Title Page

  • Site conducted

  • Conducted on

  • Location
  • Prepared by

  • Signature

Take 5s

  • Talk to operators on the floor about Take 5 and see if they have done one today.

  • Have they done a Take 5 today?

  • Help/Coach the operator by doing a Take 5 together

  • Review the Take 5 and coach the operator regarding its effectiveness

Comments & Details

  • Any thing else you may found during your Gemba walk that needs addressing?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.