Title Page
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Client / Site
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Conducted on (Date and Time)
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Prepared by
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Location
General Information
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Department
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Description of work
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List of participants
Analyzing processes
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What is the standard or process to which you are working?
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Do you think the standard or process is clear?
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What are we doing to meet the standard or process?
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What is the goal we’re trying to achieve with this process?
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What can we do to improve the process?
Problem-solving
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What can we do to flag nonconformances immediately so we can implement corrective action?
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What kind of problems are you running into here?
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Why is this a challenge?
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What have you done to determine the root cause?
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What is the next step?
Tools and resources
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Are our data and charts up-to-date?
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Do you have everything you need for this process?
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Kindly specify your needs
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What would help break down barriers to solving problems?
Continuous improvement
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What is today’s priority and why?
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What do you intend to improve today?
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Are there any other question(s) you want to raise?
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List down your question(s)
Completion
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Observations and Recommendations
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Full Name and Signature of the Inspector