6S (5S + Safety) Checklist
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This Template was installed 5 times.
Sort (Seiri) - Eliminate Unnecessary Items
Focus on removing items that are not needed for current operations. This clears space and reduces clutter.
Number of Items Removed (Estimate)
Description of Items Removed
Reason for Removal (Select Primary Reason)
Specify 'Other' Reason (if selected)
Photos of Items Before Removal (Optional)
Disposal Method
Notes on Removal Process (e.g., challenges, observations)
Set in Order (Seiton) - Organize and Arrange
Establish a place for everything, and keep everything in its place. This focuses on efficiency and accessibility.
Tool Shadow Boards Present and Accurate?
Inventory Locations Clearly Marked?
Critical Supplies Location (e.g., First Aid Kit, Spill Kit)
Distance to Emergency Shut-Offs (feet)
Frequently Used Tools Easily Accessible?
Notes on Material Flow Optimization (if applicable)
Describe Any Adjustments Needed for Better Organization
Work Instructions Posted and Visible?
Shine (Seiso) - Clean and Inspect
Regular cleaning and inspection to maintain a clean workspace and identify potential issues early.
Describe cleaning activities performed today (e.g., sweeping, wiping, degreasing)
Quantity of cleaning chemicals used (e.g., liters of degreaser)
Note any spills, leaks, or unusual substances found and reported.
Areas cleaned today (select all that apply)
Describe any abnormalities detected during inspection (e.g., worn belts, loose wires, unusual noises)
Number of broken or damaged tools identified.
Detail corrective actions taken for identified abnormalities.
Standardize (Seiketsu) - Maintain and Prevent
Creating and following standard procedures for Sort, Set in Order, and Shine, and preventing backsliding.
Frequency of 5S Audits (days)
Audit Checklist Version
Date of Last Standard Operating Procedure (SOP) Review
Notes/Actions from Previous Audit & Resolution
Which areas require refresher 5S training?
Audit Conducted By (Role)
Contact person for 5S improvement
Sustain (Shitsuke) - Discipline and Self-Discipline
Reinforcing the 5S principles through training, audits, and consistent adherence.
Frequency of 6S Audits (Weeks)
Audit Form Used?
Date of Last 6S Training Session
Briefly describe actions taken to address audit findings (if any)
Which of the following actions are performed to reinforce 6S?
Is 6S considered during new equipment/process introduction?
Name of 6S Champion / Coordinator
Comments or suggestions for improving the 6S sustainability program.
Safety - Hazard Identification & Control
Focusing on identifying and mitigating safety hazards within the manufacturing area to prevent accidents and injuries.
Machine Guarding Integrity Score (1-10, 10=Perfect)
Potential Slip/Trip Hazards Present?
If 'Other' selected in Slip/Trip Hazards, please specify:
PPE (Personal Protective Equipment) Compliance?
If 'Other' selected in PPE Compliance, please specify:
Emergency Stop Functionality Checked?
Photograph of any safety concerns (if applicable)
Date of Last Safety Training
Location of nearest Fire Extinguisher
Name of person who inspected this section
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