6S Safety Audit Form

CATEGORY CRITERIA AUDIT PERIOD SCORING SYSTEM

Sort Distinguish between what is needed and not needed 1 2 3 4 5 Scale / # Problems Rating / Score
Procedures are established to identify unnecessary items 4 Outstanding 5
Sort Through & Unneeded equip., storage, furniture, etc. exist 4 Above Average 4
Discard Unused Unneeded items on walls / bulletin boards, etc. exist 4 Average 3
1S Aisles, stairways, corners etc. are free of items 3 Below Average 2
Items
Unneeded inventory, supplies, parts, or materials exist (drawers /
cabinets / work surfaces / storage areas) 3 Poor 1

Set in Order A place for everything and everything in its place 1 2 3 4 5 SHEET SUMMARY
All items have a specific location 3 Average Scores 1 2 3 4 5 Tot
Use Labels, Lines, Shared drawers, cabinets, work surfaces, and storage areas are clearly 1S Sort 4 4 4 3 3 18
Signs & Colors to labeled and well organized 3
2S identify Normal vs. Personal drawers, cabinets, desktops, and storage areas are clearly
2S Set in Order 3 3 3 2 2 13
Abnormal marked and/or well organized 3
Conditions All items are placed in the proper location 2 3S Shine 2 3 3 3 0 11
Aisleways, workstations, equipment locations are identified 2 4S Standardize 3 3 2 3 0 11
5S Sustain 3 2 2 2 0 9
Shine Routine discipline maintaining a clean and organized workplace 1 2 3 4 5
Cleaning is a Equipment, computers, work surfaces, and storage areas are clean 2 Overall Scale Rating / Score
Method of Garbage and recyclables are collected and disposed correctly 3 1 2 3 4 5
3S Inspection, Look
Paper are filed daily 3 1S Sort X
for Hidden Defects
Shared areas are cleaned and maintained regularly 3 2S Set in Order X
3S Shine X
Standardize Preventing the area from having abnormal operating conditions 1 2 3 4 5 4S Standardize X
Specific cleaning and organizing tasks have been developed and
5S Sustain
Standardize the assigned for the work area 3 X
4S Rules to Make 5S a Staff is trained and fully understands 6S procedures 3 Standardized
Habit 6S standards are clearly displayed 2 Sustain
Visual management tools identify if work is complete 3

Sustain Stick to the rules (self-discipline) 1 2 3 4 5 Area Audited:

Sustaining plans Everyone is involved in the improvement activities 3
are developed to Standardized cleaning and work procedures are followed 2 Auditor:
5S
ensure 6S documentation and instructions are current 2
accountability 6S audits occur regularly 2

Comments
Comments
6S Safety Audit Form
6S Safety Audit Form

CATEGORY
Sort
Sort Through & Discard
Unused Items/Sortir dan
1S Buang Barang yang Tidak
Digunakan

Set in &Order
Signs Colors to
identify Normal vs.
Abnormal Conditions/
2S Gunakan Label, Garis,
Tanda & Warna untuk
mengidentifikasi Kondisi
Normal atau Tidak Normal

ShineCleaning is a Method of
Inspection, Look for
Hidden Defects /
3S Pembersihan adalah
Metode Inspeksi, Cari
Cacat Tersembunyi
(Kebersihan)

Standardize
Standardize the Rules to
Make 6S a Habit /
4S Standarisasi Aturan untuk
Menjadikan 6S sebagai
Kebiasaan

Sustain
Sustaining plans are
developed to ensure
accountability /
5S Rencana keberlanjutan
dikembangkan untuk
memastikan akuntabilitas

Safety
6S Safety Audit Form

6S

Comments
 6S Safety Audit Form

CRITERIA
Distinguish between what is needed and not needed
lished to identify unnecessary items/Prosedur ditetapkan untuk mengidentifikasi item yang tidak diperlukan
rage, furniture, etc. exist/ Adanya peralatan, penyimpanan, furnitur, dan lain-lain yang tidak dibutuhkan
ners etc. are free of items/Lorong, tangga, sudut dll bebas dari barang

