LFI Audit

• Conducted on

  Date

• Prepared by

Assembly

• Midlink facility
  Address

Safety Storyboard/ Fire Evacuation

• Is the most current safety audit posted?

  Yes

  No

• Is the name of the safety committee Rep posted?

  Yes

  No

Electrical Panel / Equipment

• Are there any exposed power sources? (covers are in place)

  Yes

  No

• Are there bare wires showing?

  Yes

  No

• Is there electrical tape on cords?

  Yes

  No

• Are there METAL ties securing cords?

  Yes

  No

• Are there ground prongs on plugs?

  Yes

  No

• (On all fixed cables) Are there spring releases from the conduit box?

  Yes

  No

Hazards

• Are all yellow areas and exits clear and accessible?

  Yes

  No

• Does all emergency exit lighting work? (Press test button)

  Yes

  No

• Are there any trip hazards in the work area? (Cords, tools, brooms, materials, fixtures, etc.)

  Yes

  No

• Are all equipment and tools being used in a safe way? (Utilizing safe technique, correct tool, in proper position)

  Yes

  No

• Are all fire extinguishers accessible?

  Yes

  No

• Is there anything leaning against walls or machinery? (i.e. skids, rods, boards, etc)

  Yes

  No

• Are skids stacked more than 10 high?

  Yes

  No

P.P.E.

• Is everyone that is working wearing steel toe or composite toe shoes?

  Yes

  No

• Is everyone wearing safety glasses with side shields? (All safety glass must have z87 markings, found on side of glasses, including prescription glasses)

  Yes

  No

• Is hearing protection being worn? (only if working at skid table with saw, or nail guns)

  Yes

  No

• Is P.P.E. in good condition? (No holes, or visible damage, clean)

  Yes

  No

• Is anyone using compressed air to clean off their body and/or clothing?

  Yes

  No

Chemicals / SDS

• Are all containers readable and properly labeled?

  Yes

  No

• Are there any chemicals stored in a personal beverage container?

  Yes

  No

• Are all flammable liquids that are not in use stored in a yellow non-flammable cabinet with doors shut?

  Yes

  No

Slings/ Straps/ Hooks

• Have all straps/ slings been checked for tears, cuts, frays?

  Yes

  No

Questions to ask employees

• What does L.O.T.O stand for?

  Lock Out Tag Out

  Incorrect Response

• What information does L.O.T.O contain?

  Who locked it out, Date, Contact Information, Reason for L.O.T.O

  Incorrect Response

• What does S.D.S. stand for?

  Safety Data Sheet

  Incorrect Reponse

• What information does S.D.S. contain?

  All the chemicals the company uses & How to treat chemicals medically

  Incorrect Response

• What is the maximum weight one person is allowed to lift?

  50 LBS

  Incorrect Response