DOCUMENT NO :PKS/QA/5SM/01

5S MONITORING CHECK SHEET REV NO : 00/ 08.04.2022

ZONE : Frequency : Week -1 Week -2 Week -3 Week -4

SORT (SEIRI) sort useful from unnecessary IN COMPLETE IN COMPLETE IN COMPLETE IN COMPLETE
PROGRESS D PROGRESS D PROGRESS D PROGRESS D

SO-1 Area clear of excess equipment

SO-2 Area clear of excess work, papers, supplies

SO-3 Area clear of excess personal items

SO-4 Area clear of outdated, unused materials

SO-5 Storage areas defined

SO-6 Physical and electronic files neatly organized

SYSTEMIZE (SEITON) straighten, set in order

SY-1 Equipment, computers, peripherals correctly placed

SY-2 Supplies identified and stored properly

SY-3 Files organized and clearly labeled

SY-4 Work prioritized and visually organized as current, urgent, on hold, etc.

SY-5 Electronic file labeling uniform and adhering to company naming standards

SY-6 Safety equipment up to date and accessible

SHINING (SEISO) sanitize, sweep and shine

SH-1 Floors clean and in good condition, free of hazards

SH-2 Walls, ceilings, dividers clean and in good condition

SH-3 Racks, shelving, cabinets clean and in good condition

SH-4 Equipment, supplies, tools clean and in good condition

SH-5 Desks, tables, chairs clean and in good condition

SH-6 Lighting is sufficient for work area and suitable to work action

SH-7 Sufficient air flow

SH-8 Sufficient trash and recycling bins, bins cleared frequently and in good condition

SH-9 Ample cleaning materials available and accessible

STANDARDIZE (SEIKETSU) routine preventive maintenance

ST-1 Employee has solid understanding of the value and practices of 5S Checklist

ST-2 Checklist is readily available and visible if applicable

ST-3 Display boards kept up to date

ST-4 Specific cleaning tasks instructed

ST-5 Specific times set for tasks

ST-6 Regular audits set and carried out to ensure adherence

SUSTAIN (SHITSUKE) routine defined

SU-1 5S Checklist becomes ingrained, part of the day-to-day work experience

SU-2 Success stories displayed: before and after

SU-3 Recognition of 5S adherence

SU-4 Rewards for 5S adherence

SU-5 Improvements to existing systems / standards noted and implemented

VERIFIED BY
 s1
SORT NOT YET
(SEIRI) sort useful from
IN
unnecessary
BEGUN PROGRESS
COMPLETE

S1-1 Area clear of excess equipment

S1-2 Area clear of excess work, papers, supplies
S1-3 Area clear of excess personal items
S1-4 Area clear of outdated, obsolete, unused materials
S1-5 Storage areas defined
S1-6 Physical and electronic files neatly organized
S1-7
S1-8

s2
SYSTEMIZE NOT YET
(SEITON) straighten,
IN
in order COMPLETE
BEGUN setPROGRESS
S2-1 Equipment, computers, peripherals correctly placed
S2-2 Supplies identified and stored properly
S2-3 Files organized and clearly labeled
S2-4 Work prioritized and visually organized as current, urgent, on hold, etc.
S2-5 Electronic file labeling uniform and adhering to company naming standards
S2-6 Files free of clutter
S2-7 Safety equipment up to date and accessible
S2-8

s3
SHINING NOT YET
(SEISO) sanitize,
IN
sweep andPROGRESS
BEGUN shine COMPLETE

S3-1 Floors clean and in good condition, free of hazards

S3-2 Walls, ceilings, dividers clean and in good condition
S3-3 Racks, shelving, cabinets clean and in good condition
S3-4 Equipment, supplies, tools clean and in good condition
S3-5 Desks, tables, chairs clean and in good condition
S3-6 Lighting is sufficient for work area and suitable to work action
S3-7 Sufficient air flow
S3-8 Sufficient trash and recycling bins, bins cleared frequently and in good condition
S3-9 Ample cleaning materials available and accessible
S3-10
S3-11

s4
STANDARDIZE NOT YET
(SEIKETSU) routine
BEGUN preventive
IN
COMPLETE
maintenance
PROGRESS
S4-1 Employee has solid understanding of the value and practices of 5S Checklist
S4-2 Checklist is readily available and visible if applicable
S4-3 Display boards kept up to date
S4-4 Specific cleaning tasks delegated
S4-5 Specific times set for tasks
S4-6 Regular audits set and carried out to ensure adherence
S4-7
 S4-8

s5
SUSTAIN
NOT YET
(SHITSUKE)BEGUNroutine defined
IN
PROGRESS
COMPLET
E
S5-1 5S Checklist becomes ingrained, part of the day-to-day work experience
S5-2 Success stories displayed: before and after, etc.
S5-3 Recognition of 5S adherence
S5-4 Rewards for 5S adherence
S5-5 Improvements to existing systems / standards noted and implemented
S5-6
S5-7