Most of the organizations begin with their Kaizen/Lean journey and often struggle with sustenance part.

The biggest challenge for organizations is how to sustain the improvements that they have begun to see.
There are various improvement tools like 5s, TPM, TQM, Kaizen, Lean, Six sigma etc. that can easily improve
the business both short term & long term.
But the bigger challenge comes when setting up processes for long term.
Most of the organizations set up ‘audits’ of a new process or system and believe that this will ensure
sustainability.
It can definitely help provided it is done on regular basis & correctly.
Processes are set up; standardized work job instruction sheets/cards are created to show how the process is to
be done.
Supervisors then train the worker on new process using the job instruction sheets and then an audit system is
put in place to make sure that the workers or operators are doing or following the process correctly.
Many processes are being set up within this format using Lean tools, however, at some point the organization
will realize that something is missing and that is when Accountability comes in picture.
Who is auditing? Who is checking the supervisors, managers? to make sure that they are doing their part as per
the process.
That is when organizations realized & started using Kamishibai cards as part of their audit process.
Kamishibhai was used in the context of the TPS for the first time from a Canadian former Toyota manager
during a LEI seminar.
In TPS Kamishibai are 21st century equivalent of audits of the KAIZEN™ culture.
At one point, this systems management tool was a closely guarded Toyota secret. 
Only within the last few years have American companies started to realize the potential of using Kamishibai
boards and cards to manage a system in a factory. 
Kamishibai cards are like cue cards or work instructions for auditing a process.
The Kamishibai board is a visual management tool like hour by hour production status boards are for
supervisors and line managers.
If hour by hour boards are used during the shift and on an hourly or bi-hourly cadence, Kamishibai boards are
used for weekly, monthly and even quarterly audits. Kamishibai prevents “breakdown maintenance” of the
Lean system itself through audits, just as in TPM the regular equipment checks prevent machine breakdowns
due to machines wearing, overheating, etc.