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GembaAcademy.com 5S + Safety Checklist - Shop Floor Area: Sort (get rid of what's not needed): - unnecessary equipment has been removed from the area Y N - excess (extra WIP or inventory), obsolete or defective items has been removed and resolved Y N - red tag area is used to hold items requiring decisions Y N - work surfaces and storage areas do not have items in or on them that don't belong there Y N Straighten (organize): - all equipment & tools are marked & well organized Y N - locations and containers for items and supplies are clearly marked Y N - defective or scrap items are clearly marked and isolated Y N - standard information boards have been established. Y N Sweep (clean and solve): - floors, work surfaces, equipment and storage areas are clean Y N - garbage and recyclables are collected and disposed of correctly Y N - work environment is good (air quality, temperature, humidity, lighting, dust, fumes, floors...) Y N - when the clean-up activities expose a problem, it is promptly solved and corrective action taken Y N Safety (make it safe): - required safety information is posted (JSA on machines, Lockout-Tagout, Exits...) Y N - fire extinguishers and emergency equipment are clearly marked and functional Y N -basic job skills training has been done (safety precautions on std work and cross training matrix posted) Y N -safe work conditions exist (including no trip hazards, guarding on machines, alarms functional...) Y N Standardize (tasks): - roles are identified for keeping the area clean and orderly Y N -standard tasks related to cleaning and organizing are defined Y N - it is obvious through visual management tools whether tasks have been done (everything has a home) Y N - this standardization is accomplished without any paperwork (no daily paper work to maintain) Y N Sustain (keep it up): - posted Standard Work is being followed Y N - standard cleaning and work procedures are being followed Y N - documents and instructions are current Y N - standard information boards are being used and have current, relevant information Y N - work area is clean, neat and orderly with no serious unsafe conditions observed Y N (See Page 2 for Comments) Date Time Score (# of Y's / 25): ________ ________ ______

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GembaAcademy.com

5S + Safety Checklist - Shop Floor Area:

Sort (get rid of what's not needed):

- unnecessary equipment has been removed from the area Y N

- excess (extra WIP or inventory), obsolete or defective items has been removed and resolved Y N

- red tag area is used to hold items requiring decisions Y N

- work surfaces and storage areas do not have items in or on them that don't belong there Y N

Straighten (organize):

- all equipment & tools are marked & well organized Y N

- locations and containers for items and supplies are clearly marked Y N

- defective or scrap items are clearly marked and isolated Y N

- standard information boards have been established. Y N

Sweep (clean and solve):

- floors, work surfaces, equipment and storage areas are clean Y N

- garbage and recyclables are collected and disposed of correctly Y N

- work environment is good (air quality, temperature, humidity, lighting, dust, fumes, floors...) Y N

- when the clean-up activities expose a problem, it is promptly solved and corrective action taken Y N

Safety (make it safe):

- required safety information is posted (JSA on machines, Lockout-Tagout, Exits...) Y N

- fire extinguishers and emergency equipment are clearly marked and functional Y N

-basic job skills training has been done (safety precautions on std work and cross training matrix posted) Y N

-safe work conditions exist (including no trip hazards, guarding on machines, alarms functional...) Y N

Standardize (tasks):

- roles are identified for keeping the area clean and orderly Y N

-standard tasks related to cleaning and organizing are defined Y N

- it is obvious through visual management tools whether tasks have been done (everything has a home) Y N

- this standardization is accomplished without any paperwork (no daily paper work to maintain) Y N

Sustain (keep it up):

- posted Standard Work is being followed Y N

- standard cleaning and work procedures are being followed Y N

- documents and instructions are current Y N

- standard information boards are being used and have current, relevant information Y N

- work area is clean, neat and orderly with no serious unsafe conditions observed Y N

(See Page 2 for Comments) DateTime

Score (# of Y's / 25):

______________________

GembaAcademy.com

Sort (get rid of what's not needed):

Straighten (organize):

Sweep (clean and solve):

Safety (make it safe):

Standardize (tasks):

Sustain (keep it up):