3S - Audit Sheet (Shopfloor)

Zone Name : Zone Leader Name :

Audit Level (Pl Tick on Audit Level) 1st □ 2nd □ 3rd □
5'S' Committee OR Module TPM Steering Committee
Audit By Self Team
Manager OR PU Manager
Audit Frequency Weekly Fortnightly Monthly
Audit Qualifying Score More Than 90 Points More Than 85 Points More Than 80 Points
Audit Date
No. Check Items Score Audit Observations Actions Planned Resp. Target Date

Is daily sweeping and mopping of the floor & aisles carried out
1
at pre-fixed time intervals ?

Are all toilets are mopped, cleaned and disinfected as per

2
prefixed time intervals ?

Is there no dust, dirt, grime, muck on products, components,

3
packing materials ?

Are all tools and shadow boards cleaned and free from dust,
4
dirt, grime, muck, oil, etc. ?

Are all office and store's shelves, stands, filing cabinets, tables
5
cleaned and free from dust and dirt ?

Are all materials pallets, trolleys, bins and materials handling

6
equipment cleaned and free from dust, dirt, oil, grime, muck ?

7 Are all windows, pillars, beams cleaned ?

8 Is there no swarf, water, oil underneath equipment / machines ?

Is there no dust and dirt on top of equipment, machines,

9
shelves ?

Are all light bulbs, tubes, fans, switches cleaned and free from
10
dust and dirt ?

Are all pipelines (pneumatic, water, gas) and electrical lines

11
cleaned and free from dust and dirt ?

12 Is there no dust, dirt, oil stains on jigs, fixtures, dies ?

13 Is there no dust on display boards, documents, files ?

14 Are all dust-bins cleaned inside as well outside ?

Are all ventilation facilities (fans, exhaust fans, suction/cooling

15
hoods, ducts) cleaned ?

Are all exterior walls of building are clean and

16
painted/whitewashed ?

Are all warning lamps, Andon lamps, various indicators cleaned

17
?

18 Are coolant / oil storage areas cleaned and dry ?

Are all switches, limit switches, press buttons, cleaned from

19 outside (Only outside persons should clean the insides of such
switches) ?

Is there availability of cleaning check sheets at appropriate

20
places with defined responsibility & followed by ?

Total

Audit Result Points (Pass - Yes /No)

Auditor Name & Sign.

Points Evaluation Criteria 1=Poor, 2=Average, 3=Good, 4=Very Good, 5=Excellent

MQS/TPM/3S/3S Audit Sheet-Shop floor/F/05 Rev. No.: 00 1

Rev. Date : 10th April'2013