Title Page

  • Specific Location of Gemba Walk.

  • Conducted on

  • Prepared by

Operational Items

  • Machines in the area are equipped with standard machine guarding where necessary and secured in place to prevent unsafe access to the Point of Operation.

  • Have you instructed the operator stop the equipment and Lock Out until guards are reinstalled.

  • The housekeeping of the area is maintained (hoses rolled up, no debris on ground, spills/leaks are cleaned up, ect.)

  • Housekeeping Issue Before

  • Housekeeping Issue Resolved

  • Employees are properly wearing company issued PPE.

  • Instruct employee on the Plant PPE Requirements and issue discipline.

  • Any concerns or issues brought up by employees on the floor?

  • Describe Issue.

  • Describe positive observations found during GEMBA Walk

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