5S Workplace Scan Checklist: Department: Date: Scored by
5S Workplace Scan Checklist: Department: Date: Scored by
Department:
Date:
Scored By:
>6
Sort
Subtotal >>
Set in Order
Subtotal >>
Shine
Floors,walls stairs, and surfaces are free of dirt, oil, and grease
Equipment is not kept clean and free of dirt, oil, and grease
X
X
X
Subtotal >>
Standardize
Subtotal >>
Sustain
Subtotal >>
Total >>
16
24
54
5S Workplace Summary
Department 3
Department:
Date:
September, 2008
Scored by:
John Smith
Monthly 5S Overview
>6
Sort
X
X
X
1 - Sort
Subtotal >>
11
Set in Order
5 - Sustain
2 - Set in Order
X
X
4 - Standardize
Subtotal >>
3 - Shine
11
Shine
Floors,walls stairs, and surfaces are free of dirt, oil, and grease
Equipment is not kept clean and free of dirt, oil, and grease
X
X
X
X
Subtotal >>
100
Standardize
90
70
60
80
Subtotal >>
11
Sustain
Department 5
Department 6
Department 1
Department 2
Department 3
Department 4
Department 5
Department 6
60
55
51
45
40
Department 4
60
50
Department 1
Department 2
Department 3
65
January, 2008
February, 2008
March, 2008
April, 2008
May, 2008
June, 2008
July, 2008
August, 2008
September, 2008
October, 2008
November, 2008
December, 2008
54
46
46
Jul
Aug
30
20
10
Subtotal >>
15
54
Jan-06
Feb
Mar
Apr
May
Jun
Month
Score
Goal
1 - Sort
11
Jan-06
65
30
2 - Set in Order
11
Feb
60
30
3 - Shine
Mar
55
30
4 - Standardize
11
Apr
60
30
5 - Sustain
15
May
45
30
Jun
51
30
Jul
46
30
Aug
46
30
Sep
54
30
Oct
30
Nov
30
Dec
30
Sep
Oct
Nov
Dec