Title Page

  • Conducted on

  • Prepared by

  • Location
  • Department/Areas Reviewed:

  • Completed by:

  • Date of GEMBA Walk:

  • If any answers are NO, provide the tier board number and owner to correct the issue in the action section

Hand Tools

  • Have quarterly hand tool audits been performed the last 3 quarters?

  • Comments:

  • Are impact tools free of mushroomed heads?

  • Comments:

  • Do wrenches in use have sprung or worn jaws ?

  • Comments:

PPE

  • All wooden handles are free from cracks and not loose?

  • Comments

  • Are homemade tools used where off the shelf tools could replace them?

  • Comments:

  • Are written LOTO procedures for each machine or piece of equipment posted on the machine or in immediate area?

  • Comments:

  • Are Lock boxes in the area where needed and ready for use?

  • Comments:

  • Do Team Members know what LOTO is and when it should be used?

  • Comments:

  • Do Team Members use proper LOTO when performing maintenance, service or when troubleshooting machines?

  • Comments:

  • Are equipment out of service tags readily available in area?

  • Comments:

  • * If issues cannot be imediately corrected, move item to tier board for escalation

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