Title Page

  • Document No.(Section Name_XX)

  • Gemba check area

  • Conducted on

  • Audited by

  • Personnel (Other joined with You)

Abnormal Conditions

  • Are there any abnormal conditions such as leaks?<br>

  • Are there any abnormal Gaps such guard gaps

Seven Wastes

  • Are people waiting for materials or are materials waiting for people at the workstations?<br>

  • Are there in-process storage areas to minimize movement?<br><br>

  • Is there too much inventory in the storage areas?<br><br>

  • Do workers appear to be making unnecessary movements in their work<br><br>

  • Are workers producing as per order?<br><br>

  • Are products staying longer in process than the prescribed time?<br><br>

  • Is there presence of defective products?<br><br>

Production Flow

  • Is the flow of materials evident?<br>

Four Ms

  • Are workstations manned?<br>

  • Are there any machine breakdowns?<br><br>

  • Are people following standards?<br><br>

  • Are materials available?<br><br>

Signature

  • Signed by manager

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.