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
PPE
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Is required PPE available in work area (i.e. check Fastenal machines)?
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Corrective actions:
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Do team members know what PPE they should wear the area and with specific machines?
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Corrective actions:
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Is the PPE dude in your areas up-to-date and posted?
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Corrective actions:
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Are Team Members wearing correct PPE for the area & tasks? Are PPE signs posted in areas?
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Corrective actions:
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Are Team Members wearing steel-toed or composite safety shoes?
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Corrective actions:
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Do new machines in your area have PPE Dude posted?
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Corrective actions:
Welding
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Are Weld Torches/Guns "goose necks" in good condition(i.e. no visible signs of dents, crimps and/or creases)?
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Corrective actions:
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Are all gas cylinders visibly marked with gas?
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Corrective actions:
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Are oxygen and acetylene cylinders kept away from sources of heat?
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Corrective actions:
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Are cylinders, cylinder valves, couplings, regulators, hoses, and apparatus kept free from oily and greasy substances?
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Corrective actions:
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Are compressed-gas cylinders secured in an upright position so they cannot fall or be knocked over?
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Corrective actions: