6S in Healthcare (5S+1)

Lean Management Project

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 In Healthcare
5S? or 6S!

3S - SHINE
2S - SET
1S - SORT

4S - STANDARDIZE 5S - SUSTAIN

6S - SAFETY

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The biggest Challenges is to
formation of
WIT (Work Improvement Team)

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WIT (Work Improvement Team)

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WIT (Work Improvement Team)

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 WIT (Work Improvement Team)

What WIT will do?

1. NEAT & CLEAN WORKPLACE
2. SMOOTH WORKING
3. NO OBSTRUCTION
4. SAFETY INCREASES
5. PRODUCTIVITY IMPROVES
6. QUALITY IMPROVES
7. WASTAGE DECREASE
8. EQUIPMENT MAINTENANCE
9. VISUAL CONTROL SYSTEM
10. WORKSTATIONS BECOME SPACIOUS

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 WIT (Work Improvement Team)

How WIT will do?

1. Remove unnecessary clutter and items
2. All tools, gauges, materials, classified and then stored
3. Remove items which are broken, unusable or only occasionally used
4. Give your colleagues RED labels
5. Ask your colleagues to go through every items in his/her work place
6. Request them to put RED labels if NOT NEEDED within one week
7. Store those items IN THE RED TAG AREA
8. Wait for one week to re-evaluate their tagging

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 WIT (Work Improvement Team)

Use Priority Table

PRIORITY FREQUENCY OF USE HOW TO USE
Low Less than once per Store away from the
year workplace
Once per year
Avg. Once per month Store together but offline
Once per week
High Once Per Day Locate at the workplace

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WIT (Work Improvement Team)

1. 30 SECOND RULE
2. ONE MUST LOCATE THE ITEM WITH
IN 30 SECOND IF 5S IS PROPERLY
IMPLEMENTED
3. ALSO APPLIES TO THE MEDICAL
RECORDS RETRIEVAL

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 FAQ
1. How Big The WIT?
It is based on the functional activities of the team. Usually
same functional activity members form the team and it’s about
5-6 members
2. How to form WIT?
All team members must be the same functional activities like
Nurses in one unit can form one WIT, doctors in the same
specialty can form one WIT, or similar working are.. There
should be one team leader and others are members.
3. How frequently WIT meet?
It is based on Average priority in sorting, if the WIT select
average priority of inventory sorting once in a week, then WIT
meet once in a week to follow-up, if it is once in a month, then
Wit must meet once in a month to check progress

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 Audit Tool
Auditor: - Date:
No. Evaluation Criteria Number of deviations found: 9+ 6-8 3-5 1-2 0
1S - SORT ACTIVITY DESCRIPTIONS
1 Only the required materials, office items, patient files and stock present in the work area X
2 Only the required tools and equipment are present in the work area X
3 Only the required paperwork is present in the work area (signage) X
4 Unnecessary items (furniture, shelves etc.) been removed from the general area X
Sub Total -
0
2S - SET ACTIVITY DESCRIPTIONS
5 Locations for all materials, office items, patient files and stock are clearly defined and labeled X
6 Equipment and Tools are properly labeled and have a clearly defined storage location X
7 Paperwork is properly labeled and has a clearly defined location available X
8 Walkways, access to equipment, and work area boundaries are clearly defined and labeled X
Sub Total - 0 2 0 0 0
2
3S - SHINE ACTIVITY DESCRIPTIONS
9 Storage containers, shelving and storage areas are clean and damage free X
10 Tools and equipment clean, maintained and damage free X
11 Work surfaces clean and damage free X
12 Walls and partitions clean, un-cluttered and damage free (excessive signage) X
13 Cleaning equipment available and neatly stored X No-Yes
Sub Total - 0 3 0 0 0
3
4S - STANDARDIZE ACTIVITY DESCRIPTIONS
14 Displayed KPI's are correct, relevant and up to date X No-Yes
15 Tools, equipment, paperwork are stored neatly and returned immediately after use X
16 Tools, equipment and machine maintenance records clearly available & correct X
17 Waste products (swaf, oil, trash) consistently cleaned up and removed from the work areas X
Sub Total - 0 3 0 0 0
3
5S - SUSTAIN ACTIVITY DESCRIPTIONS
18 Is the 5S audit visible to all, up to date and shared with management X No-Yes
19 Has the team comply with 30 second rules to find necessary item and practice 5S daily X No-Yes
20 Time and resources are continually allocated to 5S activities X No-Yes
21 Has the team improved items that were not already identified on the pervious audit X No-Yes
Sub Total - 0 0
0
6S - SAFETY
22 Are employees wearing suitable PPE required for their current work activity No-Yes X
23 Walkways, access to safety equipment is clearly identified and unobstructed (hazards, obstacles) X No-Yes
24 Is the working environment suitable for the work in hand (lighting, air quality, temperature) X No-Yes
25 Are correct equipment/tools provided for the current work activity No-Yes X
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26 Tools, equipment, parts, WIP and PPE stored correctly and safely (appropriate height, location) X No-Yes
 Failure of 6S
That why WIT needs to be motivated
and be monitored to check project
status and keep update.
WIT

If WIT fails to work, then

whole chain breaks.

Project
6S 6S
team

Tools

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Want to know more……….

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