Form

Gemba Walk Observation & Coaching Form

A practical, interactive gemba walk form that captures observation details, guided coaching prompts, suggested experiments, ownership, and a link to the improvement backlog. Submissions are saved as structured JSON so teams can track follow-up, run simple analytics, and prevent observations from being forgotten.

Interactive Tool

Gemba Walk Observation & Coaching Form

Use this form during or immediately after a gemba walk to record concise observations, use coaching prompts to develop experiments, assign clear ownership, and link the item to your improvement backlog. Capture consistent data so follow-up is visible across shifts.

Use HH:MM (e.g., 08:45 AM) or enter shift name (e.g., Night shift).
Where did you observe this? e.g., Line 2, Paint Cell, Assembly A
Write a concise phrase that someone outside the area can understand.
Record facts: specific equipment, operator if relevant, frequency, measurements, and immediate context.
Choose the primary areas affected.
Select which prompts you used during the conversation (or intend to use).
Capture the operator's ideas, constraints, and any agreed small experiments or countermeasures.
Describe a small, timeboxed testable change (who, what, measure, duration). Example: 'Install spacer X, run 2 batches, measure defect rate.'
Helps triage follow-up actions on the daily board.
Who will take responsibility for follow-up? Use a name or role (e.g., Line Lead, Maintenance Tech).
Enter a date for review or completion (YYYY-MM-DD or 'Next shift').
Paste a link or ID to your team's improvement ticket or board item so work is tracked centrally.
If yes, escalate per your daily management rules (tools, spare parts, engineering support).
If you captured photos or log extracts, note where they are stored (photo library, shared drive). File upload may be supported by your site implementation.
Name of the person who completed the form.
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