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| Sort (Seiri) (STEP) | | |
| Describe items identified for removal during Sort. (TEXT) | | |
| What categories of items were removed? (SELECTION options: Obsolete Inventory, Broken Equipment, Unused Tools, Excess Materials, Personal Items, Other (Specify in LONG_TEXT)) | | |
| Number of items removed. (NUMBER) | | |
| Were items moved to a 'holding area' for potential reuse/disposal? (SELECTION options: Yes, No) | | |
| If 'Yes' to the previous question, describe the holding area and its purpose. (TEXT) | | |
| Was a 'Red Tag' system used for items being evaluated? (SELECTION options: Yes, No) | | |
| If 'Yes', describe how the red tag system was implemented and what criteria were used. (TEXT) | | |
| Date items were removed (DATE) | | |
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| Set in Order (Seiton) (STEP) | | |
| Location of Tools/Equipment (Distance in meters) (NUMBER) | | |
| Clearly Marked Location for Frequently Used Tools (LOCATION) | | |
| Shadow Boards Used for Tools? (SELECTION options: Yes, No) | | |
| Are Tool/Equipment Locations Clearly Marked? (SELECTION options: Yes, No) | | |
| What visual aids are used for organization? (SELECTION options: Color Coding, Labeling, Floor Markings, Shadow Boards, Other (Specify)) | | |
| Describe any deviations from the defined layout and explain reasons (TEXT) | | |
| Photo of current layout (Optional) (UPLOAD) | | |
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| Shine (Seiso) (STEP) | | |
| Overall Cleanliness Score (1-5, 5 being spotless) (NUMBER) | | |
| Describe cleaning tasks completed today (e.g., machine cleaning, floor scrubbing, spill cleanup) (TEXT) | | |
| Areas cleaned today (check all that apply) (SELECTION options: Machine Surfaces, Floors, Work Benches, Equipment Casings, Walls, Storage Areas) | | |
| Photo Evidence of Cleaning (Optional) (UPLOAD) | | |
| Note any areas requiring further or more frequent cleaning. (TEXT) | | |
| Time spent on cleaning activities (in minutes) (NUMBER) | | |
| Type of cleaning chemicals used (if applicable) (SELECTION options: None, Degreaser, All-Purpose Cleaner, Specialized Cleaner) | | |
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| Standardize (Seiketsu) (STEP) | | |
| Frequency of 5S Audits: (SELECTION options: Daily, Weekly, Bi-weekly, Monthly) | | |
| Time allocated for daily cleaning (minutes): (NUMBER) | | |
| Photographs of standardized layouts (before/after) (UPLOAD) | | |
| Detailed description of the visual management system: (TEXT) | | |
| Method for reporting 5S violations: (SELECTION options: Verbal Report, Written Form, Online System) | | |
| Date of last 5S training session: (DATE) | | |
| Describe process for updating standardized procedures: (TEXT) | | |
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| Sustain (Shitsuke) (STEP) | | |
| Frequency of 5S Audits (Weeks) (NUMBER) | | |
| Last 5S Training Date (DATE) | | |
| 5S Champion Identified? (SELECTION options: Yes, No) | | |
| Summary of Corrective Actions Needed (from previous audits) (TEXT) | | |
| Which of the following support mechanisms are in place? (SELECTION options: Management Review, Employee Recognition, Regular Communication, Training Refresher, Suggestion Box) | | |
| Are audit results communicated to employees? (SELECTION options: Yes, No) | | |
| Notes/Comments on Sustainment Efforts (TEXT) | | |
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| Safety (STEP) | | |
| PPE Availability (Count of Required Items) (NUMBER) | | |
| Hazard Identification - Confined Spaces? (SELECTION options: Yes, No) | | |
| Hazard Identification - Lockout/Tagout? (SELECTION options: Yes, No) | | |
| Describe any observed safety hazards. (TEXT) | | |
| Distance from moving equipment (feet) (NUMBER) | | |
| Emergency Stop functionality? (SELECTION options: Fully Functional, Partially Functional, Not Functional) | | |
| Last Safety Training Date (DATE) | | |
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| Sanitation (STEP) | | |
| Frequency of Cleaning (Days) (NUMBER) | | |
| Areas Cleaned (Check all that apply) (SELECTION options: Floors, Equipment Surfaces, Work Benches, Walls, Storage Areas, Drainage Systems) | | |
| Specific Cleaning Agents Used (List chemicals and concentrations) (TEXT) | | |
| Photos of Cleaning Procedure (UPLOAD) | | |
| Type of Waste Generated (Select best fit) (SELECTION options: Organic, Chemical, General Waste, Hazardous Waste) | | |
| Last Sanitation Inspection Date (DATE) | | |
| Any Issues/Corrective Actions Required (TEXT) | | |
| Pest Control Status (SELECTION options: Active, Inactive, Scheduled) | | |
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| Standardized Work (STEP) | | |
| Is a current Standard Operating Procedure (SOP) available for this process? (SELECTION options: Yes, No, Not Applicable) | | |
| Briefly describe the process being standardized. (TEXT) | | |
| Cycle time (minutes) – as per documented Standard. (NUMBER) | | |
| Actual cycle time observed (minutes). (NUMBER) | | |
| Is the standardized work instructions readily accessible to all personnel? (SELECTION options: Yes, No, Partially) | | |
| Upload a copy of the Standardized Work Instruction (SWI) document. (UPLOAD) | | |
| Describe any deviations from the standardized work process observed. (TEXT) | | |
| Is training provided and documented for this standardized work? (SELECTION options: Yes, No, Needs Update) | | |