Title Page
-
Branch
-
Department
-
Date Conducted
-
Employee Conducting
-
Employee Conducting (Employee Number)
-
Employee Observed
-
Employee Observed (Employee Number)
-
Task Observed
Gemba Walk
-
Does the area meet MHC Housekeeping Standard?
-
What does not meet standard?
- Cleanliness
- Spill
- Trash/Debris
- Organization
- Equipment/Tooling
- Other
-
Please describe what does not meet standard.
-
Describe in more detail the job/task the employee is performing.
-
Is the employee wearing correct personal protective equipment (PPE)?
-
What PPE is not being worn that should be?
- Safety Glasses
- Safety Googles
- Cut Resistant Gloves
- Steel/Composite Toe Shoe
- Respirator
- Face Shield
- Welding Helmet
- Leather Gloves
- Dust Mask
-
Is the employee using the proper tooling and equipment?
-
Is the employee using incorrect tooling/equipment or using tooling/equipment improperly?
-
Is there a safer tool to do the job?
-
Is there a better/safer tool for the job?
-
Did you observe any material handling or lifting?
-
What material was handled or lifted?
-
Is the material over 50 pounds?
-
Was team lifting or lifting equipment used?
-
Was the material lifted properly (bend at knees not waist, back straight, load close to body, clear line of sight, etc.)?
-
Were any state(s) of mind observed?
-
Which state(s) of mind?
- Rushing
- Frustration
- Fatigue
- Complacency
-
Is the employee following all other best practices for the job/task?
-
What does not meet standard?
- PPE
- Tooling/Equipment
- Body Placement
- Material Handling
- Lifting Techniques
- Other
Closing
-
Was this employee trained on the task?
-
Why were they not trained?
-
When asked, what does the employee say MHC can do to help to improve this task?
-
What does the employee like about working at MHC?
-
What is the employee struggling with at MHC?
-
Please provide positive feedback on employees performance.
-
What opportunities can the employee do to improve?
-
How will you use this Gemba Walk to improve the department/branch?
-
How will you deliver your Gemba Walk takeaways to the department/branch (huddle, crew meeting, staff meeting, one-on-one, etc.)?