A place for everything and everything in its place

fic location / Semua item memiliki lokasi tersendiri
nets, work surfaces, and storage areas are clearly labeled and well organized / Laci, lemari, permukaan kerja, dan tempat penyimpanan bersama diberi label dengan jelas dan ditata den
n the proper location / Semua barang ditempatkan di lokasi yang tepat

Routine discipline maintaining a clean and organized workplace

s, work surfaces, and storage areas are clean / Peralatan, komputer, permukaan kerja, dan tempat penyimpanan bersih
bles are collected and disposed correctly / Sampah dan barang daur ulang dikumpulkan dan dibuang dengan benar
aned and maintained regularly / Area bersama dibersihkan dan dirawat secara teratur

Preventing the area from having abnormal operating conditions

ly understands 6S procedures / Staf terlatih dan memahami sepenuhnya prosedur 6S
rly displayed / Standar 6S ditampilkan dengan jelas
ools identify if work is complete /
ual mengidentifikasi apakah pekerjaan telah selesai

Stick to the rules (self-discipline)

n the improvement activities / Semua orang terlibat dalam kegiatan perbaikan
d instructions are current / Dokumentasi dan instruksi 6S terkini
arly / Audit 6S dilakukan secara berkala

Preventing the area from having abnormal operating conditions

6S Safety Audit Form
6S Safety Audit Form

AUDIT PERIOD
1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
6S Safety Audit Form
 6S Safety Audit Form

CATEGORY CRITERIA AUDIT PERIOD SCORING SYSTEM

Sort Distinguish between what is needed and not needed 1 2 3 4 5 Scale / # Problems Rating / Score
Procedures are established to identify unnecessary items 2 Outstanding 5
Sort Through & Unneeded equip., storage, furniture, etc. exist 2 Above Average 4
Discard Unused Unneeded items on walls / bulletin boards, etc. exist 3 Average 3
1S Aisles, stairways, corners etc. are free of items 2 Below Average 2
Items
Unneeded inventory, supplies, parts, or materials exist (drawers /
cabinets / work surfaces / storage areas) 2 Poor 1

Set in Order A place for everything and everything in its place 1 2 3 4 5 SHEET SUMMARY
All items have a specific location 2 Average Scores 1 2 3 4 5 Tot
Use Labels, Lines, Shared drawers, cabinets, work surfaces, and storage areas are clearly 1S Sort 2 2 3 2 2 11
Signs & Colors to labeled and well organized 2
2S identify Normal vs. Personal drawers, cabinets, desktops, and storage areas are clearly
2S Set in Order 2 2 2 2 2 10
Abnormal marked and/or well organized 2
Conditions All items are placed in the proper location 2 3S Shine 3 3 2 3 0 11
Aisleways, workstations, equipment locations are identified 2 4S Standardize 2 3 2 2 0 9
5S Sustain 2 2 2 2 0 8
Shine Routine discipline maintaining a clean and organized workplace 1 2 3 4 5
Cleaning is a Equipment, computers, work surfaces, and storage areas are clean 3 Overall Scale Rating / Score
Method of Garbage and recyclables are collected and disposed correctly 3 1 2 3 4 5
3S Inspection, Look
Paper are filed daily 2 1S Sort X
for Hidden Defects
Shared areas are cleaned and maintained regularly 3 2S Set in Order X
3S Shine X
Standardize Preventing the area from having abnormal operating conditions 1 2 3 4 5 4S Standardize X
Specific cleaning and organizing tasks have been developed and
5S Sustain
Standardize the assigned for the work area 2 X
4S Rules to Make 5S a Staff is trained and fully understands 6S procedures 3 Standardized
Habit 6S standards are clearly displayed 2 Sustain
Visual management tools identify if work is complete 2

