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AM/3.0/6SACL/VER2.O
01-APRIL-2013

ENERGY SERVICE

6S Audit Check List Site Name: --------------6S Element

Activity

SORT
(

1. Necessary items are sorted from

those that are unnecessary Items?
(Ex. used filter with new filter)
2. Is Discharge/Scrap area defined?

Score

Date: ---------Suggestion for

improvement

3. Unwanted items are moved to

discharge/scrap area.
4. Any wooden, corrugated material,
Nut, Bolts and similar others are not
lying around asset.

Systematic
Arrangement
(

5. Clamp meter, multimeters,

Spanners any other
tools/instruments to be decided by
site team are available at its
specified location. (use it and bring it
to identified space)
6. Items are organized for easy
access (Daily registers should not
be kept under material / old registers
as an example)
7. Item labels, area labels are
provided at all operating / storage
locations for easy identification
8. Display of critical asset
information like definitions, uptime,
trips, failures, key maintenances
dates any other important parameter
on information board.
9. PPE (Safety Helmet, ear muff,
safety belts where required) are kept
well. Accident Manual is kept at right
location, First aid box is maintained
as per SOP.
10. Working area is cleaned properly
and there is no material lying on
pathway.

SHINE
( )

11. Filters, Used oils, fresh oils,

working tools, instruments are well
maintained and clean.

Prepared by
Management Representative

Approved By
Asset Management Head

QUIPPO

AM/3.0/6SACL/VER2.O
01-APRIL-2013

ENERGY SERVICE

12. Containers, equipment, floor,

information boards are clean-shiny
and stainless with no oily surface
13. Actions are taken to eliminate
waste, repairing, recycling, scraps
14. All Materials, Engine, Boiler and
Chiller are looking clean and shiny
15. All records are clean and
readable.
Systemize
( )

16. Procedure is set to work on sort,

systematic arrangement and shine.
17. Planning available for daily basis
6S for engines, container, tools, etc.
How and Who will do it? Clear
responsibility allocated among team
members

Sustain
( )

18. 6S Standards are followed.

Team member follow the rules of
6S. (Discipline)
19. Working Environment is Healthy
and Pleasant.
20. Goals of 6S have been achieved

Safety
(
)

21. Work areas are safe and free of

hazardous or dangerous conditions.
Are there any wires/Plugs in open
condition? Any abnormality in
electrical equipment / Switch board /
Mech. Equipment?
22. PPE, MSDS available for
hazardous items/activities.
23. All team members at site know
about MSDS and its contents
24. All team members at site follow
safe practices to control and avoid
risks
25. All team members at site use
personal protective equipments on
daily basis
Total Site Current Score
Current Score
Last Targeted Score

Add all scores of twenty five

activities
Divided Total Site Current
Score by 25 for Current Score

Next Target Score

Prepared by
Management Representative

Approved By
Asset Management Head

QUIPPO

AM/3.0/6SACL/VER2.O
01-APRIL-2013

ENERGY SERVICE

Score
Attribute

1
Non
Compliant

1.1 - 2
Least
Compliant

2.1 - 3
Meeting a
reasonable
level of
Compliance

3.1 - 4
Meeting most
of Compliance

4.1 - 5
Fully
Compliant

Notes:
1. Audit is done once in two month by Asset Manager. Site Operator / In charge is responsible
for 6S.Copy is sent to QA/QC every two months.
2. This is self assessment. Give scores to each box. 5 means 100% compliant and 1 means
non compliance. Add all scores and divide this by 20 to get Current score of site.

Name:

Name:

Signature:

Signature:
(Asset Manager)

Prepared by
Management Representative

(Customer)

Approved By
Asset Management Head