Score Sheet for ZONE ( RIVER NAME) : __________

ZONE:____________________________________
Based on assessment, a
'NA' can be given wherever the parameter is not applicable fo
Total Score will be auto

PROPOSED
sl
no

1
2
3
4

6
7
8

10

11

12
13

14
15

16
17
18
19
20
21

22
23
24
25
26

27
28
29
30
31
32
Score Sheet for ZONE ( RIVER NAME) : __________
ZONE:____________________________________
Based on assessment, assessor need to allot points i.e. from 0 to 4 for the below me
'NA' can be given wherever the parameter is not applicable for area of assessment.
Total Score will be automatically calculated by formulas.
Note : Enter only in Blue coloured box =

PROPOSED NEW 32 POINT CHECK LIST

1.0 SORT

Entrance areas, outside area, exterior storage and garden areas within the premises are clearly marked and free
of unwanted materials.
Materials/Files kept inside the cupboards/ drawers/ runners are sorted and identified
Floor area/ Gangways are free of clutter and unwanted items.
Tops of cupboards, shelves, runners, are free of items and working tables, cabins, cubicles and work areas are
free of clutter
Common facilities/shared areas (conference, rest rooms, assemble areas) are free from unwanted
materials.
Notice/communication Boards & accolades display are maintained and updated periodically (through identified
person)
Shift end sorting activities are followed & are effective.
Daily needed items are identified, properly arranged, easily accessible & shadow boards are used
wherever it is applicable.
Total SORT

2.0 SET IN ORDER

Materials at stores, production lines (Assy,fab,QA,Testing) are to be segregated, identified, listed.
Shelf life items to be seperately monitored. (All listed items should match with physical items. )
Capable to retrieve any tools/ files/ information in 30 seconds.
All Electrical cables, wires, pipes etc are properly routed/marked & electrical fittings are identified and are in good
condition.
Direction indications are available for easy location of all facilities and Departments
All buildings, rooms, cubicles and work areas, machines/equipment are identified, arranged and properly
displayed.
Desktop window in computers are free of unwanted files and all the files are properly named and
saved in respective drives.
Color coding of pipes, dustbins, cylinders, tags, etc. are effectively used for identification.
Total SET IN ORDER

3.0 SHINE
Floors, Walls, Windows and Doors are maintained clean. There is a general appearance of cleanliness all around.
All moveable & immovable assest/facilities are clean and properly maintained.
Toilets, wash-basins, water coolers are maintained at hygienic condition and cleaning schedule to be displayed
and maintained.
Waste bins are placed at identified locations and periodically cleaned and maintained.
Cleaning schedule are displayed and maintained for shop floor and office.
5S corner consisting of cleaning material e.g. cloth, cotton waste soap solutions, vacuum cleaner etc. is
maintained.
Total for SHINE

4.0 STANDARDIZE
Standard visual management is evident (Danger Zone, Emergency Exits, Emergency assembly point, gangways
markings).
All protective devices are provided at proper places and maintained in ready-to-use condition.
Fire Extinguishers, First-Aid Box, Switch Boards, etc. are clearly visible and easily accessible.
Designated areas are specified and marked for pallets, trolleys, Fire Extinguishers, First-Aid box, etc.
SOPs & checklists are prepared and used for monitoring 1S, 2S, & 3S
Total STANDARDIZE

5.0 SUSTAIN
Zones and Zonel leaders are formed, Strategic meeting on 5S are periodically conducted and documented.
5S internal assessments are conducted periodically and RADAR charts are used for monitoring.
5S promotional displays, guidelines are displayed at prominent places and 5S pledge is administered.
Kaizen corner, 5S gallery and Red-Tag area are evident and maintained.
Continual improvements are promoted, Gemba kaizen workshops are conducted periodically and
documented.
Rewards/recognitions are given to best performing zones, teams, employees.
Total SUSTAIN

TOTAL SCORE

Auditor : Auditee :
 AUDITEE:
AUDITOR:
need to allot points i.e. from 0 to 4 for the below mentioned 32 parameters.

2 POINT CHECK LIST

Weight Points Merit
age (0-4) Score

10 0
10 0
9 0
8 0

8 0

7 0
7 0
6 0
65 0

10 0

10 0

8 0

7 0
7 0

7 0
6 0
55 0

8 0
7 0
7 0
6 0
6 0
 6 0
40 0

9 0
9 0
9 0
9 0
9 0
45 0

8 0
8 0
8 0
8 0
7 0
6 0
45 0

250 0