SafetyCulture Staff

Kaizen Report Template Checklist

Use this kaizen report template to easily define the project, category, and section/process, identify the root cause of the problem (including 8 wastes), capture photo evidence before and after implementing kaizen, specify improvement measures such as 5S, Gemba, etc. and complete the kaizen report with a digital signature.

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Kaizen Report Template

Project Title

Category

Quality improvement
Health and safety
Environment
Productivity
Office processes
Product design improvement
Service improvement

Section/Process

Current Situation

Take/attach photos before kaizen

Root Cause Analysis

Potential Causes

Potential Cause

Root Cause of the Problem

Defects
Overproduction
Waiting
Non-utilized talent
Transportation
Inventory
Motion
Extra-processing
Other

Improvement Measures

Select all that apply

5S
6S
Gemba Walk
Inspections
Audits
Awareness
Communication
Training
Other

Results

Take/attach photos after kaizen

Benefits

Completion

Additional comments

Participation

Name & Designation

Name & Signature of Quality Manager

SafetyCulture Staff

Kaizen Report Template

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.