Sustain Stick to the rules (self-discipline) 1 2 3 4 5 Area Audited:

Sustaining plans Everyone is involved in the improvement activities 2
are developed to Standardized cleaning and work procedures are followed 2 Auditor:
5S
ensure 6S documentation and instructions are current 2
accountability 6S audits occur regularly 2

Comments
Comments
6S Safety Audit Form
 6S Safety Audit Form

CATEGORY CRITERIA AUDIT PERIOD SCORING SYSTEM

Sort Distinguish between what is needed and not needed 1 2 3 4 5 Scale / # Problems Rating / Score
Procedures are established to identify unnecessary items 3 Outstanding 5
Sort Through & Unneeded equip., storage, furniture, etc. exist 2 Above Average 4
Discard Unused Unneeded items on walls / bulletin boards, etc. exist 2 Average 3
1S Aisles, stairways, corners etc. are free of items 3 Below Average 2
Items
Unneeded inventory, supplies, parts, or materials exist (drawers /
cabinets / work surfaces / storage areas) 2 Poor 1

Set in Order A place for everything and everything in its place 1 2 3 4 5 SHEET SUMMARY
All items have a specific location 2 Average Scores 1 2 3 4 5 Tot
Use Labels, Lines, Shared drawers, cabinets, work surfaces, and storage areas are clearly 1S Sort 3 2 2 3 2 12
Signs & Colors to labeled and well organized 4
2S identify Normal vs. Personal drawers, cabinets, desktops, and storage areas are clearly
2S Set in Order 2 4 3 2 2 13
Abnormal marked and/or well organized 3
Conditions All items are placed in the proper location 2 3S Shine 2 4 3 3 0 12
Aisleways, workstations, equipment locations are identified 2 4S Standardize 3 4 3 3 0 13
5S Sustain 2 2 4 2 0 10
Shine Routine discipline maintaining a clean and organized workplace 1 2 3 4 5
Cleaning is a Equipment, computers, work surfaces, and storage areas are clean 2 Overall Scale Rating / Score
Method of Garbage and recyclables are collected and disposed correctly 4 1 2 3 4 5
3S Inspection, Look
Paper are filed daily 3 1S Sort X
for Hidden Defects
Shared areas are cleaned and maintained regularly 3 2S Set in Order X
3S Shine
Standardize Preventing the area from having abnormal operating conditions 1 2 3 4 5 4S Standardize X
Specific cleaning and organizing tasks have been developed and
5S Sustain
Standardize the assigned for the work area 3 X
4S Rules to Make 5S a Staff is trained and fully understands 6S procedures 4 Standardized
Habit 6S standards are clearly displayed 3 Sustain
Visual management tools identify if work is complete 3

Sustain Stick to the rules (self-discipline) 1 2 3 4 5 Area Audited:

Sustaining plans Everyone is involved in the improvement activities 2
are developed to Standardized cleaning and work procedures are followed 2 Auditor:
5S
ensure 6S documentation and instructions are current 4
accountability 6S audits occur regularly 2

Comments
Comments
6S Safety Audit Form
 Zone A Zone B Zone C Zone D
1S 18 #REF! 11 12
2S 13 #REF! 10 13
3S 11 #REF! 11 12
4S 11 #REF! 9 13
5S 9 #REF! 8 10
Audit No.: 3 Head Office - Overall Audit Score
Month: Aug 2013

Zone A

20

10

1S
2S
Zone D 0 Zone B 3S
4S
5S

Zone C
Month: Aug 2013

1S
2S
Zone B 3S
4S
5S
Audit No.: 3 Head Office - Overall Audit Score
Month: Aug 2013
18

16

14

12

10
1S
8 2S
3S
6 4S
5S
4

0
Zone A
Zone B
Zone C
Zone D
Month: Aug 2013

1S
2S
3S
4S
5S

ne D