Kaizen Report Template

Project Title

Category

Section/Process

Current Situation
Take/attach photos before kaizen
Root Cause Analysis
Potential Causes

Potential Cause

Root Cause of the Problem

Specify

Improvement Measures
Select all that apply

Specify

Results
Take/attach photos after kaizen

Benefits

Completion

Additional comments

Participation

Name & Designation

Name & Signature of Quality Manager
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.