QUALITY WORKPLACE SYSTEM

STANDARD ASSESSMENT CHECKLIST

2023 QWS-5S AUDIT: (Specify what month) LOCATION:

COMPANY: ASSESSMENT DATE:

INSTRUCTIONS:
1. Shade the circle if the areas below are covered in the assessment and please indicate total number of areas assessed.
AREAS
WORK STATION
MOBILE PEDESTAL
CABINET AND RACKS
STORAGE/FILLING AREA
AISLES/PASSAGEWAY/FLOOR/CEILING
2. Put "x" on the rating that corresponds to the number that best describes your assessment of each item according to the scale below. Where;
* Compliant (or 1) = within the Standard
* With finding (or 0) = 1 or more instance of non-compliance
1 SEIRI (SORT)
1.1 Unnecessary items are
disposed.
1.2 Supplies needed are
available.
2 SEITON (SET IN ORDER)
2.1 Items are neatly and
systematically arranged.
2.2 Areas are cleared when not
in use or unattended.
2.3 Workstations are cleared
after office hours.
3 SEISO (SWEEP)
3.1 Structures, fixtures and all
other items & areas are
maintained clean.
NUMBER AREAS NUMBER
_______ PANTRY ________
_______ TOILETS AND LAVATORIES ________
_______ TRAINING/CONFERENCE/MEETING ROOM ________
_______ DOOR/WINDOW ________
_______ OTHERS (Please specify) ______________________________
* Not Applicable (NA) = standard is not applicable to the area
RATING
STANDARD DETAILS DETAILS
1 0 N/A
Remove what is not needed and keep only what is needed.
a) Posted materials, including stickers are relevant and updated.
b) Unnecessary or non-functional (non-repairable) items or
documents are properly disposed or tagged "for disposal".
a) In/Out Tray or "incoming folder" are available at the
workstation.
b) Trash bin is available per workstation or per area, comfort
rooms and in the pantry.
c) Paper for common printer & other similar equipment are
at hand.
d) Flipcharts for easel stand and board markers & erasers for
whiteboards are at hand.
e) Umbrella rack is available near the entry points.
f) Hand soap and toilet paper are at hand at the rest rooms and
hand wash areas.
Arrange necessary items in good order for easy access.
a) Workstation, on top and under the desk, has enough space
for work, with items not exceeding the top of the workstation
divider.
b) Materials posted on workstation walls or dividers are properly
pinned on corkboards or contained in one short panel of the
divider.
c) Personal items are located only within one's own workstation.
d) All documents outside the workstations are in folders or
envelopes and all items, including folders & envelopes are
placed in proper containers, which are neatly & systematically
arranged.
e) Containers, equipment, furniture and all other items outside
the workstations and even inside cabinets, drawers, racks &
shelves are neatly and systematically arranged.
f) Cords are properly harnessed and neatly arranged.
g) Walkways, doors, windows, drains & vents and access to
cabinets, drawers, shelves & racks are free from obstructions
and/or tripping hazards.
h) All areas have enough space to allow cleaning and inspection.
a) Work in progress items and documents left on top of
workstations & meeting tables are neatly arranged and free
from valuables & sensitive materials.
b) Seating units are neatly stowed.
c) Jacket is properly hang on the chair.
d) Whiteboard fully erased, used flipcharts removed, table tops
cleared and movable units stowed properly and other items
used are removed after use of common rooms.
a) Only the usual small accessories & supplies in containers,
office equipment and decorative items, neatly and
systematically arranged, are left on top of desks.
b) All documents are in folders or envelopes and all items
including folders & envelopes are placed in proper containers
which are neatly & systematically arranged.
Keep things clean, tidy and in good working condition.
a) All items & areas are free from litter, visible dust, dirt, spillage,
removable stains, adhesive marks, cobwebs and infestation
b) Plants and grass are properly trimmed.
c) Basic utensils, plates & drinking cups are washed after use,
toilets & urinals are flushed after use and all areas are free
from foul odor.
d) Trash bins are not overflowing and are emptied after work
hours.

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 QUALITY WORKPLACE SYSTEM
STANDARD ASSESSMENT CHECKLIST

2023 QWS-5S AUDIT: (Specify what month) LOCATION:

COMPANY: ASSESSMENT DATE:

INSTRUCTIONS:
1. Shade the circle if the areas below are covered in the assessment and please indicate total number of areas assessed.
AREAS NUMBER AREAS NUMBER
WORK STATION _______ PANTRY ________
MOBILE PEDESTAL _______ TOILETS AND LAVATORIES ________
CABINET AND RACKS _______ TRAINING/CONFERENCE/MEETING ROOM ________
STORAGE/FILLING AREA _______ DOOR/WINDOW ________
AISLES/PASSAGEWAY/FLOOR/CEILING _______ OTHERS (Please specify) ______________________________
2. Put "x" on the rating that corresponds to the number that best describes your assessment of each item according to the scale below. Where;
* Compliant (or 1) = within the Standard * Not Applicable (NA) = standard is not applicable to the area
* With finding (or 0) = 1 or more instance of non-compliance
3.2 Structures, fixtures and all a) All items are operational, stable and free from loose, broken, RATING
other items are in good damaged or missing parts.
working condition. b) Faucets & pipes are free from leaks and all areas are free from
standing water.
c) All items and areas are free from quick or temporary fixes.
d) Items not yet repaired are properly tagged “for repair.”
4 SEIKETSU (STANDARDIZE) Establish standards and guidelines to maintain a clean workplace.

4.1 Workstations conform to

standards. a) All workstations are free from open food items.

b) Foods and medicines placed in closed and hard containers are

4.2 Containers conform to
standards.
4.3 Structures conform to
standards.
5 SHITSUKE (SUSTAIN)
5.1 Workforce participates in
the program
5.2 Continual improvement is
evident in the program.
kept inside the personal drawer.
a) Cabinets/drawers and racks/shelves have standard labels, i.e.,
(1) have a font style of Arial 22, black, bold & all caps with white
background,
(2) are commonly placed on the upper left corner if applicable,
(3) sequenced from top to bottom then left to right, and
(4) use codes (develop codes)
b) Document containers such as magazine & file boxes, binders,
folders and trays have printed labels.
c) Containers of cleaning agents and other chemicals are
properly labeled and stored separately from food & beverage
items.
a) Only signage that are bought off the shelf or laminated &
properly printed are posted on the doors & windows.
b) Only properly placed corkboards, whiteboards, signage,
decorative materials, and other framed materials are on the
walls.
c) External door openings are normally closed, other external
openings are screened and drains have covers.
d) All areas are well ventilated.
Make 5S a habit and teach others to adhere to established standards.
a) There are active QWS committee members per unit and or area.
b) There is an awareness program on the latest QWS standards,
processes and activities.
c) There is a semestral QWS assessment program.
d) All units and areas covered participate in the activities set
by the QWS committee.
a) There is timely completion of necessary corrections.
b) There is improvement in the assessment results.

ASSESSOR: DEPARTMENT/UNIT/AREA REPRESENTATIVE:

SIGNATURE OVER PRINTED NAME AND DATE SIGNATURE OVER PRINTED NAME AND DATE

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