Mgmt. Gemba Walk Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE & Safe Work Practices

• PPE correctly worn per posting and task

  Yes

  No

  N/A

• Safety shoes (Required unless doctors note on file)

  Yes

  No

  N/A

• Hearing protection (if required)

  Yes

  No

  N/A

• Gloves (if required)

  Yes

  No

  N/A

• Other required PPE?

  Yes

  No

  N/A

Lifting Devices

• Rail, Hoist, and lifting devices have rated capacity

  Yes

  No

  N/A

• Inspection tag located on hoist pendant

  Yes

  No

  N/A

• Can operator explain daily inspection performed as listed on inspection tag?

  Yes

  No

  N/A

• Inspect chain slings for wear and damage.

  Yes

  No

  N/A

• Do fiber slings have capacity and inspection tags

  Yes

  No

  N/A

• Do below the hook devices (furnace lifting trees, furnace baskets etc.) have capacity and inspection tags

  Yes

  No

  N/A

• Suspended loads must be attended

  Yes

  No

  N/A

• Suspended loads must never be lifted over employees

  Yes

  No

  N/A

Safety Shower / Eye Wash Station

• Located where acids / bases (corrosives) used.

  Yes

  No

  N/A

• Inspected weekly, not blocked

  Yes

  No

  N/A

Emergency Exits

• Aisles and emergency exits not blocked

  Yes

  No

  N/A

Electrical

• Voltage indicated on electrical control enclosures, power cabinets,, junction boxes etc.

  Yes

  No

  N/A

• Arc Flash label present on electrical control enclosures, power cabinets, junction boxes etc.

  Yes

  No

  N/A

• Clearance in front of electrical enclosures36" (0-150v) and 42" (151-600v)

  Yes

  No

  N/A

• Chords are free from frays and damage

  Yes

  No

  N/A

• Electrical enclosures are secured with wire, mechanical interlock, sealed, bolted, screwed, tie wrapped or padlocked requireing the use of a key or tool to gain entry

  Yes

  No

  N/A

• Extension cords only allowed for temporary situations <90 days. must be inspected annually

  Yes

  No

  N/A

• GFCI's required on portable electric tools and in areas where wetness or damage to cord is possible

  Yes

  No

  N/A

• Are knockout plugs present on all electrical enclosures

  Yes

  No

  N/A

PIV's

• Daily walk around being completed prior to each shift used.

  Yes

  No

  N/A

• PIV Badge - Training & Medical Exam current

  Yes

  No

  N/A

• Seatbelt used whenever forklift operated

  Yes

  No

  N/A

Flammable Cabinets

• Only flammable liquids in cabinet (no paper, wood or plastic stored in cabinet)

  Yes

  No

  N/A

• Cabinets undamaged

  Yes

  No

  N/A

• No more than 3 cabinets within 100 square feet

  Yes

  No

  N/A

Environmental

• Stacks and drains labeled

  Yes

  No

  N/A

• POG - Clean & labeled correctly

  Yes

  No

  N/A

• POG lid latched

  Yes

  No

  N/A

• POG sign form e507 posted

  Yes

  No

  N/A

• No more than 55 gallons of hazardous waste stored at POG

  Yes

  No

  N/A

• Are day cans emptied one daily

  Yes

  No

  N/A

Machine Guarding

• Machines anchored (if machine can walk or move)

  Yes

  No

  N/A

• Is point of operation (grinding wheel, etc.) protected such that inadvertent contact is prevented?

  Yes

  No

  N/A

• Flywheels, gears, shafts, pulleys, belts, gears, sprockets, chains and couplings guarded to protect employees

  Yes

  No

  N/A

• E-stop button present

  Yes

  No

  N/A

Walking / Working surfaces

• Abrupt changes in elevation shall not exceed 1/4 inch

  Yes

  No

  N/A

• Free from nails and gaps

  Yes

  No

  N/A

Fire Extinguishers

• Monthly Inspection completed / Verify completely charged

  Yes

  No

  N/A

Confined space

• Marked with proper signage (permit required sign or non permit required sign

  Yes

  No

  N/A

HAZCOM

• All containers labeled. (Original container with Manufacturers Label or secondary container with HMIS label)

  Yes

  No

  N/A

• Does employee know how to access an MSDS for a chemical used?

  Yes

  No

  N/A

Lockout / Tagout

• Is machine specific energy control procedure present (owner M. Cline)

  Yes

  No

  N/A

• Are LOTO labels present

  Yes

  No

  N/A

Blending Tools

• Are safety latches present on all compressed air powered grinding tools

  Yes

  No

  N/A

Compressed Air Nozzles

• Are nozzles labeled as OSHA compliant. (regulate air pressure to 30psi or less)

  Yes

  No

  N/A

Compressed Gas Cylinder Storage

• Are cylinders identified with a durable label that clearly identifies the cylinder contents and gives a brief description of the potential hazard?

  Yes

  No

  N/A

• Cylinders secured with chain, lab strap or hard stock device located on the upper one third of the cylinder

  Yes

  No

  N/A

• Nesting methods for storage are prohibited. Acceptable means of storage include individual chains or straps, holding racks, cylinder carts etc.

  Yes

  No

  N/A

• Flammable gasses shall be stored at least 20 feet from oxidizers and any other source of ignition or separated by an approved firewall

  Yes

  No

  N/A

ACE

• Monitor turned on?

  Yes

  No

  N/A

• Linearity chart current?

  Yes

  No

  N/A

• And on light on at gateway

  Yes

  No

  N/A

• Waterfall chart on schedule or up to day

  Yes

  No

  N/A

• Takt time posted / understood?

  Yes

  No

  N/A

• Daily walk around signed off?

  Yes

  No

  N/A

• 6s audits & newspaper are current

  Yes

  No

  N/A

• Observe if standard work is being followed

  Yes

  No

  N/A

• Area clean & organized (less than 1 day of dirt)?

  Yes

  No

  N/A

• Aisles and emergency exits not blocked?

  Yes

  No

  N/A

Do the employees know: (Interview a few people)

• Takt time?

  Yes

  No

  N/A

• Which processes are certified?

  Yes

  No

  N/A

• Where the skilled matrix is located?

  Yes

  No

  N/A

• When is thier ACE meeting or QCPC meeting?

  Yes

  No

  N/A

• Who enters the TB's

  Yes

  No

  N/A

• Where their Value Stream Map is located

  Yes

  No

  N/A

• Machine class (A, B, or C)

  Yes

  No

  N/A

• What do they do if they find a problem (QCPC ticket and notify lead)

  Yes

  No

  N/A

• How do they know what to work on next? (FIFO and or waterfall chart)

  Yes

  No

  N/A