Title Page
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Conducted on
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Prepared by
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Location
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Department/Areas Reviewed:
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Completed by:
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Date of GEMBA Walk:
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If any answers are NO, provide the tier board number and owner to correct the issue in the action section
Hand Tools
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Have quarterly hand tool audits been performed the last 3 quarters?
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Comments:
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Are impact tools free of mushroomed heads?
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Comments:
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Do wrenches in use have sprung or worn jaws ?
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Comments:
PPE
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All wooden handles are free from cracks and not loose?
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Comments
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Are homemade tools used where off the shelf tools could replace them?
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Comments:
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Are written LOTO procedures for each machine or piece of equipment posted on the machine or in immediate area?
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Comments:
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Are Lock boxes in the area where needed and ready for use?
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Comments:
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Do Team Members know what LOTO is and when it should be used?
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Comments:
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Do Team Members use proper LOTO when performing maintenance, service or when troubleshooting machines?
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Comments:
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Are equipment out of service tags readily available in area?
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Comments:
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* If issues cannot be imediately corrected, move item to tier board for escalation