Gemba Walk Template

• Department

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

• List down the names of participants

Checklist

• Ask the following questions:

• What are you doing now?

• Is there an established, documented standard process for completing this activity?

  Yes

  No

  N/A

• What are the challenges do you face?

• How do you identify a challenge?

• What can you fix?

• What can't you fix?

• Who do you speak to when something goes wrong?

• Do you use a visual management board?

  Yes

  No

  N/A

• • Is it useful?

  Yes

  No

  N/A

• • Elaborate why

Completion

• Observations and Recommendations

• Full Name and Signature of the Inspector

  Sign