Gemba Checklist (Yard)

• Sito di conduzione

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• Condotto su

  Date

• Preparato da

• Posizione
  Address

General Information

• Department Interested

• List of participants

Yard General Cleaness

• General condition of cleaness?

  Good

  Fair

  Poor

  N/A

• Orphan equiment?

  Yes

  No

  N/A

• Is there any tools that supposed not to be in the area?

  Yes

  No

  N/A

• Findings

• Is there any ongoing action to keep good general cleaness?

  Yes

  No

  N/A

Trucks

• Trucks are well parked?

  Yes

  No

  N/A

• Battery on parked not used Battery is turn off?

  Sì

  No

  N/A

• Safety controls active during loading?

  Sì

  No

  N/A

Safety

• Fire extinguisher are reachable?

  Safe

  At Risk

  N/A

• Escape isles are free?

  Safe

  At Risk

  N/A

• safety points are clear indicated?

  Yes

  No

  N/A

• Road signs are in place?

  Yes

  No

  N/A

• Drivers are wearing safety shoes and H.V. vest?

  Yes

  No

  N/A

Completion

• Are there any other question(s) you want to raise?

  Yes

  No

  N/A

• List down your question(s)

• Observations and Recommendations

  Yes

  No

  N/A

• undefined

Findings

• Problem 1

• Problem 2

• Problem 3

• Problem 4

• Problem 5

• Full Name and Signature of the Inspector

  Sign