJD 08 Dec 2008

0

AJD 08 Dec 2008